This presentation explores emerging evidence on term breech birth. Studies on both short-and long-term maternal outcomes tend to favor planned vaginal birth over planned cesarean section. Because of the long-term benefits of vaginal birth to both mother and baby, I argue that providers and clinics should prioritize vaginal breech training, implement policies to support breech providers, and offer access to vaginal breech birth or referrals to breech specialty centers. Unlike a policy of universal cesarean, this proposed approach also supports maternal autonomy and protects health providers from violating women’s legal and ethical rights to informed consent and refusal.
Learning Objectives:
At the end of the session the participant should be able to:
Objective 1: Describe the conclusions of the 2000 Term Breech Trial.
Objective 2: Identify the main flaws of the 2000 Term Breech Trial.
Objective 3: List where the overall evidence falls for planned vaginal breech versus planned cesarean section for breech birth with regards to:
• Neonatal mortality.
• Short-term neonatal morbidity.
• Long-term childhood outcomes.
• Short-term maternal outcomes.
• Long-term maternal outcomes.
• Identify reasons for continuing to offer vaginal breech birth.
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