Document Detail

Mode of delivery and outcome of 699 term singleton breech deliveries at a single center.
MedLine Citation:
PMID:  12501085     Owner:  NLM     Status:  MEDLINE    
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.
Albrecht Giuliani; Wolfgang M J Schöll; Asli Basver; Karl F Tamussino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  187     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-25     Completed Date:  2003-01-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1694-8     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, University of Graz, Austria.
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MeSH Terms
Apgar Score
Breech Presentation*
Cesarean Section
Delivery, Obstetric / methods*
Developmental Disabilities / epidemiology
Follow-Up Studies
Hydrogen-Ion Concentration
Infant Mortality
Infant, Newborn
Muscle Spasticity / epidemiology
Pregnancy Outcome*
Retrospective Studies
Umbilical Arteries
Comment In:
Am J Obstet Gynecol. 2003 Jun;188(6):1666; author reply 1666   [PMID:  12825021 ]

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