Management of term breech presentation

Abstract

While most breech babies are delivered by caesarean section, a small number are born vaginally. Detailed counselling and an accoucher skilled in vaginal breech birth (VBB) are essential for offering the modality. External cephalic version (ECV) is safe, acceptable to most women, has few contraindications and increases vaginal birth rates. Undiagnosed term breech presentation can largely be prevented by routine third‐trimester ultrasound. Research is needed to evaluate the efficacy of VBB simulation training in clinical practice.