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Outcome of 496 Term Singleton Breech Deliveries in a tertiary Center
Outcome of 496 Term Singleton Breech Deliveries in a tertiary Center
- Source :
- American Journal of Perinatology. 15:97-101
- Publication Year :
- 1998
- Publisher :
- Georg Thieme Verlag KG, 1998.
-
Abstract
- The study was conducted to compare the neonatal and maternal outcome of breech infants delivered vaginally at term with those delivered by cesarean section. All singleton term breech deliveries between January 1, 1992 and December 31, 1994 were reviewed (n = 496). Criteria for eligibility for vaginal trial of labor included: frank or complete breech presentation, estimated fetal weight of 2000-3800 g, no hyperextension of the fetal head and no history of uterine scar (group A, n = 283) Patients who did not fulfill these criteria, or had an abnormal pelvimetry, were delivered by cesarean section without a trial of labor (group B, n = 213). In group A, 226 patients (80%) delivered vaginally, and 57 (20%) patients underwent a cesarean section; 70%, of the nulliparae and 89%, of the multiparae delivered vaginally. No differences were observed between the groups in gestational week, number of nulliparae, pregnancy complications, and rates of epidural analgesia. However, maternal age and birth weight were significantly higher in group B. No maternal or perinatal mortality occurred. The incidences of 5-min Apgar score
- Subjects :
- Adult
medicine.medical_specialty
Neonatal intensive care unit
Birth trauma
Birth weight
Cohort Studies
Pregnancy
Breech presentation
Humans
Medicine
Fetal head
Breech Presentation
reproductive and urinary physiology
Gynecology
Cesarean Section
business.industry
Infant, Newborn
Pregnancy Outcome
Obstetrics and Gynecology
Delivery, Obstetric
medicine.disease
Trial of Labor
female genital diseases and pregnancy complications
Obstetric Labor Complications
Pelvimetry
Pediatrics, Perinatology and Child Health
Female
Apgar score
business
Subjects
Details
- ISSN :
- 10988785 and 07351631
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- American Journal of Perinatology
- Accession number :
- edsair.doi.dedup.....5efc6d9db05e1e74118fcbc77d1b5034
- Full Text :
- https://doi.org/10.1055/s-2007-993906