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Five years to the term breech trial: The rise and fall of a randomized controlled trial

Published:April 25, 2006DOI:https://doi.org/10.1016/j.ajog.2006.02.018
      To the Editors: In his “Clinical Opinion” paper, Glezerman
      • Glezerman M.
      Five years to the term breech trial: the rise and fall of a randomized controlled trial.
      refers to the Cochrane Collaboration as having “…endorsed the recommendations soon after the publication of the TBT….” It is not clear which recommendations were endorsed. To avoid misinterpretations by your readers, we quote from the relevant Cochrane systematic review:
      “Implications for practice. …The data from this review should be applied with due consideration to specific health care environments and the circumstances of individual women. A policy of planned caesarean section may not be affordable or feasible in resource-poor settings. The long-term risks of caesarean section may be increased for women who may not access health services in subsequent pregnancies.
      Individual women should be informed of the risks of vaginal breech delivery, the present and future risks of caesarean section, and our lack of accurate knowledge in the latter field, so that as informed a choice as possible can be made in each case.”
      • Hofmeyr G.J.
      • Hannah M.E.
      Planned caesarean section for term breech delivery.

      References

        • Glezerman M.
        Five years to the term breech trial: the rise and fall of a randomized controlled trial.
        Am J Obstet Gynecol. 2006; 194: 20-25
        • Hofmeyr G.J.
        • Hannah M.E.
        Planned caesarean section for term breech delivery.
        The Cochrane Database Syst Rev. 2003; 2 (CD000166)