Is the doctor experienced in delivering vaginal breech births?
This has often been the stickiest problem. Many doctors just aren’t trained to deliver a breech baby vaginally, and know that it will be much safer for mother and baby for them to do a cesarean. Even though there was a trend to offer vaginal breech birth for about the past decade, most breech babies in the United States have been delivered by cesarean for at least the past 20 years. As fewer and fewer breech babies were born vaginally, fewer obstetrical residents gained experience with vaginal breech births. As these doctors went into practice, they were aware they were not proficient at managing complications that can arise during a breech vaginal delivery. Between the new recommendations from the American College, and the lack of experienced physicians, breech vaginal delivery will soon be relegated to books on the history of obstetrics.
