RT Book, Section
A1 Yeomans, Edward R.
A1 Hoffman, Barbara L.
A1 Gilstrap III, Larry C.
A1 Cunningham, F. Gary
SR Print(0)
ID 1138214563
T1 Vaginal Breech Delivery
T2 Cunningham and Gilstrap's Operative Obstetrics, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071849067
LK obgyn.mhmedical.com/content.aspx?aid=1138214563
RD 2024/10/03
AB Just  more  than  15  years  have  elapsed  since  the  publication  of  the  Term  Breech  Trial.  This  is  the  largest  randomized  trial  to  compare  planned  vaginal  and  planned  cesarean  delivery  for  women  carrying  breech  fetuses  at  term  (Hannah,  2000).  This  monumental  effort  involved  121  centers  in  26  countries.  Its  results  provide  many  of  the  core  tenets  that  shape  current  delivery  practices.  The  authors  interpreted  their  findings  to  indicate  that  planned  cesarean  delivery  was  the  safest  method  to  minimize  neonatal  morbidity  and  mortality  rates.  A  secondary  conclusion  showed  no  difference  in  maternal  morbidity  rates  between  the  two  delivery  routes.  Obviously,  they  did  not  consider  an  abdominal  incision  and  hysterotomy  to  be  a  morbid  outcome.