Vaginal birth after cesarean delivery. Trial of labor in women with breech presentation
Sarno, A.P.; Phelan, J.P.; Ahn, M.O.; Strong, T.H.
Journal of Reproductive Medicine 34(10): 831-833
1989
ISSN/ISBN: 0024-7758 PMID: 2795566 Document Number: 339467
Vaginal birth after cesarean delivery in a woman with breech presentation is a controversial issue. In this prospective study, 137 patients had a breech presentation. Of them, 27 (19.7%) met the protocol criteria for attempted vaginal delivery and desired a trial of labor. Thirteen (48%) achieved vaginal delivery, with no increase in fetal or maternal morbidity. Our data suggest that in selected patients, a trial of labor after a cesarean delivery with a breech presentation is a reasonable consideration.