In no case was breech presentation of the fetus was not the only indication, it is usually combined with one or more complications of childbirth.
Analysing the causes of death of children in the vaginal mode of delivery, always come to the conclusion that it could have been avoided with timely production of caesarean section.
With respect to timeliness of caesarean section is very important to understanding the principle of expanding the indications for abdominal delivery for breech presentation. In the fetal head most complications developed during the opening and, rarely, at the beginning of exile and the surgery can be performed at any stage if there is a threat to the fetus. In contrast, the breech is the most dangerous period of the entire expulsion of the fetus, when to implement the principle of expanding the indications for cesarean section is almost impossible. Hence it is understandable that the decision on mode of delivery should be taken before birth or in their first period, i.e., prophylactic cesarean section becomes (preventive).
We cannot, of course, agree with the proposal to use cesarean in all cases, breech fetus. More correct to consider breech presentation fetus an important component of combined indications for cesarean section and perform surgery in all cases where the delivery is vaginal delivery does not guarantee live birth.
Uncertain prognosis for the fetus if: 1) narrowing of the pelvis I - II degree, 2) age over 30 years at first delivery, and 3) a weak labor, 4) rigidity, mild dystocia birth canal: 5) presentation and prolapse
umbilical cord, and 6) premature discharge of water, especially if not soon develop a generic activity, 7) large fruit, 8) extended pregnancy, 9) fetal hypoxia, 10) stillbirths or miscarriages in the usual history, 11) long-term treatment of infertility, 12) late toxicosis, 13) incomplete placenta previa (when the small blood loss).
Of course, the need for surgical delivery is there a combination of several types of additional complications in pregnancy and childbirth, but sometimes it is enough to have one adverse factor, such as narrowing of the pelvic I-II degree, long-term infertility, stillbirth history.