Ensuring the health of the baby and the mother during childbirth: this is what prompts obstetricians to opt for cesarean section when the baby presents by the breech. Indeed, the risk of perinatal death is statistically ten times higher when giving birth vaginally. However, a Dutch study suggests that the “cesarean” option should not be systematic. According to the team of Dr Floortje Vlemmix at the University of Amsterdam, there is still room for improvement for women who want a vaginal birth. For example, by tilting the baby so that his head is in a better position.
4 in 100 deliveries
For their study, the Dutch researchers followed more than 58,000 women who gave birth by breech in Dutch hospitals (on average, the baby presents by breech in 4% childbirth). Their analysis shows that perinatal mortality, which is the main risk, remained stable when vaginal deliveries were planned. And their calculations show that 3,338 cesarean sections are necessary to avoid perinatal death. On the other hand, they recognize that the risk factors, in the event of breech birth by vaginal route, could not be determined precisely.
As Dr Vlemmix explains: “While cesarean section has improved neonatal outcomes, a large number of women still wish to attempt a vaginal birth. So do not hesitate to turn the baby over. . From 36 weeks of pregnancy, this practice reduces the risk of breech presentation during childbirth.
