• Cochrane Db Syst Rev · Jul 2015

    Review

    Expedited versus conservative approaches for vaginal delivery in breech presentation.

    • G Justus Hofmeyr, Regina Kulier, and Helen M West.
    • Department of Obstetrics and Gynaecology, Frere Hospital, Walter Sisulu University, University of the Witwatersrand, Eastern Cape Department of Health, East London, South Africa.
    • Cochrane Db Syst Rev. 2015 Jul 21; 2015 (7): CD000082CD000082.

    BackgroundIn a vaginal breech birth there may be benefit from rapid delivery of the baby to prevent progressive acidosis. However, this needs to be weighed against the potential trauma of a quick delivery.ObjectivesThe objective of this review was to assess the effects of expedited vaginal delivery (breech delivery from umbilicus to delivery of the head within one contraction) on perinatal outcomes.Search MethodsWe searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 May 2015) and reference lists of retrieved studies.Selection CriteriaRandomised trials of expedited vaginal breech delivery compared with delivery not routinely expedited in women undergoing vaginal breech delivery.Data Collection And AnalysisTwo review authors independently assessed the one identified trial for inclusion.If studies are included in future updates, two review authors will assess risk of bias, extract data and check data for accuracy.Main ResultsNo studies were included.Authors' ConclusionsThere is not enough evidence to evaluate the effects of expedited vaginal breech delivery.

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