ISSN 2411-958X (Print) ISSN 2411-4138 (Online) European Journal of Interdisciplinary Studies January-April 2016 Volume 2, Issue 1 153 Breech Presentation: Vaginal Delivery or Caesarean Section? Tomescu Cezar-Laurentiu Ovidius University of Constanta, Faculty of Medicine, Campus Corp B, University Alley No. 1, Constanta, Romania Sirbu Rodica Ovidius University of Constanta, Faculty of Pharmacy, Campus Corp B, University Alley No. 1, Constanta, Romania Emin Cadar UMF Carol Davila Bucharest, Faculty of Pharmacy, Str. Traian Vuia No. 6, Sector 2, Bucharest, Romania Brezeanu Dragos Resident physician OB-GYN Department at the County Emergency Clinical Hospital “Sf Apostol Andrei”, Constanta, Romania Aneta Tomescu Ovidius University of Constanta, Faculty of Medicine, Campus Corp B, University Alley No. 1, Constanta, Romania Corresponding author, tomescu.aneta@gmail.com Abstract The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation. Keywords: breech presentation, sacrum, foetus Introduction Breech presentation is the variety of presentation in which the foetus exits the upper strait of the maternal pelvis with its inferior pole (the pelvis), its landmark point being the foetal sacrum bone. The incidence of breech presentation is approximately 3.7% [1]. CLASSIFICATION Breech presentation can be: - complete: with knees and hips flexed; the foetal feet can be palpated in the area of the upper opening. - incomplete: the foetal inferior members are elongated along the foetal abdomen.