Outcomes in term breech birth according to intended mode of delivery—A Swedish prospective single‐center experience of a dedicated breech birth team

• DOI: 10.1111/aogs.14945
• Publication Date: 2024-08-12T07:25:00Z
• Authors: Nicolas Yaouzis O...; Emma Debora Bartfai; Hanna Åmark; Tove Wallström
• Keywords: Breech delivery

Abstract Introduction The appropriate mode of delivery for breech babies is a topic ongoing debate. After the publication Term Breech Trial in 2000, proportion delivered vaginally Sweden rapidly dropped to 7% from 26%. In 2015, international guidelines changed once again recommend offering vaginal deliveries select cases. 2017, Swedish hospital established dedicated Team provide safe according new guidelines. aim this study compare neonatal morbidity group planned cesarean with treated accordance adds literature by providing insights into consequences reintroducing births high‐resource health‐care setting. Material and Methods A prospective observational was conducted at Södersjukhuset's maternity ward 1067 women who gave birth single fetus term. Outcomes were compared between groups using intention‐to‐treat analysis multivariate control confounders. Results Out women, 78.9% 21.1% delivery. had significantly greater risk (3.1% vs. 0.7%; OR 4.44, 95% CI 1.48–13.34). difference remained significant after controlling Conclusions Planned associated an increased mortality short‐term potential risks benefits should be carefully weighed against those