Repetitive Breech Presentations at Term

Žúbor, Pavol; Zigo, Imrich; Sivakova, Jana; Moricova, Petra; Kapustová, Ivana; Krivus, Stefan; Danko, Ján

doi:10.1155/2013/628572

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…In more than 50% of cases breech persisted from 33 weeks of gestation. 2,5 Most of the breech presentations had an aetiological factor like oligohydramnios, uterine anomalies, short cord, fetal growth restriction, prematurity unlike other studies which showed etiology in only 7-15% of breech presentation. 9 Fundoanterior and fundoposterior placental positions were associated with breech in ourstudy.…”

Section: Discussionmentioning

confidence: 79%

“…Short cord, seen in 2% of cases, is also a cause for breech presentation as shown by Adinma's study in which 1000 cases were observed to have short cord. 5 Recurrent breech was observed in 6%. No obvious fetal anomalies were detected in the breech cases similar to the Cameroonian study.…”

Section: Resultsmentioning

confidence: 99%

“…Cornuofundal placenta was seen in 70% of the cases in a study by Pavol Zuber. 5 Breech presentation may be a sign of fetal anomaly especially cardiovascular, central nervous system and musculoskeletal anomalies. 10 Hence, it is necessary to look by ultrasound and during cesarean for the presence of fetal anomalies, uterine anomalies and placental site, especially if there is a recurrent breech presentation.…”

Section: Discussionmentioning

confidence: 99%

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Study of the obstetric outcome of breech presentation in pregnancy in a tertiary hospital in a rural area in Telangana, India

Kothapally

Uppu

Gillella

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONBreech is the common nonvertex presentation in 3-4% of pregnancies all over the world.1 Percentage of breech presentation and deliveries decreases with advancing gestational age, from 22% of births prior to 28 weeks to 7% of births at 32weeks to 1-3% of births at term. 1Incidence decreases towards term due to spontaneous version. So, an active process is involved in limiting this spontaneous version and it results in breech presentation. 2Breech presentation results from uterine anomalies, cornuofundal insertion of placenta, placenta previa, oligohydramnios, fetal getal growth restriction, prematurity, short umbilical cord, fetal anomalies like hydrocephalus, swellings in front of the neck.1 Hence, we should look for the presence of uterine anomalies, site of placenta and fetal anomalies in all cases of breech presentation. Perinatal mortality is increased 3-4fold with breech presentation irrespective of the mode of delivery. 1 Prematurity, cord prolapse and difficulties during vaginal breech delivery especially of the aftercoming head add to the increased perinatal mortality and morbidity following vaginal breech delivery.1 On the otherhand, through planned caesarean delivery, atleast at term, reduces the ABSTRACT Background: The present study was undertaken to study the incidence, aetiology and obstetric outcome of breech presentation in pregnancy in a teaching hospital in a rural area. Methods: The present retrospective observational study was conducted in the department of obstetrics and gynaecology at Bhaskar Medical College and Bhaskar General Hospital, Yenkepally, Telangana from May 2014 to March 2017. 50 cases of breech presentation were included in the study. Demographic data like age, parity, gestational age of first detection of breech, aetiological factors of breech, mode of delivery, neonatal outcome were noted from case records. Results: The incidence of breech was 1.4% in pregnancies attending Bhaskar general hospital. 74% were in the age group of 20-24yrs & 20% were in the age group of 25-29yrs. Primis accounted for 62% of the study group. Common etiologies of breech presentation were oligohydramnios (28%) and uterine anomalies (28%). No obvious fetal anomalies were noted. Majority (96%) of cases were delivered by caesarean section for breech associated with oligohydramnios, gestational hypertension, intrauterine fetal growth restriction and preterm. Neonatal outcome was good in breech delivered by caesarean section. Conclusions: Breech delivery is a high risk pregnancy with adverse fetal outcomes during pregnancy and labour. Though caesarean section for breech presentation is not universally recommended, caesarean section can reduce the perinatal mortality and morbidity compared to vaginal birth for term breech pregnancy. Mode of delivery should be decided based on the case and obstetrician's skill.

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Section: Discussionmentioning

confidence: 79%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Study of the obstetric outcome of breech presentation in pregnancy in a tertiary hospital in a rural area in Telangana, India

Kothapally

Uppu

Gillella

2017

Int J Reprod Contracept Obstet Gynecol

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“…The predisposing factors for breech presentation are uterine anomalies (e.g., uterus arcuatus, uterus bicornis, uterus duplex), uterus myomatosus, pelvic tumor, advanced multiparity, history of cesarean delivery or breech delivery, gestational diabetes, multiple gestation, congenital anomalies of the fetus (neural tube defects, fetal hydrocephalus or anencephaly), neuromuscular diseases, cephalo-pelvic disproportion, prematurity, low fetal birth weight, oligohydramnios, short umbilical cord, polar placentation, and placenta praevia [4,5]. However, in about 75% of cases, no specific cause of term breech presentation could be identified [4,6]. The main types of breech presentation are frank (≈60-70%), complete (≈4-10%), and incomplete breech (≈20-36%) [7,8].…”

Section: Introductionmentioning

confidence: 99%

External Cephalic Version—A Chance for Vaginal Delivery at Breech Presentation

Cobec¹,

Varzaru²,

Kövendy³

et al. 2022

Medicina

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Background and Objectives: In recent years, the rate of caesarean section (CS) has increased constantly. Although vaginal breech delivery has a long history, breech presentation has become the third most common indication for CS. This study aims to identify factors associated with the success of external cephalic version (ECV), underline the success rate of ECV for breech presentation and highlight the high rate of vaginal delivery after successful ECV. Material and Methods: This retrospective observational study included 113 patients with singleton fetuses in breech presentation, who underwent ECV from January 2016 to March 2021 in the Clinic of Obstetrics and Gynecology, Diakonieklinikum Schwäbisch Hall, Germany. Maternal and fetal parameters and data related to procedure and delivery were collected. Possible predictors of successful ECV were evaluated. Results: The success rate of ECV was 54.9%. The overall rate of vaginal birth was 44.2%, regardless of ECV outcome. The vaginal birth rate after successful ECV was 80.6%. Overall, 79.0% of women with successful ECV delivered spontaneously without complications, 19.4% delivered through CS performed during labor by medical necessity, and 1.6% delivered through vacuum extraction. ECV was performed successfully in three of the four women with history of CS. Gravidity, parity, maternal age, gestational age, fetal weight, and amniotic fluid index (AFI) were significantly correlated with the outcome of ECV. Conclusions: ECV for breech presentation is a safe procedure with a good success rate, thus increasing the proportion of vaginal births. Maternal and fetal parameters can be used to estimate the chances of successful ECV.

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“…Among the various etiological factors of breech in our study the most commonl factor is prematurity (50%), followed by multiparity ((20%) polyhydraminos (4.7%) and oligohydramino (2.3%)In study done by sonali oligohydramino was seen in 3% of patients (2) , Uterine anomalies are seen in 2.3% of patients, hydrocephalus in 2.96%, idopathic in 12.94% and short cord in 4.7%. Short cord is also a cause of breech presentation as shown by Adinma's study in which 1000cases were observed to have a short cord (15) . Since Breech is also associated with fetal anomalies, oligohydramino, polyhydraminos, short cord, uterine anomalies so it is important to look for all these conditions either by USG or at the time of lscs.…”

Section: Discussionmentioning

confidence: 90%

A Study of 100 Cases of Breech Pregnancy at a Tertiary Centre

Nisar¹,

Soura²

2020

jmscr

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Introduction: Breech pregnancy refers to the condition where podalic pole over lies pelvic brim. It constitutes 3%of all pregnancies. It is of two types complete and incomplete. It is more in multigravidas. Most common cause of breech is prematurity. Incidence of breech before 28 weeks is 7% and 1-3% at term. Methodology: This is a prospective study in our hospital over a period of one year July 2017-sep 2019 Results: Incidence of breech in our study was 3.4%. Breech was more in multigravidas, most common cause of breech was prematurity. Most common type of breech in our study was complete breech. Main mode of delivery was lscs. Fetal complications in our study was low birth weight babies followed by prematurity. Conclusion: Breech pregnancy is considered as high risk pregnancy, but it can be reduced if antenatal cases are properly registered and planned mode of delivery instituted for them.

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Repetitive Breech Presentations at Term

Cited by 5 publications

References 17 publications

Study of the obstetric outcome of breech presentation in pregnancy in a tertiary hospital in a rural area in Telangana, India

Study of the obstetric outcome of breech presentation in pregnancy in a tertiary hospital in a rural area in Telangana, India

External Cephalic Version—A Chance for Vaginal Delivery at Breech Presentation

A Study of 100 Cases of Breech Pregnancy at a Tertiary Centre

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