Document Detail


Indications for caesarean section in breech presentation.
MedLine Citation:
PMID:  9720829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J P de Leeuw; J de Haan; R Derom; M Thiery; G van Maele; G Martens
Related Documents :
12521419 - Maternal height and labour outcome.
15203619 - Correlation of fetal outcome with mode of delivery for breech presentation.
10199349 - Elective caesarean-section versus vaginal delivery in prevention of vertical hiv-1 tran...
7426259 - Experiences with lumbar extradural analgesia for caesarean section.
8187259 - Anaesthetic management of a neonate with prenatally diagnosed cervical tumour and upper...
8005029 - Meningomyelocele: management in utero and post natum.
15786439 - Vascular endothelial growth factor in preterm infants with respiratory distress syndrome.
12962229 - A study of the susceptibility of atlantic halibut, hippoglossus hippoglossus (l.), to v...
14630979 - S100 protein in serum as a prognostic marker for cerebral injury in term newborn infant...
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    
Affiliation:
Department of Obstetrics and Gynecology, University of Limburg, Academic Hospital Maastricht, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Birth Weight
Breech Presentation*
Cesarean Section*
Female
Humans
Infant, Newborn
Longitudinal Studies
Pregnancy
Prospective Studies

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


Previous Document:  The effect of emotional support on maternal oxytocin levels in labouring women.
Next Document:  Pre or post-operative medical treatment with nafarelin in stage III-IV endometriosis: a French multi...