Birthing breech should not be an issue.
|Five years to the term breech trial: The rise and fall of a randomized controlled trial.
American Journal of Obstetrics & Gynecology. 194(1):20-25, January 2006.
Glezerman, Marek MD
Objective: On the basis of the end points of neonatal morbidity and death, the authors of the term breech trial concluded unequivocally that cesarean delivery was safer for breech babies.
Study design: Analysis of the original and new data gives rise to serious concerns as far as study design, methods, and conclusions are concerned. In a substantial number of cases, there was a lack of adherence to the inclusion criteria. There was a large interinstitutional variation of standard of care; inadequate methods of antepartum and intrapartum fetal assessment were used, and a large proportion of women were recruited during active labor. In many instances of planned vaginal delivery, there was no attendance of a clinician with adequate expertise.
Results: Most cases of neonatal death and morbidity in the term breech trial cannot be attributed to the mode of delivery. Moreover, analysis of outcome after 2 years has shown no difference between vaginal and abdominal deliveries of breech babies.
Conclusion: The original term breech trial recommendations should be withdrawn.
(C) Mosby-Year Book Inc. 2006. All Rights Reserved.
They, who ever they is, say that breech presentation occurs 1 in 3 babies, maybe a little less.
In 1999, the c/s rate was 22%
In 2004, the c/s rate was 29.1%
Here is an older article but good birth data, even vbac datahttp://www.usatoday.com/news/health/...sections_x.htm
In 2005, 30.2% (prelim #) and increase of nearly 40% in 1 YEAR!!!
I find it interesting that the c/s rate now matches the estimated rate of breech presentations. So many women are having c/s for breech presentation when years ago they were birthing them.