BJOG : an international journal of obstetrics and gynaecology
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Comparative Study
What are the implications for the next delivery in primigravidae who have an elective caesarean section for breech presentation?
To determine the mode of the next delivery for primigravid women who have an elective caesarean section for breech presentation. ⋯ Women who have an elective caesarean section for a breech presentation in their first pregnancy have about a 1 in 10 chance of having an elective caesarean section for a breech presentation in their second pregnancy. Overall, the incidence of repeat caesarean section for their second baby was 43.8%, and of those allowed to labour, 84% achieved a vaginal delivery. These results compared favourably with women who had an elective caesarean section with a cephalic presentation in their first pregnancy. This information is important in advising primigravid women with a breech presentation about longer term implications of elective caesarean section. It also allows healthcare managers to anticipate the resource implications of any changes in clinical practice for women with a breech presentation in their first pregnancy.