Term breech delivery in The Netherlands

The management of the term breech delivery has been a subject of discussion for many years. Only a few randomized trials had been performed on outcome in relation to the mode of delivery in case of breech position. In october 2000 the results of the Term Breech Trial (TBT) were published, in which women with a term fetus in breech were randomly assigned for planned caesarean section (CS) or planned vaginal delivery. The results showed a significantly lower perinatal mortality and morbidity after planned CS. Until 2000 the CS rate in The Netherlands among term breech was 50%, of which half were... Mehr ...