Perinatal outcome of vaginal breech delivery in carefully selected Pakistani women.

Breech presentation of the fetus constitutes about 3-5% of all singleton-term pregnancies. Breech presentation is directly linked to an increased risk of adverse outcomes in both mother and the fetus. The best mode of delivery in singleton breech pregnancy is a controversial matter  among obstetricians for decades. It is reported that breech delivered vaginally has a ten times higher risk of fetal death during childbirth. The royal college of obstetrics and gynecologists 2017 recommended that the risk and benefits of both vaginal and cesarean be explained to the mother and subsequent decisions be made in the light of available expertise at the health care facility. At our hospital, we routinely perform vaginal deliveries of singleton breech pregnancies after making an informed decision with the patients. This study is aimed at presenting short-term maternal and fetal outcomes of vaginal breech delivery at our hospital.