Document Detail

Effects of low-birth-weight breech delivery on neonatal mortality.
MedLine Citation:
PMID:  572025     Owner:  NLM     Status:  MEDLINE    
The influence of breech presentation on neonatal mortality was studied in 77 viable low-birth-weight breech deliveries. Neonates were divided into 3 weight groups: 1000-1499 g, 1500-1999 g, and 2000-2499 g. The antepartum and intrapartum characteristics of the 3 weight groups were detailed. The 17 neonates who died were studied to determine if alternative delivery methods would have prevented their deaths. Survival rates were 45% in the 1000-1499-g group, 76% in the 1500-1999-g group, and 97% in the 2000-2499-g group. Cervical head entrapment and fetal bradycardia were ominous intrapartum complications, but severe prematurity with respiratory distress syndrome and fetal hydrops were the primary causes of neonatal death. From these data, it is concluded that 1) intrapartum management and delivery of the low-birth-weight breech presentation infant should be individualized, and 2) cesarean section for routine delivery is not justified.
J R Woods
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  53     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1979 Jun 
Date Detail:
Created Date:  1979-08-29     Completed Date:  1979-08-29     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  735-40     Citation Subset:  AIM; IM    
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MeSH Terms
Breech Presentation*
Delivery, Obstetric / methods*
Evaluation Studies as Topic
Infant Mortality*
Infant, Low Birth Weight*
Infant, Newborn
Labor Presentation*
Obstetric Labor Complications
Pregnancy Complications
Respiratory Distress Syndrome, Newborn / etiology
Time Factors

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

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