| Cesarean or vaginal delivery for the breech fetus at the threshold of viability: results from a maternal?fetal medicine specialists survey. | |
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MedLine Citation:
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PMID: 20807158 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objective.?To determine how United States Maternal?Fetal medicine specialists recommend delivery of a breech fetus at the threshold of viability. Methods.?U.S. Society for Maternal?Fetal Medicine (SMFM) members were surveyed about; geographic location, practice type, whether they performed deliveries, definition of threshold for viability, recommendations for delivery of a breech fetus at the threshold of viability, and if the current medical?legal climate had any bearing on their decisions. Chi-Square and Fisher's Exact tests were used for analysis. Results.?510 SMFM members responded to the questionnaire. The highest percentage of respondents stated ?23 weeks? (31%) as the cutoff for viability, followed by ?24 weeks? (21%) and ?23 weeks or 500 g? (10%). Seventy percent recommended cesarean delivery for a breech fetus at the threshold of viability. The majority of respondents based their decision on ?published data? or ?expert opinion?, however, 58.6% reported they felt current medical evidence was inadequate to support a recommendation. Fifty-three percent stated their recommendations are affected by medical?legal concerns. Conclusion.?The majority of U.S. maternal fetal?medicine specialists who responded would recommend cesarean delivery for a breech fetus at the threshold of viability, despite the belief that there is inadequate evidence in the literature to support this recommendation. |
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Authors:
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Aaron B Deutsch; Karen Duncan; Lakshminarayan Rajaram; Hamisu M Salihu; William N Spellacy; Victoria Belogolovkin |
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Publication Detail:
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Type: Journal Article Date: 2010-09-01 |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: 24 ISSN: 1476-4954 ISO Abbreviation: J. Matern. Fetal. Neonatal. Med. Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: England |
Other Details:
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Languages: eng Pagination: 475-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of South Florida College of Medicine, Tampa, FL, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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