Our findings reflect a well-functioning health care system
where vaginal delivery of breech babies has been practiced
even after the results of the TBT was published. The
present study does not have enough power to make a definite
conclusion that vaginal breech delivery is completely
safe. Yet, our results indicate that vaginal delivery of term
breech infants is acceptable provided the following conditions:
Selection guidelines are followed, the fetal monitoring
is of high quality, and the volume of breeches
delivered vaginally is sufficient to maintain a high level of
competence among obstetricians. The women should also
be counseled about the increased risk of short-term NICU
admission.