Management of Breech Presentation: A Comparison of Four National Evidence-Based Guidelines.

Abstract:

OBJECTIVE:The management of breech presentation may improve perinatal outcomes. The aim of this study was to synthesize and compare published evidence of four national guidelines on breech presentation. STUDY DESIGN:A descriptive review of four recently published national guidelines on breech presentation and external cephalic version (ECV) was conducted: Royal College of Obstetricians and Gynaecologists guideline on "External Cephalic Version and Reducing the Incidence of Term Breech Presentation" and "Management of Breech Presentation", American College of Obstetricians and Gynecologists guideline on "External Cephalic Version" and "Mode of Term Singleton Breech Delivery," Society of Obstetricians and Gynaecologists of Canada guideline on "Vaginal Delivery of Breech Presentation" and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists guideline on "Management of breech presentation at term." RESULTS:Regarding ECV, there is no recommendation by the SOGC, whereas all other national guidelines recommend this technique. Regarding breech vaginal delivery, there are limited recommendations by the ACOG, whereas all other guidelines provide similar recommendations. The RANZCOG makes no special recommendations on the intrapartum period. CONCLUSION:The differences among national guidelines point out the need for the adoption of an international consensus on the management of breech presentation.

journal_name

Am J Perinatol

authors

Tsakiridis I,Mamopoulos A,Athanasiadis A,Dagklis T

doi

10.1055/s-0039-1692391

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1102-1109

issue

11

eissn

0735-1631

issn

1098-8785

journal_volume

37

pub_type

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