Comparaison du pronostic obstétrical des tentatives d’accouchement par le siège : travail spontané versus déclenchement

Breton, Armelle; Gueudry, P.; Branger, B.; Baccon, F A Le; Thubert, Thibault; Arthuis, Chloé; Winer, Norbert; Dochez, Vincent

doi:10.1016/j.gofs.2018.07.003

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…There was no significant difference in cesarean rate, neonatal or maternal morbidity (1.69, OR ¼ 0.71-4.04; 0.52, OR ¼ 0.12-2.35; and 0.73, OR ¼ 0.21-2.51, respectively). 12 A secondary analysis of the PREMODA study also demonstrated that induction of labor for breech presentation did not appear to increase neonatal mortality or severe neonatal morbidity compared with planned caesarean delivery (1.4 versus 1.2, p ¼ 0.75). 13 Therefore, it seems reasonable to promote induction of labor in a term breech presentation in order to have a skilled obstetrician present during the delivery.…”

Section: Discussionmentioning

confidence: 89%

Is Vaginal Breech Delivery Still a Safe Option?

Valente

Afonso

Clode

2020

Rev Bras Ginecol Obstet

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Objective To determine whether there was any difference in neonatal and maternal outcomes between breech vaginal delivery and cephalic vaginal delivery. Methods A retrospective, case-control study was conducted between January 2015 and December 2017 in a Portuguese hospital. A total of 26 cases of breech vaginal delivery were considered eligible and 52 pregnant women formed the control group. Results Induced labor was more frequent in the breech vaginal delivery group (46% versus 21%, p = 0.022). Episiotomy was more common in the breech vaginal delivery group (80% versus 52%, p = 0.014), and one woman had a 3rd degree perineal laceration. Newborns in the study group had a lower birthweight (2,805 g versus 3,177 g, p < 0.001). There was no significant difference in the neonatal outcomes. Conclusion The present study showed that breech vaginal delivery at term compared with cephalic presentation was not associated with significant differences in neonatal and maternal morbidity. It also suggests that breech vaginal delivery remains a safe option under strict selection criteria and in the presence of an experienced obstetrician.

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Section: Discussionmentioning

confidence: 89%

Is Vaginal Breech Delivery Still a Safe Option?

Valente

Afonso

Clode

2020

Rev Bras Ginecol Obstet

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Neonatal morbidity and mortality for preterm in breech presentation regarding the onset mode of labor

Guerini

Korb

Sibony

2022

Arch Gynecol Obstet

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Neonatal Morbidity after Cervical Ripening with a Singleton Fetus in a Breech Presentation at Term

Berthommier

Planche

Ducarme

2022

JCM

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Vaginal delivery in women with a breech presentation is part of common practice in France despite much debate, and the induction of labor (IOL) with a fetus in a breech presentation at term remains uncommon. Little is known about the effectiveness of cervical ripening and its neonatal and maternal safety in these women. We present a retrospective study of 362 women who gave birth to a live singleton fetus in a breech presentation at term. The objective was to compare severe maternal and neonatal morbidity according to the planned mode of labor (spontaneous labor or the induction of labor (IOL) with a favorable cervix, cervical ripening, or elective cesarean delivery) and, specifically, to compare cervical ripening to the other modes of labor. The rate of severe neonatal morbidity was 3.0% and was significantly higher after the IOL compared to elective cesarean delivery (p = 0.02), and the severe maternal morbidity rates were similar. Multivariable logistic regression analysis found no significant association between cervical ripening and either composite severe neonatal (adjusted odds ratio [aOR] 2.80, 95% confidence interval [CI] 0.10–43.6) or maternal morbidity (aOR 1.29, 95% CI 0.05–11.5). Our results support a policy of offering cervical ripening to the appropriately selected candidates with a singleton fetus in a breech presentation at term without increasing the incidence of severe maternal and neonatal morbidity.

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Comparaison du pronostic obstétrical des tentatives d’accouchement par le siège : travail spontané versus déclenchement

Cited by 3 publications

References 20 publications

Is Vaginal Breech Delivery Still a Safe Option?

Is Vaginal Breech Delivery Still a Safe Option?

Neonatal morbidity and mortality for preterm in breech presentation regarding the onset mode of labor

Neonatal Morbidity after Cervical Ripening with a Singleton Fetus in a Breech Presentation at Term

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