Singleton term breech deliveries in nulliparous and multiparous women: A 5-year experience at The University of Miami/Jackson Memorial Hospital

Diro, Makbib; Puangsricharern, Apithan; Royer, Luis; OʼSullivan, Mary J.; Burkett, Gene

doi:10.1016/s0002-9378(99)70543-0

Cited by 41 publications

(36 citation statements)

References 11 publications

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“…However, these rates are consistent with national averages. In fact, Diro et al [17] reported in a 5-year experience of over 1,000 cases of breech presentation at term an overall cesarean delivery rate >85% in a similar patient population. For patients considered good candidates for a trial of labor, their success rate was 70.7%.…”

Section: Resultsmentioning

confidence: 99%

Influence of maternal-fetal medicine subspecialization on the frequency of trial of labor in term pregnancies with breech presentation

Blackwell

Wolfe

Schimp

et al. 2000

J Matern Fetal Neonatal Med

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2000) Influence of maternal-fetal medicine subspecialization on the frequency of trial of labor in term pregnancies with breech presentation, Journal of 9:4,[229][230][231][232] To link to this article: http://dx.Objective: To investigate the role of subspecialization in maternal-fetal medicine (MFM) on the frequency of a trial of labor in term pregnancies with breech presentation. Methods: We conducted a retrospective study of 332 singleton pregnancies 2 3 7 weeks with nonfootling breech presentation that delivered over a 6-year period (1994)(1995)(1996)(1997)(1998) at a university-based, tertiary care hospital.Patients were divided into two groups based on whether the delivery was attended by an MFM or non-MFM obstetrician-gynecologist. Demographic and clinical data were compared between groups and outcome variables included whether the patient had an attempt at vaginal delivery, cesarean delivery after a labor attempt, or vaginal breech delivery. Results:The frequency of labor attempt (OR 1.4, 95% CI 0.9-2.3), vaginal breech success rate (OR 0.6, 95% CI 0.3-1.5), and overall cesarean rates (OR 0.9, 95% CI 0.5-1.7) were similar between groups. Using discriminant function analysis, only nulliparity (Rz = 1.6%, F = 6.0, P = 0.005) and birthweight (Rz = 2.0% F = 6.4, P = 0.01) were associated with trial of vaginal delivery. Conclusions: Subspecialization in MFM had no impact on the frequency of trial of labor in the term pregnancy with a breech presentation. 1. Matern.-Fetal Med. 2000;9:229-232. o 2000 WiIey-Liss, Inc.

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Section: Resultsmentioning

confidence: 99%

Influence of maternal-fetal medicine subspecialization on the frequency of trial of labor in term pregnancies with breech presentation

Blackwell

Wolfe

Schimp

et al. 2000

J Matern Fetal Neonatal Med

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show abstract

“…Though recent guidelines [11][12][13] and few studies 6,7,14,15 advocates vaginal breech delivery in many of the specific circumstances but modern obstetricians are skeptical about vaginal delivery in breech presentation. While comparing our results with similar recent studies ( Table 4) we found that both perinatal and maternal outcome was similar in both arms of the study.…”

Section: Discussionmentioning

confidence: 99%

Vaginal delivery for breech presentation should be an option: experience in a tertiary care hospital

Gutgutia

Gupta

Das

2014

Int J Reprod Contracept Obstet Gynecol

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“…1 It is clearly time to change "evidence based medicine" to "evidence informed practice." 2 Although "EBMers" have emphasised the importance of patients' values in decision making, this is missed in most discussions.…”

Section: Make It Evidence Informed Practice With a Little Wisdommentioning

confidence: 99%

Evidence based medicine: does it make a difference?

Druss¹

2005

BMJ

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Singleton term breech deliveries in nulliparous and multiparous women: A 5-year experience at The University of Miami/Jackson Memorial Hospital

Cited by 41 publications

References 11 publications

Influence of maternal-fetal medicine subspecialization on the frequency of trial of labor in term pregnancies with breech presentation

Influence of maternal-fetal medicine subspecialization on the frequency of trial of labor in term pregnancies with breech presentation

Vaginal delivery for breech presentation should be an option: experience in a tertiary care hospital

Evidence based medicine: does it make a difference?

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