OBJECTIVE: Elective cesarean delivery has been postulated to improve the outcome of term fetuses in breech presentation. We retrospectively compared the short- and long-term outcomes of term infants who were delivered from a breech presentation at a single center. STUDY DESIGN: We reviewed 699 consecutive term breech presentations according to the intended mode of delivery at a single center between January 1993 and December 1999. The short-term outcome measures were perinatal death, neonatal death, or serious neonatal morbidity; the long-term outcome measures were developmental delay and spasticity. RESULTS: The rate of serious perinatal morbidity in the trial-of-labor and cesarean delivery groups was 2.3% and 0.5%, respectively (P =.12). There was no perinatal or neonatal death in either group. With a median follow-up period of 57 months (range, 13-100 months), the rate of developmental delay was 1.9% and 0.5%, respectively (P =.29). Spasticity was not noted in any of the children. CONCLUSION: Our data suggest that planned vaginal delivery remains an option for selected term breech presentations.
OBJECTIVE: Elective cesarean delivery has been postulated to improve the outcome of term fetuses in breech presentation. We retrospectively compared the short- and long-term outcomes of term infants who were delivered from a breech presentation at a single center. STUDY DESIGN: We reviewed 699 consecutive term breech presentations according to the intended mode of delivery at a single center between January 1993 and December 1999. The short-term outcome measures were perinatal death, neonatal death, or serious neonatal morbidity; the long-term outcome measures were developmental delay and spasticity. RESULTS: The rate of serious perinatal morbidity in the trial-of-labor and cesarean delivery groups was 2.3% and 0.5%, respectively (P =.12). There was no perinatal or neonatal death in either group. With a median follow-up period of 57 months (range, 13-100 months), the rate of developmental delay was 1.9% and 0.5%, respectively (P =.29). Spasticity was not noted in any of the children. CONCLUSION: Our data suggest that planned vaginal delivery remains an option for selected term breech presentations.
Authors: Mariella Mailàth-Pokorny; Oliver Preyer; Christian Dadak; Andreas Lischka; Martina Mittlböck; Peter Wagenbichler; Thomas Laml Journal: Wien Klin Wochenschr Date: 2009 Impact factor: 1.704
Authors: Daniel F Mackay; Rachael Wood; Albert King; David N Clark; Sally-Ann Cooper; Gordon C S Smith; Jill P Pell Journal: Int J Epidemiol Date: 2015-01-21 Impact factor: 7.196
Authors: Ryan G Gomes; Bellington Vwalika; Chace Lee; Angelica Willis; Marcin Sieniek; Joan T Price; Christina Chen; Margaret P Kasaro; James A Taylor; Elizabeth M Stringer; Scott Mayer McKinney; Ntazana Sindano; George E Dahl; William Goodnight; Justin Gilmer; Benjamin H Chi; Charles Lau; Terry Spitz; T Saensuksopa; Kris Liu; Tiya Tiyasirichokchai; Jonny Wong; Rory Pilgrim; Akib Uddin; Greg Corrado; Lily Peng; Katherine Chou; Daniel Tse; Jeffrey S A Stringer; Shravya Shetty Journal: Commun Med (Lond) Date: 2022-10-11