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Good perinatal outcome in selective vaginal breech delivery at term.

https://arctichealth.org/en/permalink/ahliterature174747
Source
Acta Obstet Gynecol Scand. 2005 Jun;84(6):578-83
Publication Type
Article
Date
Jun-2005
Author
Jukka Uotila
Risto Tuimala
Pertti Kirkinen
Author Affiliation
Department of Obstetrics and Gynecology, Tampere University Hospital, Finland. jukka.uotila@uta.fi
Source
Acta Obstet Gynecol Scand. 2005 Jun;84(6):578-83
Date
Jun-2005
Language
English
Publication Type
Article
Keywords
Adult
Breech Presentation
Cesarean Section - methods - utilization
Cohort Studies
Delivery, Obstetric - methods - utilization
Female
Finland - epidemiology
Humans
Infant, Newborn
Pregnancy
Pregnancy outcome
Pregnancy Trimester, Third
Abstract
To compare perinatal outcome in groups of planned vaginal breech delivery, elective cesarean section with the fetus in breech presentation, and planned vaginal delivery with the fetus in cephalic presentation in a university hospital with a tradition of managing breech deliveries by the vaginal route.
A cohort study from a 7-year period 1995-2002, including 590 planned vaginal deliveries with a term (> 37 weeks) singleton fetus in breech presentation, 396 elective cesarean sections with a term singleton fetus in breech presentation, and 590 control women intending vaginal delivery with a singleton term fetus in cephalic presentation.
The Apgar scores were lower in the group of planned vaginal breech delivery, but in other outcome measures there were no significant intergroup differences. The overall neonatal morbidity was small (1.2% vs. 0.5% vs. 0.3% in the respective study groups) if compared to a recently published randomized multicenter study.
Selective vaginal breech deliveries may be safely undertaken in units having a tradition of vaginal breech deliveries.
PubMed ID
15901270 View in PubMed
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