Publication:

Breech extraction in intrauterine fetal demise in modern obstetrics: a 10-year retrospective study from the Bundelkhand region

Background Breech extraction is a declining obstetric skill in modern practice; however, it continues to have relevance in selected situations such as intrauterine fetal demise (IUD), particularly in resource-limited settings. Proper technique is essential to minimise maternal morbidity.

Methods This retrospective observational study included cases of intrauterine fetal demise delivered by breech extraction at a tertiary care centre in the Bundelkhand region between January 2016 and December 2025. Maternal demographic data, obstetric characteristics, indication for breech extraction, technique used, and maternal complications were analysed.

Results A total of 50 cases were included. Breech extraction was successfully performed vaginally in all cases. The procedure was associated with minimal maternal morbidity, with postpartum haemorrhage and genital tract trauma being the most common complications. No maternal mortality was observed.

Conclusions Breech extraction remains a safe and effective method of delivery in cases of intrauterine fetal demise when performed judiciously by experienced obstetricians, even in modern obstetric practice.