Document Detail

Correlation of fetal outcome with mode of delivery for breech presentation.
MedLine Citation:
PMID:  15203619     Owner:  NLM     Status:  MEDLINE    
The objective of this retrospective analysis of 344 singleton pregnancies of gestational ages greater than 24 weeks conducted at a tertiary hospital was to determine the fetal outcome in relation to the mode of delivery of the fetus with a breech presentation. Caesarean section was performed in 157 mothers, and 187 babies were delivered vaginally. There was no statistical difference in the perinatal outcome for breech fetuses delivered either abdominally or vaginally. Cord prolapse and arrest of the after-coming head were responsible for five fetal losses, four of which were delivered vaginally. Neonatal morbidity comprising nerve injury, birth asphyxia and seizures occurred in 11 newborns, nine of whom were delivered vaginally. One mother sustained a massive intra-operative haemorrhage during a caesarean section which necessitated an emergency hysterectomy. We conclude that a policy of planned vaginal birth for selected breech fetuses with a low threshold to proceed to caesarean section may be in the best interests of both mother and child.
B Bassaw; N Rampersad; S Roopnarinesingh; A Sirjusingh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  24     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-06-18     Completed Date:  2004-07-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  254-8     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, University of the West Indies, Trinidad.
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MeSH Terms
Breech Presentation*
Delivery, Obstetric / statistics & numerical data*
Infant, Newborn
Medical Records
New South Wales / epidemiology
Pregnancy Outcome*
Pregnancy Trimester, Third
Retrospective Studies

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