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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

Authors :
Y Daniel
Menachem P. David
Ariel J. Jaffa
Michael J. Kupferminc
Gideon Fait
Joseph B. Lessing
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

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