Fernández Carrasco, Francisco JavierCristóbal Cañadas, DeliaGómez Salgado, JuanVázquez Lara, Juana MaríaRodríguez Díaz, LucianoParrón Carreño, Tesifón2023-04-262023-04-262022Fernández-Carrasco, F. J., Cristóbal-Cañadas, D., Gómez-Salgado, J., Vázquez-Lara, J. M., Rodríguez-Díaz, L., & Parrón-Carreño, T. (2022). Maternal and fetal risks of planned vaginal breech delivery vs planned caesarean section for term breech birth: A systematic review and meta-analysis. In Journal of Global Health (Vol. 12). International Global Health Society. https://doi.org/10.7189/jogh.12.040552047-29782047-2986 (electrónico)https://hdl.handle.net/10272/22002Background Breech presentation delivery approach is a controversial issue in obstetrics. How to cope with breech delivery (vaginal or C-section) has been discussed to find the safest in terms of morbid-ity. The aim of this study was to assess the risks of foetal and maternal mortality and perinatal morbidity associated with vaginal deliv-ery against elective caesarean in breech presentations, as reported in observational studies. Methods Studies assessing perinatal morbidity and mortality asso-ciated with breech presentations births. Cochrane, Medline, Scopus, Embase, Web of Science, and Cuiden databases were consulted. This protocol was registered in PROSPERO CRD42020197598. Selection criteria were: years between 2010 and 2020, in English language, and full-term gestation (37-42 weeks). The methodological quality of the eligible articles was assessed according to the Newcastle -Ottawa scale. Meta-analyses were performed to study each parameter related to neonatal mortality and maternal morbidity. Results The meta-analysis included 94 285 births with breech presentation. The relative risk of perinatal mortality was 5.48 (95% confidence interval (CI) = 2.61-11.51) times higher in the vaginal delivery group, 4.12 (95% CI = 2.46-6.89) for birth trauma and 3.33 (95% CI = 1.95-5.67) for Apgar results. Maternal morbidity showed a relative risk 0.30 (95% CI = 0.13-0.67) times higher in the planned caesarean group. Conclusions An increment in the risk of perinatal mortality, birth trauma, and Apgar lower than 7 was identified in planned vaginal delivery. However, the risk of severe maternal morbidity because of complications of a planned caesarean was slightly higher.engAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/journal article10.7189/jogh.12.04055open access3201.08 Ginecología