Vaginal breech

When you have completed this course, you will be able to:

• describe the types of breech presentation
• recognise the risk factors for breech presentation
• describe the techniques of vaginal breech delivery
• describe the techniques for managing the complications of vaginal breech delivery
• present a balanced argument for and against vaginal breech delivery
• counsel an antenatal patient with breech presentation of the fetus regarding the mode of delivery
• recognise the importance of a skills drill to gain experience of the manoeuvres necessary for vaginal breech delivery.

Dr Kausik Das MRCOG (2010, 2016)

Dr Das is a Consultant Obstetrician and Gynaecologist at Birmingham Heartlands and Solihull Hospitals, and a Honorary Senior Clinical Lecturer at the University of Birmingham.

This course is intended to help clinicians gain core knowledge for O&G training and the MRCOG examinations. It can also be used by O&G consultants to refresh their knowledge of the area or for teaching.

Deans CL, Penn Z. The case for and against vaginal breech delivery. The Obstetrician & Gynaecologist 2008;10(3):139–44.

Green PM, Walkinshaw S. Management of breech deliveries. The Obstetrician & Gynaecologist 2002;4:87–91.

Royal College of Obstetricians and Gynaecologists. Management of Breech Presentation. Green-top Guideline No. 20b. London; RCOG: 2017.

Royal College of Obstetricians and Gynaecologists. External Cephalic Version and Reducing the Incidence of Breech Presentation. Green-top Guideline No. 20a. London; RCOG: 2017.