| Mode of delivery and outcome of 699 term singleton breech deliveries at a single center. | |
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MedLine Citation:
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PMID: 12501085 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Elective cesarean delivery has been postulated to improve the outcome of term fetuses in breech presentation. We retrospectively compared the short- and long-term outcomes of term infants who were delivered from a breech presentation at a single center. STUDY DESIGN: We reviewed 699 consecutive term breech presentations according to the intended mode of delivery at a single center between January 1993 and December 1999. The short-term outcome measures were perinatal death, neonatal death, or serious neonatal morbidity; the long-term outcome measures were developmental delay and spasticity. RESULTS: The rate of serious perinatal morbidity in the trial-of-labor and cesarean delivery groups was 2.3% and 0.5%, respectively (P =.12). There was no perinatal or neonatal death in either group. With a median follow-up period of 57 months (range, 13-100 months), the rate of developmental delay was 1.9% and 0.5%, respectively (P =.29). Spasticity was not noted in any of the children. CONCLUSION: Our data suggest that planned vaginal delivery remains an option for selected term breech presentations. |
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Authors:
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Albrecht Giuliani; Wolfgang M J Schöll; Asli Basver; Karl F Tamussino |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 187 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-12-25 Completed Date: 2003-01-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1694-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Graz, Austria. giuliani@uni-graz.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Apgar Score Breech Presentation* Cesarean Section Delivery, Obstetric / methods* Developmental Disabilities / epidemiology Female Follow-Up Studies Humans Hydrogen-Ion Concentration Infant Mortality Infant, Newborn Morbidity Muscle Spasticity / epidemiology Pregnancy Pregnancy Outcome* Retrospective Studies Umbilical Arteries |
| Comments/Corrections | |
Comment In:
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Am J Obstet Gynecol. 2003 Jun;188(6):1666; author reply 1666
[PMID:
12825021
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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