Stuitbevalling in ‘all fours’-positie

Translated title of the contribution: Breech delivery 'on all fours'

Lore Noben, Simone M T A Goossens, Laura D de Wit, Hendrik J Niemarkt, S Guid Oei, Judith O E H van Laar

Research output: Contribution to journalArticleAcademic


Since the publication of the results of the Term Breech Trial (TBT) in 2000 the number of planned Caesarean sections for breech presentation has increased dramatically, at the expense of vaginal breech deliveries. The favourable effect of a planned Caesarean section for breech presentation on perinatal outcomes described in the TBT could not, however, be reproduced in later trials. A planned Caesarean section does carry an increased risk of maternal complications; furthermore, a previous Caesarean section leads to higher risks for both mother and child in any subsequent pregnancy. A recent prospective study advocates vaginal breech delivery 'on all fours', a position in which the mother leans on her hands and knees during delivery. A vaginal breech delivery in this position seems to be just as safe for the child as a planned Caesarean section, while a vaginal delivery is safer for the mother than a Caesarean section. This article describes two uncomplicated vaginal breech deliveries in the all fours position.

Translated title of the contributionBreech delivery 'on all fours'
Original languageDutch
Article numberD3994
JournalNederlands Tijdschrift voor Geneeskunde
Issue number38
Publication statusPublished - 9 Sep 2019


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