1. Breech presentation after cesarean section: Always a section?
- Author
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Ophir, Ella, Oettinger, Moshe, Yagoda, Arie, Markovits, Yacov, Rojansky, Nathan, and Shapiro, Harry
- Subjects
Cesarean section -- Research ,Labor, Complicated -- Methods ,Breech delivery -- Complications ,Fetal presentation -- Case studies ,Health - Abstract
The delivery of a breech pregnancy, where the feet, knees or buttocks are in position to come out first, is controversial and is often delivered by cesarean section (removal of the baby through an abdominal incision). Cesarean sections have considerable complications, however, including blood loss and maternal infections, which increase the possibility of the mother's death. A study was conducted between Jan 1977 and Dec 1987 to examine 71 women with previous cesarean section and singleton breech presentation to determine the need for repeat sections. Of the 71, 47 were offered a trial of labor. A trial of labor is a form of labor which is induced in order to determine the appropriateness of permitting delivery by normal means. Of the 47 women permitted to labor, 37 had successful vaginal deliveries. Infant outcome was not influenced by the method of delivery. Women delivered by cesarean had more infections. Selected breech pregnancies can have favorable results when delivered vaginally, an option which has less risk than repeat cesarean section. more...
- Published
- 1989