A Current Commentary on Breech Vaginal Deliveries: The Changing Landscape of Patient versus Physician Autonomy

A 38-year old G2P1001 presented for a second opinion at 34 weeks of gestational age. Her obstetric history included a term vaginal delivery of a 3,460？g infant complicated by a postpartum hemorrhage requiring the administration of oxytocin, methergine, hemabate, misoprostol, and curettage for resolution. Her current pregnancy was a spontaneous dichorionic diamniotic twin pregnancy. The fetuses were concordantly grown and the pregnancy had otherwise been uncomplicated. She sought a new obstetrician as her physician had recommended a cesarean for breech/breech presentation and declined to offer a vaginal delivery in this circumstance