Vaginal delivery versus cesarean section for term breech delivery

Babovic, Ivana R.; Plešinac, Snežana; Radojičić, Zoran; Opalic, J.; Argirović, Rajka; Mladenovic-Bogdanovic, Zorica; Plecas, Darko

doi:10.2298/vsp1010807b

Cited by 11 publications

(20 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The overall incidence of CS being 72.4% as found out from the present study for singleton term breech was found to be comparable to the study finding made by Zaman SB et al [1] Also, the mean agegroup of 27.17±5.1(SD) is comparable with previous study finding made by Babovic I et al [7] From the present study it was found that CS was done among a high proportion of nulliparous women (73.7%). Study done by Doyle et al showed no significant difference in parity and breech whereas Adel Abu-Heija et al has shown contradicting results.…”

Section: Discussionsupporting

confidence: 90%

Foeto-Maternal Outcome between Vaginal Delivery and Caesarean Section in Breech Presentation: A Comparative Prospective Study

Sanaton¹,

Th²

2018

AIMDR

View full text Add to dashboard Cite

Background:The problem of high perinatal morbidity and mortality is a great challenge to obstetricians and neonatologists in the developing countries. Breech presentation which is one of the commonest malpresentations is a major cause of high morbidity and mortality. The optimum mode of delivery of breech in order to minimise the risk to both the mother and the baby still remains controversial. Aims & objectives: The current study was conducted to find out the associated factors for different modes of delivery in breech presentation and also to compare the maternal and perinatal outcome between vaginal delivery (VD) and Caesarean section (CS) for singleton term pregnancy with breech presentation. Methods: A prospective study was done during the period October 2011 to March 2013. All pregnant women with singleton breech presentation with gestational age > 37 weeks admitted at the department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences (RIMS), Imphal were the study subjects. Those not willing to participate in the study, multiple pregnancy, preterm pregnancy, pregnancy with chronic illness, intra-uterine death, complicated pregnancy like ante-partum haemorrhage, pregnancy associated with gynaecological problems like fibroids, cervical polyps etc. and having history of any uterine surgery were excluded from the study. Socio-demographic details were obtained by using a pre-tested, semistructured interview schedule. This was followed by a detailed history-taking and a thorough clinical examination. Relevant routine and sophisticated laboratory investigations were also performed wherever indicated. The study-subjects were followed up until discharge from the department. Data were analysed by using SPSSv16.0. Result: The CS rate was found to significantly higher among booked women, nulliparous women, women not in labour at the time of admission, complete breech and women with a higher gestational age and baby's weight more than 3 kg. Clients' age, religion, prior stay and fundal localization at cornua, although seemed to be slightly higher among CS cases, the associations were not found to be statistically significant. Apgar scores at 1 and 5 min, necessity for admission in Neonatal Intensive Care Unit (NICU) and neonatal deaths were found to be significantly lower to those babies delivered by CS compared to those delivered by VD. But, regarding maternal outcome, post-delivery blood transfusion was found to be significantly more necessary for CS compared to that of VD. Conclusion: Vaginal delivery confers more benefit to the mother whereas CS increases safety to the newborn. Bigger studies are needed to determine whether a potential benefit for the newborns outweighs the increased risk for the mothers associated with caesarean section. Meanwhile, great care, skill and judgment have to be exercised on case-based approach to get the best results.

show abstract

Section: Discussionsupporting

confidence: 90%

Foeto-Maternal Outcome between Vaginal Delivery and Caesarean Section in Breech Presentation: A Comparative Prospective Study

Sanaton¹,

Th²

2018

AIMDR

View full text Add to dashboard Cite

show abstract

“…On the contrary, several authors have reported good neonatal outcomes win patients undergoing vaginal breech birth. 12,13,32,33,34 Our study reports good fetal outcome in 87% of babies. 20 babies had low Apgar and required NICU admission but only 2 deaths occurred due to birth asphyxia, the rest were discharged within 1 week.…”

Section: Discussionmentioning

confidence: 58%

“…Several authors have presented evidence that if strict selection criteria are followed before and during labour, vaginal breech delivery is a safe option without associated increase in perinatal morbidity. 12,13 The route of delivery in singleton term breech continues to be debated. Vaginal breech delivery is still being done successfully in places where expertise is available especially in developing countries where women resist caesarean section and often present late in labour to avoid it.…”

Section: Introductionmentioning

confidence: 99%

Singleton Vaginal Breech Delivery at Term: Maternal and Perinatal Outcome

Wasim

Wasim²,

Majrooh³

2017

Annals KEMU

View full text Add to dashboard Cite

Objectives: To determine fetomaternal outcome in patients undergoing planned vaginal breech delivery at term. Methods:It was a descriptive cross sectional study conducted at Lady Aitchison hospital, Lahore for one and a half year from July 2012 to December 2013. All patients presenting with term breech presentation were included. Fetomaternal outcome in terms of successful vaginal delivery, maternal complications of operative delivery, PPH, wound infection and fetal complications of apgar score of less than five minutes, nursery admission, trauma during delivery (bone fracture, intra cranial hemorrhage) and perinatal mortality was studied.Results: 375 patients delivered as breech presentation during the study period. Out of 375 patients, 155 patients were selected for vaginal birth. Out of these, 65% had successful vaginal delivery, rest had emergency caesarean section due to fetal distress, cord prolapse, dysfunctional labour. 6.4% patients had wound infection and 3.2% had PPH. Booking status was significantly important in patients who had successful vaginal delivery as 80% were booked (p = 0.001). There was no maternal mortality in these patients. Perinatal outcome was good in 87% of patients. 20 fetuses had Apgar score less than 7/min and required nursery admission. Two babies expired due to birth asphyxia and rest were discharged home in satisfactory condition. Conclusion: Although delivery of breech remains a dilemma, the plan of delivery should be individualized. Proper selection of cases with proper antenatal and intrapartum care can result in successful breech vaginal delivery without compromising feto maternal wellbeing and curtailing the percentage of caesarean being done for this malpresentation.

show abstract

“…Entre los factores que se han asociado a la presentación de lesiones durante el nacimiento se encuentran la macrosomia fetal, principalmente en fetos con peso superior a 4.500 gramos (4,5), trabajo de parto prolongado, presentación pélvica, desproporción cefalopélvica y aplicación de fórceps (6)(7)(8)(9)(10). También se asocian a procedimientos dianósticos y terapéuticos, y el empleo intempestivo de substancias generadoras de taquisistolia e hipertonía uterina (3).…”

Section: Introductionunclassified

“…Los traumas más frecuentes son la fractura de clavícula, las parestesias braquiales y facial (10)(11)(12), el cefalohematoma y los traumas/heridas en la cabeza, rostro y brazo del RN (13,14). El objetivo del presente estudio fue identificar la incidencia de trauma al nacimiento y sus factores de riesgo asociados.…”

Section: Introductionunclassified

Factores de riesgo asociados a traumatismo al nacimiento

Madi

Jacobi

Araújo

et al. 2012

Rev. chil. obstet. ginecol.

View full text Add to dashboard Cite

RESUMENAntecedentes: Se define trauma al nacimiento las lesiones sufridas por el feto durante el trabajo de parto o expulsión. Objetivo: Identificar los factores de riesgo asociados a lesiones originadas durante el nacimiento en recién nacidos. Método: Estudio casos y controles, realizado en el período de julio/2004 a diciembre/2005, en la División de Ginecología y Obstetricia del Hospital General de Caxias do Sul/ Facultad de Medicina, Universidad de Caxias do Sul, RS, Brasil. Fueron analizadas variables maternas, del parto y fetales, utilizando el programa estadístico SPSS versión 19.0. Los factores que obtuvieron nivel significativo <0,10 en los análisis bivariado fueron insertas en la regresión logística. Se utilizó el modelo de entrada por bloques (block entry) para selección del modelo final de la regresión. Resultados: En el período citado nacieron 2.137 infantes, 26 de ellos (1,2%) sufrieron trauma al nacimiento. La fractura de clavícula fue la lesión más frecuente (n=14; 53,8%), seguida del cefalohematoma (n=5; 19,2%). Las variables gasométricas no presentaron diferencia estadística. En la regresión logística, las únicas variables independientes asociadas a traumatismo al nacimiento fueron parto vaginal (OR-A: 11,08; IC95%: 2,45-49,98; p=0,002) y perímetro torácico ≥33 cm 36; IC95%: 1,73; p=0,010). Conclusión: Los factores de riesgo asociados a lesiones durante el nacimiento involucran el parto vaginal y el perímetro torácico igual o superior a 33cm. PALABRAS CLAVE: Traumatismo, factores de riesgo, estudios de casos y controles, embarazo SUMMARYBackground: Obstetrics injuries can be defined as fetal lesions suffered by the fetus during labor or expulsion. Objective: Identify risk factors for fetal birth trauma. Method: Case-control study conducted from July 2004 to December 2005. We analyzed maternal and fetal variables using software SPSS 19.0. The variables showing a significance level <0.10 in the bivariate analysis were included in the logistic regression analysis. We used the block entry model for selection of the final regression model. Results: During these period, we identified 2137 births and 26 (1.2%) were related to fetal birth injury. Clavicle fracture was the most frequent injury (n = 14; 53.8%), followed by cephalohematoma (n = 5; 19.2%). Umbilical cord blood gas analysis did not show statistical significance. In the regression analysis of the variables that had significance level <0.10, the only independent variables associated with fetal birth injury were vaginal delivery (OR-A: 11.08; 95%CI: 2.45-49.98; p=0.002) and thorax circumference ≥ 33 cm (OR-A: 3.36; 95%CI: 1.35-9.73; p=0.010). Conclusion: The risk factors for fetal birth injury were vaginal delivery and chest circumference equal to or larger than 33 cm. Other variables were not associated with the outcome in discussion.

show abstract

Vaginal delivery versus cesarean section for term breech delivery

Abstract: For breech presentation elective cesarean section remains the major delivery method in nuliparous older than 35 years, while vaginal delivery is considered to be the method of choice in younger multiparous with ultrasonographically estimated neonatal birth weight 2500-3500 grams.

Cited by 11 publications

References 5 publications

Foeto-Maternal Outcome between Vaginal Delivery and Caesarean Section in Breech Presentation: A Comparative Prospective Study

Foeto-Maternal Outcome between Vaginal Delivery and Caesarean Section in Breech Presentation: A Comparative Prospective Study

Singleton Vaginal Breech Delivery at Term: Maternal and Perinatal Outcome

Factores de riesgo asociados a traumatismo al nacimiento

Contact Info

Product

Resources

About