While many experts are concerned with the rise in C-section rates, there's one situation where C-section is called for—when the baby is in breech position. That's the latest finding in a Dutch study published in the journal of the Nordic Federation of Societies of Obstetrics and Gynecology.
Breech babies (those who present feet or buttocks first, rather than the head) who are born vaginally are 10 times more likely to die during childbirth as their counterparts who were born via C-section. In the retrospective study of 58,320 of breech births, the researchers found that as elective C-sections for breech births have increased, from 24% to 60%, that resulted in a decrease of infant mortality from 1.3/1000 to 0.7/1000.
The takeaway? According to lead study author Dr. Floortje Vlemmix from the Department of Obstetics and Gynecology, Academic Medical Center, University of Amsterdam in the Netherlands, "While elective C-section has improved neonatal outcomes there is still a good number of women who attempt vaginal birth. Our findings suggest there is still room for improvement to prevent unnessary risk to the infant. We recommend using measures to turn the baby (external cephalic version) to prevent breech presentation at birth and counselling women who want to proceed with a vaginal breech birth."