What is the best available evidence regarding the management of breech presentation? Author: Alexa McArthur RN RM MPHC

Clinical bottom line Breech presentation occurs in 4 per cent of all singleton pregnancies, and as gestation increases, the proportion of breech presentation decreases. Only 3 per cent of term infants will present as breech, but at less than 28 weeks gestation, this will be as high as 30 per cent.1 There are a variety of factors for breech presentation, including uterine anomaly, nulliparity, previous breech birth, contracted pelvis, placenta praevia and prematurity.2 To promote breech presentation becoming cephalic before term, external cephalic version, moxibustion and postural management...