Title: Reproductive outcomes in
women after Caesarean section for breech presentation: The experience of a
regional Australian centre
S. Craig1, S. Ooi2
Albury-Wodonga Health, Wodonga, Australia
Liverpool Hospital, Sydney, Australia
Aims: To retrospectively identify all women having
a Caesarean section (CS) for a breech presentation and assess mode of delivery
and maternal recollections of delivery options in the next pregnancy with a
Methods: This study identified every woman who had a
CS for a breech presentation after 34 weeks, between 1998 and 2012, and then
had a subsequent pregnancy by 2014. A questionnaire was sent to each woman
inquiring about the deliveries, recollections of delivery options given, and
maternal desires for mode of delivery after the index pregnancy.
Results: A total of 427 women had a CS for a breech,
and of these 183 had further pregnancies with a cephalic presentation at term,
thus meting our study criteria. 112 (61%) were delivered by ERCS while 71 (39%)
attempted a VBAC. The VBAC success rate
was 87% overall. There was no difference in birth weight between the ERCS and
VBAC groups. 38% of women wanted a VBAC but were delivered by ERCS. 58% of women who were delivered by ERCS
believed that this was a safer option than VBAC.
Conclusion: Women who have had one CS for a breech are
often excellent VBAC candidates. Many women prefer delivery by ERCS due to
concerns over safety, whilst others interested in VBAC were not offered it,
perhaps highlighting a need for improvement in the delivery planning and
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