Breech Presentation: CNGOF Guidelines for Clinical Practice - Information and Management

Objective. - To provide guidelines regarding parents' information in case of breech presentation and labour ward organisation for trial of labour in breech presentation. Methods. - Medline and Cochrane Library databases search and review of the main foreign guidelines. Results. - Information should be in favour of external cephalic version and describe benefits and risks for planned vaginal delivery vs planned caesarean delivery (Professional consensus). Patient should be aware of choice change according to obstetrical context (Professional consensus). Presence of an obstetrician is required at birth as well as immediate assistance of an anaesthesiologist and paediatrician if needed (Professional consensus). Conclusion. - Information should lead to concerted choice concerning mode of delivery. Labour ward organisation requires presence of an obstetrician at birth and immediate availability of anaesthesiologist and paediatrician. (C) 2019 Elsevier Masson SAS. All rights reserved.