Document Detail


Breech delivery: evaluation of the method of delivery on perinatal results and maternal morbidity.
MedLine Citation:
PMID:  507136     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective study of 460 single-gestation infants in breech position was conducted at the University of Colorado Medical Center to assess the impact of a policy for the selection of cases for vaginal delivery. Among infants weighing more than 2,500 grams, there was an increase in the cesarean section rate from 13% to 54%, with an associated increase in maternal morbidity from 7% to 15%. This occurred with no significant reduction in adverse perinatal outcome. However, a case-by-case review suggests that more frequent and timely cesarean sections would have further reduced perinatal morbidity and deaths among term infants. Among the infants weighing 2,500 grams or less there was an increase in cesarean births from 5% to 55% following the introduction of the strict criteria for vaginal delivery. Among the infants weighing 1,501 to 2,500 grams there was no significant difference in survival between the cesarean and vaginally delivered patients. Although infants weighing 501 to 1,500 grams delivered by cesarean section survived more frequently than did those delivered vaginally, the differences in perinatal deaths may have been due to a higher birth weight in the cesarean-delivered infants or an over-all improvement in neonatal intensive care for infants of very low birth weight.
Authors:
W A Bowes; E S Taylor; M O'Brien; C Bowes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  135     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1979 Dec 
Date Detail:
Created Date:  1980-01-24     Completed Date:  1980-01-24     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  965-73     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Birth Weight
Breech Presentation*
Cesarean Section
Colorado
Critical Care
Delivery, Obstetric / methods*
Female
Fetal Death / epidemiology*
Gestational Age
Humans
Infant Mortality*
Infant, Low Birth Weight
Infant, Newborn*
Labor Presentation*
Obstetric Labor Complications / epidemiology*
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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