Modes of deliveryFree in the app
Vaginal breech birth
Selection and conduct.
Source: RCOG GTG 20bAgainst vaginal breech
- Footling or kneeling breech
- EFW >3.8 kg or <2.0 kg
- Hyperextended fetal neck
- Inadequate pelvis; previous CS
- No skilled attendant
Labour
| Monitoring | Continuous CTG; no augmentation generally. |
|---|---|
| Second stage | Passive up to 90 min; birth within 60 min of active pushing. |
| Intervene | >5 min buttocks to head, or >3 min umbilicus to head. |
Manoeuvres: see Manoeuvres → Assisted vaginal breech.
Perinatal mortality ~2/1000 planned vaginal breech vs ~0.5/1000 planned CS after 39 wk.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.