Expedited versus conservative approaches for vaginal delivery in breech presentation

In a vaginal breech birth there may be benefit from rapid delivery of the baby to prevent progressive acidosis. However, this needs to be weighed against the potential trauma of a quick delivery. The objective of this review was to assess the effects of expedited vaginal delivery (breech delivery from umbilicus to delivery of the head within one contraction) on perinatal outcomes. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (2 February 2012). Randomised trials of expedited vaginal breech delivery compared with delivery not routinely expedited in women undergoing vaginal breech delivery. Eligibility and trial quality were assessed by one reviewer. No studies were included. There is not enough evidence to evaluate the effects of expedited vaginal breech delivery.