Influence of mode of delivery on outcomes in preterm breech infants presenting in labor

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
Claire O'ReillyRhona Mahony

Abstract

Rates of vaginal breech delivery at term have fallen significantly. We sought to examine rates of preterm vaginal breech delivery and outcomes associated with delivery route. This retrospective cohort study was carried out at a large tertiary referral center serving an urban population, from 2001 to 2011. The primary objective was to compare outcomes of breech presenting preterm infants according to mode of delivery. The incidence of preterm breech delivery was examined as well as maternal and neonatal outcomes associated with vaginal and abdominal delivery of preterm breech infants. A total of 15% (413/2759) of breech presenting infants delivered prior to 37-week gestation. In extreme prematurity (<28 weeks) the majority (88%; 37/42) of those who presented in labor delivered vaginally, this rate fell to 47% (63/134) after 28 weeks. Infants delivered vaginally after 28 weeks were more likely to have an Apgar <7 at 5 min, than those who had a cesarean delivery (22.5% [16/71] versus 9% [25/278], p = .002; numbers needed to treat (NNT) = 4). Maternal blood loss >500 ml was more likely in those patients delivered by cesarean section (24.2% [74/305] versus 3.7% [4/108]; p < .0001; NNT =2). These results demonstrate that vaginal deli...Continue Reading

References

Mar 1, 1992·American Journal of Obstetrics and Gynecology·D E HickokJ R Daling
Feb 1, 1995·British Journal of Obstetrics and Gynaecology·J J MorrisonP J Milton
May 1, 1993·British Journal of Obstetrics and Gynaecology·J B GravenhorstM H Ens-Dokkum
May 1, 1996·American Journal of Obstetrics and Gynecology·E Hemminki, J Meriläinen
Jun 17, 2000·Acta Obstetricia Et Gynecologica Scandinavica·S AlbrechtsenL M Irgens
Aug 8, 2001·Paediatric and Perinatal Epidemiology·M T Lydon-RochelleD P Martin
Nov 26, 2002·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Y YogevB Kaplan
Feb 5, 2003·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·E S Y Chong, M Mongelli
Mar 3, 2004·Obstetrics and Gynecology·May AlarabMichael E Foley
Jan 6, 2006·Obstetrics and Gynecology·Shad DeeringAndrew J Satin
Feb 5, 2008·American Journal of Obstetrics and Gynecology·Gilles KayemBassam Haddad
Sep 29, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Elizabeth Anne SullivanMichael Chapman
Apr 12, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Julie E Hartnack TharinLone Krebs
Apr 17, 2012·American Journal of Obstetrics and Gynecology·Mark P HehirFergal D Malone
Jul 31, 2012·American Journal of Obstetrics and Gynecology·Uma M ReddyS Katherine Laughon
Dec 10, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·Zoe J PennAdrian Grant

❮ Previous
Next ❯

Citations

Aug 1, 2021·American Journal of Obstetrics and Gynecology·Leilah D Zahedi-SpungJoshua I Rosenbloom

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

BMJ : British Medical Journal
J G Thorpe-BeestonN J Saunders
Archives of Gynecology and Obstetrics
Oya DemirciSadiye Eren
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
L Sanchez-RamosD S Wells
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
Kirsten M NilesNoor Niyar N Ladhani
© 2022 Meta ULC. All rights reserved