Vaginal breech delivery at term and neonatal morbidity and mortality – a population-based cohort study in Sweden

2017 ◽  
Vol 32 (2) ◽  
pp. 265-270 ◽  
Author(s):  
C. Ekéus ◽  
M. Norman ◽  
K. Åberg ◽  
S. Winberg ◽  
K. Stolt ◽  
...  
Keyword(s):  
Cohort Study ◽  
Neonatal Morbidity ◽  
Population Based ◽  
Morbidity And Mortality ◽  
Breech Delivery ◽  
Vaginal Breech Delivery

Medically indicated late preterm delivery and its impact on perinatal morbidity and mortality: a retrospective population-based cohort study

2018 ◽  
Vol 32 (19) ◽  
pp. 3278-3287 ◽  
Author(s):  
Limor Besser ◽  
Liat Sabag-Shaviv ◽  
Maayan Yitshak-Sade ◽  
Salvatore Andrea Mastrolia ◽  
Danielle Landau ◽  
...  
Keyword(s):  
Cohort Study ◽  
Preterm Delivery ◽  
Population Based ◽  
Late Preterm ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity

Prematurity, multiple gestation, and abnormal presentation

2016 ◽  
Author(s):  
Oonagh Keag ◽  
E. Sarah Cooper
Keyword(s):  
Preterm Labour ◽  
Multiple Pregnancy ◽  
Breech Presentation ◽  
Neonatal Morbidity ◽  
External Cephalic Version ◽  
Multiple Gestation ◽  
Antenatal Corticosteroids ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Maternal Risks

Preterm labour is a common cause of neonatal morbidity and mortality. This chapter describes the definition, aetiology, diagnosis, and management of preterm labour and delivery with a focus on tocolytic therapy, the use of antenatal corticosteroids, and of magnesium sulphate. Anaesthesia for preterm delivery is discussed. The section on multiple pregnancy details the recommended antenatal careplan for dichorionic and monochorionic twin pregnancies, the fetal and maternal risks and potential complications, and the management of labour and delivery of twins, as well as the anaesthetist’s role in managing these high-risk pregnancies. There are a number of abnormal presentations managed by obstetricians, including abnormal cephalic presentations such as occiputo-posterior positions, breech, transverse, and compound presentations. This chapter focuses specifically on breech presentation, comparing the evidence for vaginal breech delivery versus planned caesarean delivery. It also discusses external cephalic version and vaginal breech delivery itself.

scholarly journals Maternal and paternal contribution to intergenerational recurrence of breech delivery: population based cohort study

BMJ ◽  
2008 ◽  
Vol 336 (7649) ◽  
pp. 872-876 ◽  
Author(s):  
Tone Irene Nordtveit ◽  
Kari Klungsoyr Melve ◽  
Susanne Albrechtsen ◽  
Rolv Skjaerven
Keyword(s):  
Cohort Study ◽  
Population Based ◽  
Breech Delivery ◽  
Paternal Contribution

scholarly journals 984 Population-Based Study to Evaluate the Neonatal Morbidity and Mortality in Maternal Diabetes

2012 ◽  
Vol 97 (Suppl 2) ◽  
pp. A281-A282
Author(s):  
A. Lange ◽  
R. Spoo ◽  
R. Thyrian ◽  
W. Hoffmann ◽  
H. Lode ◽  
...  
Keyword(s):  
Neonatal Morbidity ◽  
Maternal Diabetes ◽  
Population Based ◽  
Morbidity And Mortality ◽  
Population Based Study

scholarly journals REVIVAL OF VAGINAL BREECH DELIVERY

1969 ◽  
Vol 5 (1) ◽  
pp. 597-602
Author(s):  
NASIM AKHTAR
Keyword(s):  
Cesarean Section ◽  
Neonatal Mortality ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Breech Presentation ◽  
Neonatal Morbidity ◽  
Maternal Complications ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Emergency Cesarean

BACKGROUND: Since the publication of term breech trail there had been a dramatic changeworldwide from selective to planned Cesarean Section for all women with breech presentation at term.This high cesarean section rate led to adverse consequences in subsequent pregnancy &on futurefertility. Choice of safest mode of delivery has always been a dilemma.OBJECTIVE: Prospective interventional study. This study was done to determine the safety of vaginalbreech birth in terms of neonatal & maternal complications, so that to encourage the trend of breechdelivery in carefully selected cases & to discourage the trend of routinely recommending cesareansection for all gravidas with fetus in breech presentation at term. The study was conducted atDepartment of Obstetrics & Gynae Mardan Medical Complex from January 2010 to December 2015.PATIENTS & METHOD: About 809 patients with singleton pregnancy with breech presentation wereincluded. Decision about mode of delivery was taken on the basis of clinical judgment and ultrasoundwhich was further reviewed in the light of rate of progress during labour .Delivery was conducted byexperienced obstetrician. Mother & infants were followed up to 6 wks post partum. The primaryoutcome was neonatal mortality, infant mortality & serious infant morbidity.RESULTS: out of 809 total patients with breech presentation, 714 were planned for vaginal delivery674 delivered (83%) while 40 pts (5%) had emergency Cesarean Sections.95 patients (12%) hadElective cesarean section. In the delivery group two (0.29%) neonates had serious neonatal morbidity. Inthe cesarean group there was no serious neonatal morbidity. Infection & blood loss was greater in thecesarean group. There were no serious maternal complications in the vaginal delivery group. Thedifference between neonatal morbidity, perinatal mortality &neonatal mortality between the two groupswas not significant.CONCLUSION: Vaginal breech delivery is still a safe option which better suits the clinical situation&problems of our patients .In our set up, Cesarean section should not be routinely advised to patientswith breech presentation no matter it may be the best management option in developed countries.Careful case selection & vigilant monitoring of progress of labour will save many patients fromunnecessary section without costing extra morbidity & mortality.KEY WORDS: Breech presentation, Breech Delivery, Cesarean section, Apgar score.

scholarly journals Maternal and neonatal outcomes of vaginal breech delivery for singleton term pregnancies in a carefully selected Cameroonian population: a cohort study

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017198 ◽  
Author(s):  
Julius Sama Dohbit ◽  
Pascal Foumane ◽  
Joel Noutakdie Tochie ◽  
Fadimatou Mamoudou ◽  
Mazou N Temgoua ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Income ◽  
Neonatal Resuscitation ◽  
Birth Asphyxia ◽  
Adverse Outcomes ◽  
Neonatal Outcomes ◽  
Close Monitoring ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Maternal And Neonatal Outcomes

Background and objectivesVaginal breech delivery (VBD) is known to be associated with more perinatal and maternal complications. Very few studies on the subject have been carried out in poor-resource settings. The aim of this study was to determine maternal and neonatal outcomes in carefully selected cases of VBD for singleton term pregnancies in a tertiary centre in Cameroon.DesignA retrospective cohort study.SettingA tertiary hospital in Yaounde, Cameroon.ParticipantsCases of VBD of newborns weighing 2500–3500 g were matched in a ratio of 1:4 to consecutive vaginal cephalic deliveries (VCDs) of newborns weighing 2500–3500 g over a 5-year period. Both groups were matched for maternal age and parity. We excluded cases of multiple gestations, footling breech, clinically inadequate maternal pelvis, preterm delivery, post-term pregnancies, fetal demise prior to the onset of labour, placenta praevia and fetal anomaly incompatible with vaginal delivery.Outcome measuresNeonatal and maternal adverse outcomes of VBD observed till 6 weeks after delivery analysed using Bonferroni correction.ResultsFifty-three (53) VBDs were matched against 212 VCD. Unlike women who had VCD, those who underwent VBD were more likely to have prolonged labour (OR 8.05; 95% CI 3.00 to 11.47; P<0.001), and their newborns were more likely to suffer from birth asphyxia (OR 10.24; 95% CI 4.92 to 21.31; P<0.001).ConclusionThe study infers a strong association between VBD of singleton term pregnancies and maternofetal morbidity when specific protocols are applied. This, however, failed to translate into higher differences in perinatal mortality. This finding does not discount the role of VBD in low-income countries, but we emphasise the need for specific precautions like close monitoring of labour and adequate anticipation for neonatal resuscitation in order to reduce these complications.

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