There are still cases now where there are poor outcomes for breech babies, where the doctor or midwife tries to manage them like a normal birth because they do not know how to handle a beech birth (there are so few of them these days). However breech birth requires a hands off approach and allowing the baby to do the work him/herself until the last minute, no maneuvering or anything as if it were head first.
Its not a scary thing, I have been present to a breech birth with one of BB members, which went without a hitch with an Ob who does around 3 a month and is skilled. Anywhere you go, you will get skilled and unskilled doctors or midwives in breech. Where they are not skilled they will want to do a caesarean. Also, some breech positions are more favourable than others. Many will do a caesarean on a footling breech (feet first, as opposed to bum). The hips have around the same diameter as the head.
As per a paper I just read, I agree that these days, the highest standard of care is often confused with the most technically advanced care. They are not the same. Just like c/s rates have risen but so have complications and adverse events.
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