Complications associated with breech deliveries

Background: Breech is the commonest unusual presentation at the delivery and scores to 3–5 % of all malpresentations. Fetal bottocks and legs are the leading parts at breech delivery. Unfavorable birth mechanics leads to many possible complications and birth trauma. Many factors contributes to breech presentation such as multiparity, uterine abnormalities, previous breech delivery, pelvic tumors and others. Conclusions: Birth trauma is a consequence of mechanical forces and hypoxia during the passage through the birth chanell. Fetal factors and delivery technique are also important contributors to neonatal morbidity and mortality. Cord prolaps is the most severe complication and leads to tissue hypoxia. Compression, traction and tension forces acting on the fetus often cause soft parts trauma. Clinical signs of birth trauma are often misleading and unsignificant. Treatment should be multidisciplinary.