I am looking for some evidence based advice. My sister is expecting her first baby and has just discovered that he is breech. (butt first, legs up). She is so upset, and I am too. She was nervous but really looking forward to a natural, vaginal delivery. She has been working with a midwife for her pregnancy; the doctor they work with is very cool, however, like most caregivers in the OB world they are forced to recommend a C-section if she is still breech at full term. They are OK with her going into labor naturally, so she still potentially has a few weeks. The doctor attempted an external version yesterday and was unfortunately unable to turn the the baby. My sister is doing all the alternative stuff, lying on the board, moxibustion, etc. There is also the option of trying for a vaginal breech--there is 1 doctor in the area who will do them, but she has not consulted him yet. What I am interested in is if anyone has any knowledge or studies to compare the risks/outcomes of vaginal breech VS. C-section for a first baby. Such a tough decision, made tougher by the lack of clear information. Thank you in advance for the help!