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Selective vaginal breech delivery at term-still an option.
MedLine Citation:
PMID:  22708506     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: To compare the neonatal outcome between planned vaginal or planned cesarean section (CS) breech delivery and planned vaginal vertex delivery at term with singleton fetuses. Design: A cohort study. Setting: Delivery Unit, Tampere University Hospital, Finland, with 5200 annual deliveries. Population: The term breech deliveries over a period of five years (January 2004 - January 2009), a total of 751 breech deliveries, and 257 vertex controls. Methods: The data were collected from the mother's medical records, including a summary of the newborn. In the case of neonatal health problems, the pediatric records were also examined. Main Outcome Measures: Maternal and neonatal mortality and morbidity as defined in the Term Breech Trial. Low Apgar scores or umbilical cord pH as secondary end points. Results: There was no neonatal mortality. Severe morbidity was rare in all groups, with no differences between groups. The Apgar scores at one minute were lower in the planned vaginal delivery group compared to the other groups, but there was no difference at the age of five minutes. Significantly more infants in the vaginal delivery group had a cord pH < 7.05. There was one maternal death due to a complicated CS in the planned CS group and none in the other groups. Mothers in the planned CS group suffered significantly more often from massive bleeding and needed transfusions. Conclusions: Vaginal delivery remains an acceptable option for breech delivery in selected cases.
Authors:
Elli Toivonen; Outi Palomäki; Heini Huhtala; Jukka Uotila
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-18
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors AOGS© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
University of Tampere, Tampere, Department of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Research Unit, Tampere University Hospital, Tampere, Finland.
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