Breech birth implies an incorrect presentation in which the fetus occupies a longitudinal position, but the leading one is often the buttocks, and the head is located in the fundus of the uterus. Due to the complicated mechanism of passage through the birth canal, such pregnancies are more often completed by caesarean section.The aim of the study was to determine whether there is a difference in the perinatal outcomes of the posture with regard to the manner of completion of pregnancy - vaginal delivery and cesarean section.The study group consisted of 1045 mothers/pregnant women who gave birth to newborns at the Clinical Hospital Center Rijeka in the period from 1 January 2010 to 31 December 2019. All multiple pregnancies and all cases of late fetal death were excluded from the study.A complete reversal was observed in the manner of completing the pregnancy in which the fetus takes a position with the buttocks. In recent years, such pregnancies have been predominantly completed by caesarean section. According to the research, this did not prove to be justified, due to the fact that no statistically significant difference was found in the perinatal outcome of newborns born vaginally, ie by caesarean section.The perinatal outcomes of breech birth neonates only partially depend on how the pregnancy is completed. There are many other factors that affect the perinatal outcome and for this reason it is of great importance for the obstetrician to properly and timely assess and implement good clinical practice.