What complication is most commonly associated with breech delivery for the mother?

Breech delivery poses unique challenges and complications, particularly for the mother. One of the most significant risks associated with breech presentations is the potential for birth canal trauma. During a breech delivery, the fetus presents buttocks or feet first rather than the head, which can lead to a more complicated delivery process. This abnormal position increases the likelihood of injury to the maternal birth canal, including lacerations of the vagina, cervix, and perineum. The delivery process can be more prolonged and may involve greater traction or manipulation, which raises the risk of trauma compared to a vertex delivery.

Other complications, while they may occur, are not as directly linked to the mother's experience during the delivery. For instance, fetal hypoxia is more of a concern for the infant due to the increased likelihood of cord compression or inadequate oxygenation during the passage through the birth canal. Infection can arise post-delivery but is not as immediate of a concern during the delivery itself as canal trauma can be. Hemorrhage, while a serious complication, is less commonly associated specifically with breech deliveries relative to the risk of mechanical trauma during the delivery process.

Thus, the primary complication associated with breech delivery for the mother is the substantial risk of birth canal