ObjectiveTo determine whether there was any difference in neonatal and maternal outcomes between breech vaginal delivery and cephalic vaginal delivery.MethodsA retrospective, case-control study was conducted between January 2015 and December 2017 in a Portuguese hospital. A total of 26 cases of breech vaginal delivery were considered eligible and 52 pregnant women formed the control group.ResultsInduced labor was more frequent in the breech vaginal delivery group (46% versus 21%,p= 0.022). Episiotomy was more common in the breech vaginal delivery group (80% versus 52%,p= 0.014), and one woman had a 3rddegree perineal laceration. Newborns in the study group had a lower birthweight (2,805 g versus 3,177 g,p< 0.001). There was no significant difference in the neonatal outcomes.ConclusionThe present study showed that breech vaginal delivery at term compared with cephalic presentation was not associated with significant differences in neonatal and maternal morbidity. It also suggests that breech vaginal delivery remains a safe option under strict selection criteria and in the presence of an experienced obstetrician.