Document Detail


Does caesarean section provide the best outcome for mother and baby in breech presentation? A perspective from the developing world.
MedLine Citation:
PMID:  21823847     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This is a retrospective analysis of vaginal breech delivery from January 2006 to December 2008 at a maternity hospital in New Delhi. The hospital has approximately 6,000 deliveries per year, and serves a low income population. Most patients are unbooked, have had no antenatal care and attend in an advanced stage of labour, delivering within 2-3 h of admission. The mode of delivery for breech presentation is one of the most controversial in modern obstetrics. The impact of a caesarean section involves not only immediate risk but complications in future pregnancies and on health costs. Outcome measures were expressed in terms of Apgar, SCBU admission, intrapartum death and birth trauma. Caesarean sections should be performed in selected cases after full discussion with the patient. We are ignoring maternal risks and concentrating on a small subset to reduce perinatal morbidity and mortality.
Authors:
M Mishra; P Sinha
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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:  31     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  495-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Hindu Rao Hospital , Delhi , India.
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