| Outcomes associated with cesarean section versus vaginal breech delivery at a university hospital. | |
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MedLine Citation:
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PMID: 17036031 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine whether vaginal breech delivery is associated with increased morbidity in term breech singletons using strict selection criteria. This study encompasses our previous studies (in 1987 and 1995) and extends our experience to 21 years. STUDY DESIGN: Retrospective cohort study from 1980 to 2001 including term, non-anomalous singleton breech deliveries selected by strict criteria. Univariable and multivariable analyses were performed for neonatal and maternal outcomes. RESULTS: Five hundred and eleven women underwent cesarean section and 214 a trial of labor. We found greater overall maternal morbidity in the cesarean section group (odds ratio (OR) 1.89, 95% confidence interval (CI)=1.34-2.65). In the vaginal delivery group, neonates were more likely to have had >1 day of mechanical ventilation (OR 10.0, 95% CI=1.56-63.9). No maternal deaths occurred and no neonatal deaths or seizures occurred. CONCLUSION: Given our findings, offering a trial of vaginal breech delivery to well-counseled strictly selected patients remains an appropriate option. |
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Authors:
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L M Hopkins; T Esakoff; M S Noah; D H Moore; G F Sawaya; R K Laros |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2006-10-12 |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 27 ISSN: 0743-8346 ISO Abbreviation: J Perinatol Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-02-22 Completed Date: 2007-04-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 141-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA 94143-0705, USA. hopkinsL@obgyn.ucsf.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Breech Presentation* Cesarean Section* Counseling Delivery, Obstetric* Female Hospitals, University Humans Morbidity Pregnancy Pregnancy Outcome* Respiration, Artificial / statistics & numerical data Risk Assessment San Francisco Trial of Labor |
| Comments/Corrections | |
Comment In:
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J Perinatol. 2007 Mar;27(3):139-40
[PMID:
17314982
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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