119 Outcomes at 3 months postpartum for women enrolled in the multicentre international term breech trial of planned caesarean section and planned vaginal birth for breech presentation at term

Uterus didelphus is a congenital abnormality arising from failure of fusion of Mullerian ducts, creating two separate uterine horns, two cervices and, in some cases, a vagina divided by a longitudinal septum. In this case, a 26-year-old woman with previously undiagnosed uterus didelphus spontaneously conceived dicavitary twins. Although initially wanting a vaginal birth, when both twins were in a breech presentation, a caesarean section was performed at 36 weeks, delivering two healthy babies. We will discuss the risk of obstetric complications in uterus didelphus and the challenges surrounding a vaginal delivery.

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Breech presentation and moxibustion: should it be offered to improve maternal outcomes?

British Journal of Midwifery ◽

10.12968/bjom.2021.29.12.692 ◽

2021 ◽

Vol 29 (12) ◽

pp. 692-698

Author(s):

Claudia Dalcin Zanchin

Keyword(s):

Caesarean Section ◽

Systematic Reviews ◽

Breech Presentation ◽

Vaginal Birth ◽

Research Articles ◽

Maternal Outcomes ◽

Cochrane Database ◽

Statistical Heterogeneity ◽

Low Risk Women ◽

Quality Evidence

Background It is known that moxibustion promotes cephalic version, thereby increasing the likelihood of vaginal birth, reducing the chances of a caesarean section and augmentation in labour. This study aimed to review and critically appraise research articles on the benefits of moxibustion use for low-risk women with breech presentation. Methods This study reviewed research articles published in English between July 2010 and July 2020. A computerised search using Maternity and Infant Care, CINAHL Complete, Cochrane Database of Systematic Reviews and Medline databases was undertaken, using a combination of terms such as ‘moxibustion’, ‘childbirth’, ‘birth’, ‘labour’ and ‘labor’. One article was chosen after reading the references of the articles selected. Overall five research articles were analysed using specific critique guidelines. Results The studies confirmed the use of moxibustion to turn a breech fetus, and found that in combination with acupuncture, moxibustion decreases the rate of caesarean section syntocinon use before and during labour for women who had a vaginal birth, as well as slightly decreasing instrumental use at birth. Moxibustion was safe and well accepted by women. However, studies need to be interpreted with caution because of clinical and statistical heterogeneity, and further quality evidence is required. Conclusions Moxibustion use for women with uncomplicated pregnancies may reduce the number of breech presentations at birth, caesarean section rates, syntocinon use and instrumental births.

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Planned caesarean section had lower risk for perinatal morbidity and mortality than planned vaginal birth in breech presentation

Evidence-Based Medicine ◽

10.1136/ebm.6.3.73 ◽

2001 ◽

Vol 6 (3) ◽

pp. 73-73

Author(s):

C. Nikodem

Keyword(s):

Caesarean Section ◽

Lower Risk ◽

Breech Presentation ◽

Vaginal Birth ◽

Morbidity And Mortality ◽

Perinatal Morbidity

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The breech effect: is previous caesarean section for breech presentation an independent favourable factor in vaginal birth after caesarean section

Archives of Disease in Childhood - Fetal and Neonatal Edition ◽

10.1136/adc.2010.189605.68 ◽

2010 ◽

Vol 95 (Supplement 1) ◽

pp. Fa83-Fa83

Author(s):

L. Gurney ◽

J. Anderson ◽

B. Ononeze

Keyword(s):

Caesarean Section ◽

Breech Presentation ◽

Vaginal Birth ◽

Previous Caesarean Section ◽

Vaginal Birth After Caesarean

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VAGINAL BIRTH AFTER CAESAREAN SECTION;

The Professional Medical Journal ◽

10.29309/tpmj/2013.20.05.1514 ◽

2013 ◽

Vol 20 (05) ◽

pp. 759-764

Author(s):

SANA ZAHIRUDDIN ◽

SUMERA RAUF QURESHI ◽

UMER FAROOQ

Keyword(s):

Caesarean Section ◽

Cesarean Section ◽

Vaginal Delivery ◽

Breech Presentation ◽

Vaginal Birth ◽

University Hospital ◽

Cross Sectional ◽

Study Results ◽

Previous Cesarean ◽

Vaginal Birth After Caesarean

Background: Cesarean section is the commonest obstetrical procedure, associated with increase in maternal morbidity,the cesarean section rate is steadily on the rise in our country which can give rise to a number of complications. Objective: To determinethe factors associated with successful vaginal delivery after previous cesarean section. Study Design: Cross sectional study. Period:May 2009 to October 2009. Setting: Liaquat university hospital, Hyderabad. Material and Methods: a total of 96 women which fulfilledthe selection criteria were included in the study. Results: The women included in the study had a mean age of+SD(range),29.94+4.41successful vaginal birth was observed in 57(59.5%) women and 39(40.6%) had an emergency repeat cesareandelivery. The factors favoring successful vaginal delivery were history of previous vaginal delivery and previous cesarean due to fetaldistress or breech presentation, and patients having cesarean due to non progress of labor and no prior vaginal delivery were less likely tohave a successful vaginal birth after having previous cesarean delivery. Conclusions: vaginal birth after caesarean section can berecommended in patients having prior vaginal delivery and previous caesarean due to fetal distress and breech presentation.

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The Outcome of Vaginal Birth After Caesarean Section (VBAC): A Descriptive Study

Medicine Today ◽

10.3329/medtoday.v25i1.15902 ◽

2013 ◽

Vol 25 (1) ◽

pp. 14-17

Author(s):

R Rahman ◽

NN Khanam ◽

N Islam ◽

KF Begum ◽

HH Pervin ◽

...

Keyword(s):

Caesarean Section ◽

Vaginal Delivery ◽

Post Partum ◽

Tertiary Care ◽

Breech Presentation ◽

Vaginal Birth ◽

Care Hospital ◽

Lower Segment Cesarean Section ◽

Medicine Today ◽

Vaginal Birth After Caesarean

The study, conducted in the tertiary care hospital of Dhaka Bangladesh, describes the outcome of vaginal birth after caesarean section (VBAC) in women with a previous caesarean. A prospective study was carried out from 1st January 2007 to 31st December, 2007 on 126 women with one prior lower segment cesarean section (LSCS) for a nonrecurrent cause. All unbooked women and those with estimated fetal weight more than 3.5 kg, breech presentation, history of postoperative wound infection after previous LSCS, anemia (Hb < 10 gm%), pregnancy induced hypertension, diabetes, heart disease, renal disease, cephalopevic disproportion abnormal presentation and placenta praevia were excluded from the study. An informed consent was taken for allowing a trial of vaginal delivery. Spontaneous onset of labor was awaited up to 41 weeks. Induction of labor was considered only in highly selected cases. Labor was constantly supervised by competent staff and meticulously monitored by cardiotocography (CTG). Out of the 126 women enrolled for the study, 26 had to leave the station leaving a total of 100 patients; 72 patients underwent elective repeat C/S, 28 patients (28%) of these underwent trial of labour, among them 15 had successful vaginal delivery (53.57) but 13 patients failed the attempt and had to undergo emergency caesarean section. To assist in the 2nd stage of labour, 6 had ventouse application. In total 85 cases needed repeat caesarean section. Among the cases there was one case of scar dehiscence (6.6%), one case of cervical tear (6.6%), two cases of manual removal of placenta (13.3%), one case of post partum hemorrhage (6.6) and one case of puerperal pyrexia (6.6).Perinatal morbidity was comparable with the elective repeat C/S group. VBAC should be considered in cases of previous one cesarean delivery for nonrecurrent indication. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.15902 Medicine Today 2013 Vol.25(1): 14-17

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