Document Detail

Indications for caesarean section in breech presentation.
MedLine Citation:
PMID:  9720829     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The study was conducted because of the still considerable controversies about the variation in obstetric management in breech presentation, in combination with the still increasing caesarean section rate for this type of presentation, as well as doubt concerning the assumed improvement in neonatal and maternal morbidity and mortality obtained by increasing section rate in breeches. STUDY DESIGN: Two hundred and sixty eight consecutive breech presentations in two university hospitals were studied longitudinally and prospectively. In principle, vaginal delivery was attempted in all cases, under expert supervision and electronic monitoring, except in the presence of clear-cut contraindications. X-ray pelvimetry was not used. RESULTS: The incidence of caesarean section was 34%. The trial of vaginal delivery succeeded in 64% of the nulliparas and in 60% of the non-frank breeches, without statistically significant differences in outcome measures compared with the multiparous women and the frank group, respectively. Hyperextension of the foetal head rarely occurred. CONCLUSION: Several classic obstetric factors have a lower discriminating value for the route of delivery than is currently assumed. Progress of labour was an important factor in determining the route of delivery.
J P de Leeuw; J de Haan; R Derom; M Thiery; G van Maele; G Martens
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  79     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-10-29     Completed Date:  1998-10-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  131-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Limburg, Academic Hospital Maastricht, The Netherlands.
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MeSH Terms
Birth Weight
Breech Presentation*
Cesarean Section*
Infant, Newborn
Longitudinal Studies
Prospective Studies

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

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