After the results of the Term breech trial being published in 2000 more or less over night the rate of vaginal breech delivery has declined tremendously. But vaginal breech birth has become in some units and some countries again available, most of the time it is due to a group of midwives and obstetricians being interested in providing physiological birth in general. It has been felt, that if you choose the right candidate that vaginal breech birth is as safe as in cephalic birth. However upright birth position has been shown to have advantages due to gravity and natural movements being supported especially breech delivery. We have investigated the different mechanism and techniques to overcome possible delays.
Learning Objectives:
1. Describe Physiological breech birthing in the upright birth position.
2. Identify possible causes of delay in decent.
3. Describe how to solve delays caused by arm or head dystocia.
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