Planned delivery route of preterm breech singletons, and neonatal and 2‐year outcomes: a population‐based cohort study

Sentilhes, Loïc; Quere, Mathilde; Lebeaux, Cécile; Winer, Norbert; Torchin, Héloïse; Goffinet, François; Delorme, Pierre; Ancel, Pierre–Yves; Arnaud, Catherine; Blanc, Julie; Boileau, Pascal; Debillon, Thierry; D’ercole, C.; Desplanches, Thomas; Diguisto, Caroline; Foix‐L’Hélias, L.; Garbi, Aurélie; Gascoin, Géraldine; Gaudineau, A.; Gire, Catherine; Kayem, Gilles; Langer, B.; Letouzey, Mathilde; Lorthe, Elsa; Maisonneuve, Emeline; Marret, Stéphane; Monier, Isabelle; Morgan, Andreï S.; Rozé, Jean‐Christophe; Schmitz, Thomas; Subtil, D.; Tosello, Barthélémy; Vayssière, Christophe; Zeitlin, Jennifer

doi:10.1111/1471-0528.15466

Cited by 19 publications

(16 citation statements)

References 34 publications

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“…Low birth weight could be a sign of intrauterine growth restriction, which is a risk factor for breech presentation. Preterm children often have a lower birth weight than normal, and also have a higher risk for breech presentation [9]. Breech position is a risk factor for umbilical cord prolapse [10].…”

Section: Introductionmentioning

confidence: 99%

Risk factors during pregnancy and delivery for the development of Perthes’ disease, a nationwide Swedish study of 2.1 million individuals

Lindblad

Josefsson

Bladh

et al. 2020

BMC Pregnancy Childbirth

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Background: To ascertain or disprove a correlation between suboptimal birth characteristics, breech position at delivery and development of Perthes' disease. Methods: Study material was collected from nationwide registers regarding diagnoses, birth statistics and delivery data. As study population were included children with a diagnosis code for Perthes' disease who were alive and living in Sweden at age 13. Children with missing birth statistics were excluded. All children with no Perthes' disease diagnosis were used as control group. Both single and multiple logistical regression analyses were used to calculate OR for the included characteristics. Results: Children in breech position had a higher risk for developing Perthes' disease. Children with Perthes' disease had also a higher probability of having been born pre-term, very pre-term or post-term. Lower than normal birth weight and a lower Apgar-score were also associated with Perthes' disease. Conclusions: There is a correlation between breech birth and development of Perthes' disease. There is also correlation to suboptimal birth characteristics. Despite our findings this should not be used for screening of Perthes' disease as the percentage of children who actually develop it is very low. Also, as of yet there is no possibility to diagnose Perthes' disease before the presence of skeletal changes. Our findings could be important in finding the cause of Perthes' disease and therefore developing better diagnostics, treatment and prevention.

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Section: Introductionmentioning

confidence: 99%

Risk factors during pregnancy and delivery for the development of Perthes’ disease, a nationwide Swedish study of 2.1 million individuals

Lindblad

Josefsson

Bladh

et al. 2020

BMC Pregnancy Childbirth

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“…No association between planned caesarean delivery and improved outcomes for preterm breech singletons born at 26-34 weeks of gestation after preterm labour or preterm pre-labour rupture of membranes was found. 10 In the present series, 58% of the babies were preterm i.e. <37 weeks period of gestation.…”

Section: Discussionmentioning

confidence: 47%

Evaluating the factors influencing perinatal outcome in breech presentation

Raut¹,

Tadru²,

Patil³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: The objective of this study was to analyse the current obstetric practice regarding breech presentation, document the incidence, perinatal outcome and the factors influencing perinatal outcome in breech deliveries.Methods: It was a retrospective observational study including 252 cases of breech presentation during January 2018 to December 2019 in a tertiary teaching institute in Vidarbha region of Maharashtra.Results: Total number of breech deliveries 252 (incidence is 2.5%). Caesarean section for breech presentation 95 (37.6%). With vaginal deliveries the Apgar score at 5 min below 7 were among 48 out of 157 breech deliveries whereas with LSCS it was only amongst 7 out of 95 deliveries. The maximum percentage of perinatal mortality is seen with birth weight below 2000 gm. Maximum mortality is seen prior to 32 weeks and in babies who delivered by vaginal route. Respiratory distress with prematurity and severe birth asphyxia are the common causes of perinatal deaths. Total 32 (12.69%) babies were transferred to NICU. 20.38% of the total vaginal breech deliveries and 5.26% of the total LSCS were transferred to NICU. Out of total 32 NICU admissions 22 are for the preterm babies and babies with birth weight below 2000 gm.Conclusions: The perinatal outcome does not depend only on the mode of delivery, it is also affected by the weight of the baby, its maturity, associated congenital anomalies, equipped neonatal intensive care unit and also substantially on the expertise of the obstetrician and the neonatologist.

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“…In our case, the choice of a vaginal birth for the first twin was pivotal for delaying the birth of the second twin. As noted in previews studies on singleton and twin pregnancies, 2,3 we believe that breech vaginal delivery should be encouraged in multiple pregnancies when the first fetus is delivered at an extremely premature gestational age.…”

Section: To the Editorsmentioning

confidence: 77%

Comment on: “Effect of delayed interval delivery of remaining fetus(es) in multiple pregnancies on survival: a systematic review and meta-analysis”

Lazzarin

Cozzolino²,

Vergani

2020

American Journal of Obstetrics and Gynecology

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Planned delivery route of preterm breech singletons, and neonatal and 2‐year outcomes: a population‐based cohort study

Cited by 19 publications

References 34 publications

Risk factors during pregnancy and delivery for the development of Perthes’ disease, a nationwide Swedish study of 2.1 million individuals

Risk factors during pregnancy and delivery for the development of Perthes’ disease, a nationwide Swedish study of 2.1 million individuals

Evaluating the factors influencing perinatal outcome in breech presentation

Comment on: “Effect of delayed interval delivery of remaining fetus(es) in multiple pregnancies on survival: a systematic review and meta-analysis”

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