Case Report of Vaginal Breech Birth

In this case report, we describe a successful unplanned vaginal breech birth (VBB) for a primigravid woman who presented to the hospital in labor. This woman transferred to our hospital from an attempted home birth and was highly motivated to achieve a vaginal birth. The staff were recently trained on the provision of physiologic breech birth support, and after receiving informed consent, they facilitated a successful VBB. Planned VBB services are largely unavailable in the United States. Offering women the option to undergo VBB involves screening for good candidates, obtaining informed consent, and ensuring the availability of clinically skilled birth attendants and staff who can provide support and emergency management. The increased availability of physiologic VBB training programs and simulation experiences may enhance collaboration among nurses, midwives, and physicians and facilitate the support of VBB in hospital settings. The purpose of this report is to describe how physiologic VBB care may increase options for women and improve positive maternal and neonatal outcomes.