Vaginal Breech Deliveries: Trend in The Past 30 Years: Vajinal Makat Doğumlar: Son 30 Yıldaki Eğilim

Letter to the Editor / Editöre Mektup DOI: 10.4274/tjod.
47123
Vaginal breech deliveries: Trend in the past 30 years

Vajinal makat doğumlar: Son 30 yıldaki eğilim
Cihan Çetin, Cansun Demir
Çukurova University Faculty of Medicine, Department of Obstetric and Gynecology, Division of Perinatology, Adana, Turkey
Abstract
Vaginal breech delivery incidence is progressively decreasing. This trend exists in our country like other countries around the world. J Turk Soc Obstet
Gynecol 2014;4:252
Key Words: Breech presentation
Özet
Vajinal makat doğumların sıklığı gün geçtikçe azalmaktadır. Tüm dünyada olduğu gibi ülkemizde de bu eğilim vardır. J Turk Soc Obstet Gynecol 2014;4:252
Anahtar Kelimeler: Makat gelişi
Dear editor, between 1980-1983 C/S rate for breech presentations were
15%. Later, between 1993-1997 rate elevated to 73% and lastly
Breech presentation is encountered in 3-4% of pregnancies at
between 2008-2013, rate was 86%(3,4). Our increasing trend is
term(1). However, it is more common in preterm deliveries and
consistent with other countries(5,6).
in pregnancies complicated by myoma uteri, placenta previa
Although the lack of support for Term breech trial, there is a
and fetal anomalies. On account of this, obstetricians must have globally increasing trend for C/S rates for breech deliveries. Major
the required skills in order to manage these deliveries. question is “Do we really decrease the perinatal complications
During the past years, there is a decreasing trend in delivering by C/S?” and “How many C/S should be performed in order
babies vaginally if they are in breech presentation regardless of to prevent one complication related to vaginal birth?”. In our
the its type. There are three main types of breech presentations: opinion, before the extinction of trained obstetricians in breech
Frank breech, complete breech and footling presentations. In delivery, vaginal birth trial should be an alternative for carefully
case of footling and complete breech presentations, most authors selected patients. By this way, continuity of education can be
agree to deliver via cesarean section (C/S). However, in cases of possible and C/S rates can be lowered.
frank breech, there is no agreement on the way of delivery.
Especially after the Term Breech Trial published in 2000, References
many clinicians changed their attitude in managing breech 1. Hickok DE, Gordon DC, Milberg JA, Williams MA, Daling JR.
presentations towards C/S(2). That’s because, this study showed The frequency of breech presentation by gestational age at birth:
that babies delivered via C/S because of breech presentation, a large population-based study. American journal of obstetrics and
had better perinatal mortality, neonatal mortality and serious gynecology 1992;166:851-2.
neonatal morbidity rates than those delivered vaginally. 2. Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan
This study and probably the increasing medicolegal issues, AR. Planned caesarean section versus planned vaginal birth for
caused obstetricians to be more defensive and thus, resulting breech presentation at term: a randomised multicentre trial. Term
more liberal indications for C/S. This increasing trend in C/S Breech Trial Collaborative Group. Lancet 2000;356:1375-83.
deliveries is also causing inadequate education and expertise 3. Demir SC. ÖT, Kadayıfçı O., Karaca A., Evrüke C. Makad Doğumlar.
for obstetricians in breech deliveries, which may also increase Klinik Bilimler & Doktor 1999;5:666-70.
complications where vaginal breech delivery trial is inevitable. 4. Aridogan N, Karanfil H, Çetin T, Acar I, Atay Y. Makat gelişleri.
Today, major maneuvers like Mauriceau-Smellie-Veit, Prague, Anadolu Tıp Dergisi 1984;(6):143-8.
Bracht etc. required for term breech deliveries are seldomly 5. Albrechtsen S, Rasmussen S, Dalaker K, Irgens LM. Factors
shown to residents. This will probably increase the perinatal influencing delivery method in breech presentation. Acta obstetricia
morbidity and mortality rates in these cases in the future. et gynecologica Scandinavica 1998; 77:416-21.
As we aimed to investigate our clinic’s management attitude 6. Roberts CL, Peat B, Algert CS, Henderson-Smart D. Term breech birth
toward breech presentations in the past 30 years, we also in New South Wales, 1990-1997. The Australian & New Zealand
encountered a decreasing trend in vaginal deliveries. First, journal of obstetrics & gynaecology 2000;40:23-9.
Address for Correspondence/Yazışma Adresi: Cihan Çetin, MD,

Çukurova University Faculty of Medicine, Department of Obstetric and Gynecology, Division of Perinatology, Adana, Turkey
Gsm: +90 533 224 10 33 E-mail: cihancetin00@gmail.com
Received /Geliş Tarihi : 11.07.2014
Accepted/Kabul Tarihi : 14.07.2014
252

Vaginal Breech Deliveries: Trend in The Past 30 Years: Vajinal Makat Doğumlar: Son 30 Yıldaki Eğilim

Uploaded by

Document Informationclick to expand document information

Copyright:

Available Formats

Vaginal Breech Deliveries: Trend in The Past 30 Years: Vajinal Makat Doğumlar: Son 30 Yıldaki Eğilim

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Vaginal Breech Deliveries: Trend in The Past 30 Years: Vajinal Makat Doğumlar: Son 30 Yıldaki Eğilim

Uploaded by

Copyright:

Available Formats

Letter to the Editor / Editöre Mektup DOI: 10.4274/tjod.

Vaginal breech deliveries: Trend in the past 30 years

Address for Correspondence/Yazışma Adresi: Cihan Çetin, MD,

You might also like