Vaginal Birth After Cesarean Section and Is There Still A Role For Vaginal Breech Delivery?

E. J. Quilligan, M.D.

University of California, Irvine

Long Beach Memorial Hospital

Objectives

♦ Know the indications and contraindication for attempting VBAC.

♦ Know the signs of uterine rupture.

♦ Know the long term consequences of choosing repeat section versus VBAC.

♦ Understand the rationale for recommending routine cesarean section in the term breech.

♦ Know how to reduce the frequency of breech presentations by external version.

♦ Understand the complications of external version.

♦ Discuss the ways of handling a premature breech delivery or second twin breech.