Complications and Management of Breech Presentation

  • Joseph V. Collea


The increased risk of perinatal morbidity and mortality associated with vaginal delivery of the fetus in breech presentation has attracted the attention of obstetricians and midwives for centuries. From the Dark Ages to well into the nineteenth century, the perinatal morbidity and mortality from birth anoxia, injuries, and congenital malformations instilled in the superstitious and the uneducated the belief that breech presentation was an evil omen.1 Primitive African tribes believed that breech presentation foretold the death of the child’s parents,2 while noble attendants to the crowned heads of Europe whispered in birthing rooms that “children brought forth by their feet are cursed—they are born as monsters, crippled in mind and body, and destined to bring misfortune into the world. It would be better if they were not born.”3


Cesarean Section Vaginal Delivery Perinatal Mortality Breech Presentation Fetal Head 
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Copyright information

© Aubrey Milunsky, Emanuel A. Friedman, and Louis Gluck 1981

Authors and Affiliations

  • Joseph V. Collea
    • 1
    • 2
  1. 1.Department of Obstetrics and GynecologyGeorgetown University School of MedicineUSA
  2. 2.Department of Maternal-Fetal MedicineColumbia Hospital for WomanUSA

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