| Undiagnosed term breech: impact on mode of delivery and neonatal outcome. | |
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MedLine Citation:
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PMID: 12911446 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The purpose of this study was to compare delivery mode and neonatal outcome in breech pregnancies diagnosed antepartum (Dx group) with those diagnosed on admission for delivery or intrapartum (No-Dx group). METHODS: During an 11-year period, breech pregnancies >/=34 weeks' gestation with a live nonanomalous fetus were reviewed. The Dx group was matched for gestational age, parity, and maternal age to the No-Dx group (n = 256) and compared using the chi2-test, the Mc-Nemar test, and the Wilcoxon rank test. A p-value of < 0.05 was considered significant. RESULTS: Breech type and birthweights were similar in the two groups. In the No-Dx group, 19.5% did not receive prenatal care. More patients in the No-Dx group were admitted with cervical dilation > 4 cm (39.4% vs. 27.0%, p = 0.004), whereas 17.1% of patients in the Dx group were admitted for elective cesarean delivery at term. There was a higher cesarean delivery rate in the Dx group (64.1% vs. 50.8%, p = 0.003), specifically for arrest disorders (15.2% vs. 6.9%, p = 0.008). The neonatal outcome in the two groups was similar regarding Apgar scores, intensive care nursery admission, need for mechanical ventilation, neonatal death, and length of nursery stay. CONCLUSIONS: Antepartum diagnosis of breech presentation decreases the threshold for cesarean delivery. Failure to diagnose breech antepartum does not compromise neonatal outcome. |
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Authors:
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Ihab M Usta; Anwar H Nassar; Antoun Y Khabbaz; Antoine A Abu Musa |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 82 ISSN: 0001-6349 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-08-12 Completed Date: 2003-10-31 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: Denmark |
Other Details:
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Languages: eng Pagination: 841-4 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, American University of Beirut-Medical Center, Beirut, Lebanon. iu00@aub.edu.lb |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Breech Presentation* Case-Control Studies Delivery, Obstetric / statistics & numerical data* Female Humans Lebanon / epidemiology Pregnancy Pregnancy Outcome* Pregnancy Trimester, Third Prenatal Diagnosis* |
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