{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:52:27Z","timestamp":1777632747404,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,4,17]],"date-time":"2014-04-17T00:00:00Z","timestamp":1397692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The 2000 publication of the Term Breech Trial significantly impacted obstetric practice in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia with a rapid increase in delivery of term breech singletons by caesarean section. More reassuring data from <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>uropean centres who continued to offer vaginal breech deliveries to carefully selected women have led to a softening of international guidelines which now support an individualised approach to management. The application of this principle to an <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian population, particularly in the wake of such a major change in obstetric practice, has not previously been demonstrated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare short\u2010term neonatal and maternal morbidity for infants with a singleton breech presentation born after 37\u00a0weeks, according to planned mode of delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Eleven\u2010year single\u2010centre retrospective study with intention\u2010to\u2010treat analysis based on intended mode of delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and forty\u2010three of 766 (31.7%) eligible women elected for planned vaginal breech delivery. The overall success rate in this group was 58%. Morbidity rates were low and compare favourably with similar international studies. However, there was a nonsignificant trend towards higher rates of short\u2010term serious neonatal and maternal morbidity in the planned vaginal delivery group (1.6 vs 0.4%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.08 and 8.2 vs 4.8%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.06, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Attempted vaginal delivery for breech presentation remains an option in carefully selected women under strict obstetric protocols.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12208","type":"journal-article","created":{"date-parts":[[2014,4,17]],"date-time":"2014-04-17T05:27:32Z","timestamp":1397712452000},"page":"333-339","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Lessons to be learnt in managing the breech presentation at term: An 11\u2010year single\u2010centre retrospective study"],"prefix":"10.1111","volume":"54","author":[{"given":"Ailsa","family":"Borbolla Foster","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology John Hunter Hospital New Lambton New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annalise","family":"Bagust","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of New South Wales Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bisits","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of New South Wales Sydney New South Wales Australia"},{"name":"Department of Obstetrics &amp; Gynaecology Royal Hospital for Women Randwick Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Holland","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology John Hunter Hospital New Lambton New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alec","family":"Welsh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of New South Wales Sydney New South Wales Australia"},{"name":"Department of Obstetrics &amp; Gynaecology Royal Hospital for Women Randwick Sydney New South Wales Australia"},{"name":"Australian Centre for Perinatal Science University of New South Wales Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01050.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.08.039"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7473.1039"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2011.00507.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.06.056"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00323.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00605-4"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.127902"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(03)00189-1"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2005.00845.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610500060834"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(00)00447-4"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.817"},{"key":"e_1_2_5_16_1","volume-title":"CObs\u201011: Management of the Term Breech Presentation","author":"RANZCOG","year":"2009"},{"key":"e_1_2_5_17_1","volume-title":"Guideline No 20b: The Management of Breech Presentation","author":"RCOG","year":"2006"},{"key":"e_1_2_5_18_1","volume-title":"Australia's Mothers and Babies 2010. 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