A: A breech birth is a birth that occurs with the baby entering the birth canal feet first or buttocks first instead of the normal head first presentation.  Breech births often occur in premature deliveries and when there are multiple babies, uterine abnormalities or other anomalies.

Breech deliveries can subject the baby to unnecessary risk of birth trauma.  A breech presentation should be diagnosed in advance of labor and delivery.  In some instances, the breech baby can be maneuvered in a procedure known as external cephalic version (ECV).  If the baby remains in a breech position a determination must be made between vaginal delivery and Caesarean section.

The doctor or midwife should discuss with the mother the specific risks of each alternative that are unique to the mother and baby involved so that the mother may make an appropriate decision as to the mode of delivery.