Document Detail


Influence of mode of delivery on neonatal mortality and morbidity in spontaneous preterm breech delivery.
MedLine Citation:
PMID:  16996196     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To study the association between mode of delivery and neonatal outcome in singleton pregnancy with breech presentation and preterm birth, due to premature labour (PTL) and/or preterm premature rupture of the membranes (pPROM). DESIGN AND METHODS: Information on preterm (gestational week 25-36) singleton births in breech presentation in Sweden during 1990-2002 was obtained from the Swedish Medical Birth Registry and the Swedish Hospital Discharge Registry. The study groups included 1975 caesarean and 699 vaginal deliveries with a diagnosis of PTL or pPROM, without pregnancy complications implying a high risk of fetal compromise. The rates of infant respiratory distress syndrome (IRDS), intraventricular haemorrhage (IVH), low Apgar scores, and neonatal deaths were compared between infants delivered vaginally and by caesarean section. Odds ratios were calculated with adjustment for gestational age, year of birth, maternal age and parity. RESULTS: The risk of neonatal death and the risk of an Apgar score below 5 min postnatally were both lower after caesarean delivery (OR 0.4; 95% CI 0.2-0.7, and OR 0.4; 95% CI 0.3-0.7, respectively), whereas the risk of IRDS was increased (OR 2.1; 95% CI 1.4-3.2). A diagnosis of IRDS was not associated with mortality (OR 0.8; 95% CI 0.5-1.5). IVH was not associated with mode of delivery (OR 1.2; 95% CI 0.5-2.8). CONCLUSION: The lower neonatal mortality after CS supports a policy of caesarean delivery of the preterm breech.
Authors:
Andreas Herbst; Karin Källén
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2006-09-20
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  133     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-26     Completed Date:  2007-09-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Clinical Sciences, University of Lund, Sweden. Andreas.Herbst@med.lu.se
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Breech Presentation / epidemiology*,  mortality*
Delivery, Obstetric / adverse effects*
Female
Humans
Infant, Newborn
Morbidity
Pregnancy
Pregnancy Outcome
Premature Birth / epidemiology*,  mortality*
Respiratory Distress Syndrome, Newborn / epidemiology
Retrospective Studies
Risk Assessment

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


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