OBJECTIVE: To analyse neonatal mortality and morbidity in term infants born in breech presentation in relation to the mode of delivery (planned caesarean section, emergency caesarean section or vaginal delivery) and to compare these findings with those of the Term Breech Trial Collaborative Group [Hannah et al. Lancet 2000; October]. DESIGN: Retrospective observational study. SETTING: The Netherlands. POPULATION: Infants (n = 33824) born at term in breech presentation in the Netherlands between 1995 and 1999. Multiple pregnancies, antenatal death and major congenital malformations were excluded. METHODS: Data derived from the Dutch Perinatal Database were used to compare neonatal outcome of infants born in breech presentation in relation to the different modes of delivery (i.e. planned caesarean section, emergency caesarean section and vaginal delivery). Correction was made for differences in parity, duration of gestation and birthweight, using logistic regression. MAIN OUTCOME MEASURES: Intrapartum and first-week neonatal death, 5 minute Apgar score and birth trauma. Vaginal delivery and emergency caesarean section resulted in a sevenfold increase in low Apgar score, a threefold increase in birth trauma and a twofold increase in perinatal mortality when compared with the results of planned caesarean section. CONCLUSIONS: This study confirms the data found by Hannah et al. on an increase in early neonatal morbidity and mortality, following a trial of labour in cases of term breech presentation. These data require carefully weighed consideration against increased maternal (long term) risks due to a rise in caesarean sections.
OBJECTIVE: To analyse neonatal mortality and morbidity in term infants born in breech presentation in relation to the mode of delivery (planned caesarean section, emergency caesarean section or vaginal delivery) and to compare these findings with those of the Term Breech Trial Collaborative Group [Hannah et al. Lancet 2000; October]. DESIGN: Retrospective observational study. SETTING: The Netherlands. POPULATION: Infants (n = 33824) born at term in breech presentation in the Netherlands between 1995 and 1999. Multiple pregnancies, antenatal death and major congenital malformations were excluded. METHODS: Data derived from the Dutch Perinatal Database were used to compare neonatal outcome of infants born in breech presentation in relation to the different modes of delivery (i.e. planned caesarean section, emergency caesarean section and vaginal delivery). Correction was made for differences in parity, duration of gestation and birthweight, using logistic regression. MAIN OUTCOME MEASURES: Intrapartum and first-week neonatal death, 5 minute Apgar score and birth trauma. Vaginal delivery and emergency caesarean section resulted in a sevenfold increase in low Apgar score, a threefold increase in birth trauma and a twofold increase in perinatal mortality when compared with the results of planned caesarean section. CONCLUSIONS: This study confirms the data found by Hannah et al. on an increase in early neonatal morbidity and mortality, following a trial of labour in cases of term breech presentation. These data require carefully weighed consideration against increased maternal (long term) risks due to a rise in caesarean sections.
Authors: J Burgos; L Rodríguez; P Cobos; C Osuna; M Del Mar Centeno; R Larrieta; T Martínez-Astorquiza; L Fernández-Llebrez Journal: J Perinatol Date: 2015-07-16 Impact factor: 2.521
Authors: Floortje Vlemmix; Ageeth N Rosman; Margot A H Fleuren; Marlies E B Rijnders; Antje Beuckens; Monique C Haak; Bettina M C Akerboom; Joke M J Bais; Simone M I Kuppens; Dimitri N Papatsonis; Brent C Opmeer; Joris A M van der Post; Ben Willem J Mol; Marjolein Kok Journal: BMC Pregnancy Childbirth Date: 2010-05-10 Impact factor: 3.007
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: Jorge Vas; José Manuel Aranda; Mercedes Barón; Emilio Perea-Milla; Camila Méndez; Carmen Ramírez; Inmaculada Aguilar; Manuela Modesto; Ana María Lara; Francisco Martos; Antonio J García-Ruiz Journal: BMC Complement Altern Med Date: 2008-05-21 Impact factor: 3.659