How to: a breech vaginal delivery before 25 weeks of gestation

Arch Gynecol Obstet. 2024 Sep;310(3):1801-1803. doi: 10.1007/s00404-024-07640-w. Epub 2024 Jul 17.

Abstract

Delivery before 25 weeks of gestation has become a more frequent occurrence in our maternity units and can be a difficult obstetrical situation to manage when the fetus is breech. We describe a new obstetrical maneuver enabling vaginal birth of a breech fetus before 25 weeks of gestation. It enables the fetal mobile to be fully grasped and secured, thus facilitating passage through the genital tract.

Keywords: Breech delivery; Obstetrical maneuver; Periviable birth.

MeSH terms

  • Breech Presentation* / therapy
  • Delivery, Obstetric* / methods
  • Female
  • Gestational Age
  • Humans
  • Pregnancy