The term breech presentation. A retrospective study with regard to the planned mode of delivery

Belfrage, Patrick; Gjessing, Leif

doi:10.1034/j.1600-0412.2002.810612.x

Cited by 29 publications

(9 citation statements)

References 25 publications

(26 reference statements)

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“…The proportion of infants with low Apgar scores was greater in the group of planned vaginal breech delivery than after elective CS or after vaginal delivery with cephalic presentation. This finding is in agreement with earlier reports (3,9,10) and suggests a greater tendency for acute fetal distress during delivery, probably caused by more frequent umbilical cord stretching or compression before delivery in breech cases.…”

Section: Discussionsupporting

confidence: 94%

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Good perinatal outcome in selective vaginal breech delivery at term

Uotila

Tuimala

Kirkinen

2005

Acta Obstet Gynecol Scand

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Section: Discussionsupporting

confidence: 94%

“…After the TBT, two Scandinavian studies reported an increased incidence for neurological morbidity after planned vaginal breech delivery if compared to elective CS or normal cephalic presentation. The authors came to the same conclusion as the TBT and recommended a planned CS for all breech cases (9,10).…”

mentioning

confidence: 85%

Good perinatal outcome in selective vaginal breech delivery at term

Uotila

Tuimala

Kirkinen

2005

Acta Obstet Gynecol Scand

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“…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. The relatively high frequency (15%) of undiagnosed breech presentation at birth in our study has also been found in other studies (17-21%) supporting the importance of being able to handle an unexpected breech delivery vaginally [23-25]. …”

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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“…Oleh karena itu pada bayi presentasi bokong cukup bulan lebih banyak dipiilih bedah kaisar elektif. 5,6 Uji retrospektif yang dilakukan selama 7 tahun oleh Kayem dkk, 1 menyimpulkan bahwa pada bayi presentasi bokong tidak terdapat perbedaan morbiditas dan mortalitas yang bermakna antara kelahiran bayi pervaginam dibandingkan dengan bedah kaisar. Demikian pula Uotila dkk, 7-9 dan beberapa peneliti lain mendapatkan hasil perinatal yang baik pada persalinan sungsang pervaginam.…”

Section: Hasilunclassified

“…5,6 Berdasarkan usia gestasi dan berat lahir maka nilai Apgar <7 lebih sering terjadi pada kelompok bayi prematur dan berat lahir rendah, tanpa mempertimbangkan cara kelahiran. Prematuritas dan berat lahir rendah berperan penting dalam terjadinya asfiksia.…”

Section: Kesimpulan Dan Saranunclassified

Nilai APGAR, Trauma Lahir Mekanik dan Mortalitas Neonatal Dini pada Bayi Lahir dengan Presentasi Bokong Di RSUPN Cipto Mangunkusumo

Felisia

Aminullah

Sastroasmoro

2016

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Latar belakang. Presentasi bokong merupakan bentuk malpresentasi tersering yang ditemukan pada kehamilancukup bulan, sekitar 3%-4% kelahiran. Fasilitas dan pelayanan kebidanan telah banyak mencatat kemajuan,namun mortalitas dan morbiditas bayi presentasi bokong 2-3 kali lebih tinggi dibanding presentasi kepala.Tujuan. Mengetahui gambaran nilai APGAR, trauma lahir mekanik dan mortalitas neonatal dini padabayi presentasi bokong.Metode. Penelitian retrospektif pada bayi yang lahir dengan presentasi bokong di RSUPN CiptoMangunkusumo pada 1 Januari 2004 sampai dengan 31 Desember 2005. Kriteria inklusi adalah bayipresentasi bokong yang lahir hidup, usia gestasi >28 minggu. Kriteria eksklusi apabila dijumpai lahir matidan malformasi kongenital berat.Hasil. Terdapat 386 bayi lahir dengan presentasi bokong yang memenuhi kriteria inklusi penelitian. Mortalitasneonatal dini lebih sering terjadi pada persalinan pervaginam dibanding bedah kaisar (12,2% vs 2,8%). NilaiApgar menit ke-5 <7 lebih sering pada persalinan pervaginam dibanding bedah kaisar (12,9% vs 4,0%). Traumalahir mekanik lebih sering pada persalinan pervaginam dibanding bedah kaisar (14/139, 10,1% vs 15/247, 6,1%)Kesimpulan. Mortalitas neonatal dini, nilai Apgar rendah dan trauma lahir mekanik pada bayi presentasibokong lebih sering terjadi pada persalinan pervaginam

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The term breech presentation. A retrospective study with regard to the planned mode of delivery

Abstract: Elective CS for breech presentation will significantly decrease the risks for the fetus in comparison with planned VD.

Cited by 29 publications

References 25 publications

Good perinatal outcome in selective vaginal breech delivery at term

Good perinatal outcome in selective vaginal breech delivery at term

Vaginal breech delivery: results of a prospective registration study

Nilai APGAR, Trauma Lahir Mekanik dan Mortalitas Neonatal Dini pada Bayi Lahir dengan Presentasi Bokong Di RSUPN Cipto Mangunkusumo

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