The Term Breech Trial, a randomized trial that compared planned cesarean
delivery with planned vaginal delivery for pregnancies with breech presentation
at term, found a significant reduction in adverse perinatal outcomes with
planned cesarean delivery and a low but slightly increased risk of maternal
mortality or serious maternal morbidity during the first 6 weeks after delivery.
In this follow-up study, Hannah and colleagues compared a variety of maternal
outcomes in the 2 study groups at 3 months post partum, including breastfeeding,
urinary, flatal, or fecal incontinence, and sexual relations. Women in the
planned cesarean delivery group were less likely to report urinary incontinence
than those in the planned vaginal delivery group, but other maternal outcomes
were not significantly different.