RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

Route of breech delivery and maternal and neonatal outcomes

Auteur(s) / Author(s)

SANCHEZ-RAMOS L. (1) ; WELLS T. L. (1) ; ADAIR C. D. (1) ; ARCELIN G. (1) ; KAUNITZ A. M. (1) ; WELLS D. S. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Obstetrics and Gynecology, University of Florida Health Sciences Center, Jacksonville, FL, ETATS-UNIS

Résumé / Abstract

Objective: To compare maternal and neonatal outcomes in elective cesarean vs. attempted vaginal delivery for breech presentation at or near term. Methods: We reviewed the maternal and neonatal charts of all singleton breech deliveries of at least 35 weeks' gestation or 2000 g delivered between 1986 and 1997 at our institution. Patients delivered by elective cesarean were compared to those attempting a vaginal delivery. The neonatal outcomes analyzed were: corrected mortality; Apgar scores less than 7 at 5 min; abnormal umbilical cord blood gases; birth trauma; and admissions to the intensive care nursery. Maternal morbidity was also assessed and compared. Results: Of 848 women meeting criteria for evaluation, 576 were delivered by elective cesarean while 272 attempted a vaginal delivery. Of 272 women undergoing a trial of labor, 203 (74.6%) were delivered vaginally, while 69 (25.4%) failed an attempt at vaginal delivery and underwent a cesarean. When comparing patients delivered by elective cesarean with those attempting a vaginal delivery, no significant differences were noted in neonatal outcomes. However, maternal morbidity was higher among women delivered by cesarean, regardless of the indications for the procedure. Similar neonatal and maternal results were noted when nulliparous patients were analyzed separately. Conclusions: Cesarean delivery of selected near-term infants presenting as breech is associated with increased maternal morbidity without corresponding improvement in neonatal outcomes.

Revue / Journal Title

International journal of gynaecology and obstetrics    ISSN  0020-7292   CODEN IJGOAL 

Source / Source

2001, vol. 73, no1, pp. 7-14 (24 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, Shannon, IRLANDE  (1969) (Revue)

Mots-clés anglais / English Keywords

Breech presentation

;

Obstetrical technique

;

Cesarean section

;

Delivery

;

Vaginal route

;

Comparative study

;

Morbidity

;

Maternal diseases

;

Newborn

;

Complication

;

Iatrogenic

;

Human

;

Surgery

;

Mots-clés français / French Keywords

Présentation siège

;

Technique obstétricale

;

Césarienne

;

Accouchement

;

Voie vaginale

;

Etude comparative

;

Morbidité

;

Mère pathologie

;

Nouveau né

;

Complication

;

Iatrogène

;

Homme

;

Chirurgie

;

Mots-clés espagnols / Spanish Keywords

Presentación nalgas

;

Técnica obstétrica

;

Cesárea

;

Parto

;

Vía vaginal

;

Estudio comparativo

;

Morbilidad

;

Madre patología

;

Recién nacido

;

Complicación

;

Iatrógeno

;

Hombre

;

Cirugía

;

Localisation / Location

INIST-CNRS, Cote INIST : 15472, 35400009539512.0020

Nº notice refdoc (ud4) : 995544



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas