Fetal outcome for infants in breech by method of delivery: experiences with a stand-by service system of senior obstetricians and women's choices of mode of delivery

Maier, Bárbara; Georgoulopoulos, Alexander; Zajc, Michael; Jaeger, Tobias; Zuchna, C; Hasenoehrl, G.

doi:10.1515/jpm.2011.044

Cited by 35 publications

(18 citation statements)

References 25 publications

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“…When infants with congenital malformations were excluded, they reported no perinatal deaths in their material. This is in line with the conclusions of an Austrian observation study comprising 211 breech presentation pregnancies where 46 of 85 planned vaginal deliveries actually went vaginally [22]. Common features of the French/Belgium, the Finnish, the Austrian and our study, include strict selection criteria for whom should be offered vaginal delivery, close fetal monitoring and the presence of skilled obstetricians.…”

Section: Discussionsupporting

confidence: 90%

Vaginal breech delivery: results of a prospective registration study

Vistad

Cvancarova

Hustad

et al. 2013

BMC Pregnancy Childbirth

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BackgroundMost countries recommend planned cesarean section in breech deliveries, which is considered safer than vaginal delivery. As one of few countries in the western world Norway has continued to practice planned vaginal delivery in selected women. The aim of this study is to evaluate prospectively registered neonatal and maternal outcomes in term singleton breech deliveries in a Norwegian hospital during a ten years period. We aim to compare maternal and neonatal outcomes in term breech pregnancies subjected either to planned vaginal or elective cesarean section.MethodsA prospective registration study including 568 women with term breech deliveries (>37 weeks) consecutively registered at Sorlandet Hospital Kristiansand between 2001 and 2011. Fetal and maternal outcomes were compared according to delivery method; planned vaginal delivery versus planned cesarean section.ResultsOf 568 women, elective cesarean section was planned in 279 (49%) cases and vaginal delivery was planned in 289 (51%) cases. Acute cesarean section was performed in 104 of the planned vaginal deliveries (36.3%). There were no neonatal deaths. Two cases of serious neonatal morbidity were reported in the planned vaginal group. One infant had seizures, brachial plexus injury, and cephalhematoma. The other infant had 5-minutes Apgar < 4. Twenty-nine in the planned vaginal group (10.0%) and eight in the planned cesarean section group (2.9%) (p < 0.001) were transferred to the neonatal intensive care unit. However, only one infant was admitted for ≥4 days. According to follow-up data (median six years) none of these infants had long-term sequelae. Regarding maternal morbidity, blood loss was the only variable that was significantly higher in the planned cesarean section group versus in the vaginal delivery group (p < 0.001).ConclusionsStrict guidelines were followed in all cases. There were no neonatal deaths. Two infants had serious neonatal morbidity in the planned vaginal group without long-term sequelae.

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Section: Discussionsupporting

confidence: 90%

Vaginal breech delivery: results of a prospective registration study

Vistad

Cvancarova

Hustad

et al. 2013

BMC Pregnancy Childbirth

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“…A number of registry‐based studies have shown a significant increase in cesarean delivery rates and a simultaneously decrease in neonatal mortality and morbidity when comparing the years before and after the TBT publication in October 2000 . On the other hand, several cross‐sectional and prospective observational studies have reported no significant difference in neonatal morbidity between PVD and PCD when applying predefined selection criteria for mode of delivery . However, most of these studies were not powered for detecting differences in neonatal mortality.…”

Section: Introductionmentioning

confidence: 99%

Neonatal outcome of singleton term breech deliveries in Norway from 1991 to 2011

Vistad

Klungsøyr

Albrechtsen

et al. 2015

Acta Obstet Gynecol Scand

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“…Breech presentation occurs in about 3–4 percent of term deliveries . In the absence of an absolute indication for cesarean section (CS), the optimal mode of delivery remains controversial, as studies both encouraging and discouraging a trial of vaginal delivery have been published . In Finland, in the case of a normal pregnancy and lack of medical contraindications, a trial of vaginal birth is an option if strict selection criteria are met.…”

Section: Introductionmentioning

confidence: 99%