Birth weight and neurodevelopmental outcome of children at 2 years of age after planned vaginal delivery for breech presentation at term

American Journal of Obstetrics and Gynecology
J F M MolkenboerJ G Nijhuis

Abstract

The purpose of this prospective cohort study was to determine whether planned vaginal delivery for the term singleton baby in breech position increases the risk of abnormal neurodevelopment at 2 years of age and to assess whether the effect is modified by birth weight. At 2 years of age, all nonrandomized children born in breech position during our participation in the Term Breech Trial were screened for abnormal neurodevelopment with the Ages and Stages Questionnaire. An Ages and Stages Questionnaire at 2 years of age was obtained in 183 of 203 children (90.1%). Twenty-eight percent of these children showed 1 or more abnormal Ages and Stages Questionnaire domains. There were no differences in the risk of having abnormal Ages and Stages Questionnaire domains between planned vaginal delivery and planned cesarean section (P = .99). There was, however, evidence of interaction between mode of delivery and birth weight, with significantly higher risk in neurodevelopmental delay in children with birth weight greater than 3500 g with planned vaginal birth (adjusted odds ratio for interaction term 3.37; 95% confidence interval 1.14 to 9.95). Based on the Ages and Stages Questionnaire results at 2 years of age, planned vaginal delivery ...Continue Reading

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Citations

Jan 29, 2011·BMC Pregnancy and Childbirth·Simone M KuppensVictor J Pop
Sep 26, 2012·The Libyan Journal of Medicine·Fatemeh TorabiHamid Alavi Majd
Jan 9, 2015·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ghislaine M M DekeuninkFrans J M E Roumen
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May 6, 2008·Clinics in Perinatology·Ira Adams-Chapman
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May 28, 2009·Developmental Medicine and Child Neurology·Guro L AndersenTorstein Vik
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Aug 20, 2010·Clinical Endocrinology·L KooistraVictor J Pop
Apr 15, 2015·Social Psychiatry and Psychiatric Epidemiology·Sukainah Y Al KhalafAli S Khashan
Mar 17, 2017·BJOG : an International Journal of Obstetrics and Gynaecology
Sep 14, 2007·Journal of Psychosomatic Obstetrics and Gynaecology·J F M MolkenboerJ G Nijhuis
Jul 5, 2017·Journal of Perinatal Medicine·Anat ShmueliRinat Gabbay-Benziv
Apr 18, 2007·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·J F M MolkenboerJ G Nijhuis
Apr 16, 2020·Journal of Health, Population, and Nutrition·Shimelash Bitew WorkieWubalem Fekadu
Nov 5, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·Elie Azria

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