Document Detail


The management of breech pregnancies in Australia and New Zealand.
MedLine Citation:
PMID:  14714714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To assess current obstetric practice in the management of singleton breech pregnancies in Australia and New Zealand. METHODOLOGY: Survey mailed to all members and fellows of the Royal Australian and New Zealand College of Obstetrics and Gynaecology. RESULTS: Of 1284 surveyed, 956 (74%) responded of whom 696 (73%) were practicing obstetrics. Prior to the Term Breech Trial (TBT), 72% of obstetricians reported that they routinely offered vaginal breech birth for uncomplicated singleton breech pregnancies. After the TBT publication this rate declined to 20%. External cephalic version (ECV) was usually recommended by 67% of obstetricians and only 53% use tocolytics. Common practices for which safety has yet to be demonstrated included 28% of obstetricians carrying out ECV outside hospitals and 42% carrying out ECV before 37 weeks' gestation. CONCLUSIONS: While the majority of obstetricians recommend ECV and/or planned Caesarean section for breech presentation, barriers to the promotion of ECV and the use of tocolysis for ECV need to be identified if the rates of this effective manoeuvre are to be increased.
Authors:
Hala Phipps; Christine L Roberts; Natasha Nassar; Camille H Raynes-Greenow; Brian Peat; Eileen K Hutton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  43     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2004-01-12     Completed Date:  2004-04-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  294-7; discussion 261     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, King George V Hospital, Sydney, Australia. hala.phipps@email.cs.nsw.gov.au
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MeSH Terms
Descriptor/Qualifier:
Australia
Breech Presentation*
Cesarean Section
Female
Humans
New Zealand
Physician's Practice Patterns*
Pregnancy
Version, Fetal
Comments/Corrections
Comment In:
Aust N Z J Obstet Gynaecol. 2003 Aug;43(4):261   [PMID:  15055203 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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