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Breech Delivery

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1. Breech delivery and external cephalic version

Breech delivery and external cephalic version Breech delivery and external cephalic version. This guideline was approved by DSOG (Danish Society of Obstetrics and Gynecology) in January 2020. Members of the working group: Diana Bach, Kamilla Gerhard Nielsen, Lone Hvidman, Jane Boris, Malene Mie Caning, Maria Gjaldbæk, Maria Ravn, Nathalie Panduro, Amalie Bøggild Schmidt, Karen Hell Hansen, Jane Lyngsø, Fanny Håkanson, Dorte Ahrends, Camilla Hartvigsen, Sara Bergenheim, Lone Krebs (...) unsuccessful ECV, the woman can be offered a second assessment, and repeated attempt of ECV, after a few days D Children born in cephalic position after successful ECV or in breech position after failed ECV should be referred to ultrasound examination of the hips B Information regarding mode of breech delivery Level Planned cesarean delivery (CD) holds a lower risk of perinatal morbidity and mortality compared to planned vaginal delivery (VD) A Compared to planned CD, a planned VD is associated

2020 Nordic Federation of Societies of Obstetrics and Gynecology

2. Mode of Term Singleton Breech Delivery

Mode of Term Singleton Breech Delivery INTERIM UPDATE ACOGCOMMITTEEOPINION Number 745 (Replaces Committee Opinion Number 340, July 2006) Committee on Obstetric Practice This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice. INTERIM UPDATE: This Committee Opinion is updated as highlighted to reflect a limited, focused change in the evidence regarding external cephalic version for breech presentation at term. Additional (...) updates have been made to reflect current practice regarding vaginal breech delivery. Mode of Term Singleton Breech Delivery ABSTRACT: There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. The number of practitioners with the skills and experience to perform vaginal breech delivery has decreased. The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider. Obstetrician

2018 American College of Obstetricians and Gynecologists

3. Expedited versus conservative approaches for vaginal delivery in breech presentation. Full Text available with Trip Pro

Expedited versus conservative approaches for vaginal delivery in breech presentation. In a vaginal breech birth there may be benefit from rapid delivery of the baby to prevent progressive acidosis. However, this needs to be weighed against the potential trauma of a quick delivery.The objective of this review was to assess the effects of expedited vaginal delivery (breech delivery from umbilicus to delivery of the head within one contraction) on perinatal outcomes.We searched the Cochrane (...) Pregnancy and Childbirth Group's Trials Register (31 May 2015) and reference lists of retrieved studies.Randomised trials of expedited vaginal breech delivery compared with delivery not routinely expedited in women undergoing vaginal breech delivery.Two review authors independently assessed the one identified trial for inclusion.If studies are included in future updates, two review authors will assess risk of bias, extract data and check data for accuracy.No studies were included.There is not enough

2015 Cochrane

4. Rate of vaginal delivery in women with a previous cesarean delivery that have a successful external cephalic version for breech presentation: a systematic review and meta-analysis

Rate of vaginal delivery in women with a previous cesarean delivery that have a successful external cephalic version for breech presentation: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility

2020 PROSPERO

5. Maternal and neonatal outcome after vaginal breech delivery at term of children weighing more or less than 3.8 kg: A FRABAT prospective cohort study. Full Text available with Trip Pro

Maternal and neonatal outcome after vaginal breech delivery at term of children weighing more or less than 3.8 kg: A FRABAT prospective cohort study. The clinical management of breech presentations at term is still a controversially discussed issue among clinicians. Clear predictive criteria for planned vaginal breech deliveries are desperately needed to prevent adverse fetal and maternal outcomes and to reduce elective cesarean section rates. The green-top guideline considers an estimated (...) birth weight of 3.8 kg or more an indication to plan a cesarean section despite the lack of respective evidence.To compare maternal and neonatal outcome of vaginal intended breech deliveries of births with children with a birth weight of 2.5 kg- 3.79 kg and children with a birth weight of 3.8 kg and more.Prospective cohort study.All vaginal intended deliveries out of a breech position of newborns weighing between 2.5 kg and 4.5 kg at the Obstetrics department at Goethe University Hospital Frankfurt

2018 PLoS ONE

6. Breech presentation

Breech presentation Breech presentation - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Search Select language Breech presentation Last reviewed: December 2019 Last updated: March 2019 Summary Refers to the baby presenting for delivery with the buttocks or feet first rather than head. Associated with increased morbidity and mortality for the mother in terms of emergency caesarean section and placenta praevia (...) ; and for the baby in terms of preterm birth, small fetal size, congenital anomalies, and perinatal mortality. Incidence decreases as pregnancy progresses and by term occurs in 3% to 4% of singleton term pregnancies. Treatment options include external cephalic version to increase the likelihood of vaginal birth or a planned caesarean section, the optimal gestation being 37 and 39 weeks, respectively. Planned caesarean section is considered the safest form of delivery for infants with a persisting breech

2019 BMJ Best Practice

7. Finding the breech: Influence of breech presentation on mode of delivery based on timing of diagnosis, attempt at external cephalic version, and provider success with version. (Abstract)

Finding the breech: Influence of breech presentation on mode of delivery based on timing of diagnosis, attempt at external cephalic version, and provider success with version. Breech presentation affects 3-4% of pregnancies at term and malpresentation is the primary indication for 10-15% of cesarean deliveries. External cephalic version is an effective intervention that can decrease the need for cesarean delivery; however, timely identification of breech presentation is required. We (...) delivery was significantly more likely (31.1% vs 12.5%; P<.01) in women with breech presentation diagnosed before 38 weeks' estimated gestational age as external cephalic version was offered, and subsequently attempted in a greater proportion of women diagnosed before 38 weeks. External cephalic version was more successful when performed by physicians with greater procedural volume during the 3.5 year period of the study (59.1% for providers performing at least 10 procedures vs 31.3% if performing

2017 Birth

8. Adherence to guidelines and suboptimal practice in term breech delivery with perinatal death- a population-based case-control study in Norway. Full Text available with Trip Pro

Adherence to guidelines and suboptimal practice in term breech delivery with perinatal death- a population-based case-control study in Norway. In a recent population-based study we reported excess risk of neonatal mortality associated with vaginal breech delivery. In this case-control study we examine whether deviations from Norwegian guidelines are more common in breech deliveries resulting in intrapartum or neonatal deaths than in breech deliveries where the offspring survives (...) , and if these deaths are potentially avoidable.Case-control study completed as a perinatal audit including term breech deliveries of singleton without congenital anomalies in Norway from 1999 to 2015. Deliveries where the child died intrapartum or in the neonatal period were case deliveries. For each case, two control deliveries who survived were identified. All the included deliveries were reviewed by four obstetricians independently assessing if the deaths in the case group might have been avoided

2019 BMC Pregnancy and Childbirth

9. Management of Breech Presentation at Term

Management of Breech Presentation at Term No. 384-Management of Breech Presentation at Term - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 41, Issue 8, Pages 1193–1205 No. 384-Management of Breech Presentation at Term x Andrew Kotaska , MD Yellowknife, NT x Savas Menticoglou , MD Winnipeg, MB No. 384, August 2019 (Replaces No. 226, June 2009)This guideline is the fourth in a 4-part series on labour and delivery. DOI (...) : To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. Abstract Objectives To discern the risks and benefits of planned vaginal breech birth versus planned Caesarean section and to recommend selection criteria, intrapartum management parameters, and delivery techniques for vaginal breech birth. Options Planned vaginal breech birth or planned Caesarean section for women with a singleton breech fetus at term. Outcomes Perinatal mortality, short

2019 Society of Obstetricians and Gynaecologists of Canada

10. Expedited versus conservative approaches for vaginal delivery in breech presentation. (Abstract)

Expedited versus conservative approaches for vaginal delivery in breech presentation. In a vaginal breech birth there may be benefit from rapid delivery of the baby to prevent progressive acidosis. However, this needs to be weighed against the potential trauma of a quick delivery.The objective of this review was to assess the effects of expedited vaginal delivery (breech delivery from umbilicus to delivery of the head within one contraction) on perinatal outcomes.We searched the Cochrane (...) Pregnancy and Childbirth Group's Trials Register (2 February 2012).Randomised trials of expedited vaginal breech delivery compared with delivery not routinely expedited in women undergoing vaginal breech delivery.Eligibility and trial quality were assessed by one reviewer.No studies were included.There is not enough evidence to evaluate the effects of expedited vaginal breech delivery.

2012 Cochrane

11. Breech presentation

Breech presentation Breech presentation - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Breech presentation Last reviewed: February 2019 Last updated: March 2019 Summary Refers to the baby presenting for delivery with the buttocks or feet first rather than head. Associated with increased morbidity and mortality for the mother in terms of emergency caesarean section and placenta praevia; and for the baby in terms (...) of preterm birth, small fetal size, congenital anomalies, and perinatal mortality. Incidence decreases as pregnancy progresses and by term occurs in 3% to 4% of singleton term pregnancies. Treatment options include external cephalic version to increase the likelihood of vaginal birth or a planned caesarean section, the optimal gestation being 37 and 39 weeks, respectively. Planned caesarean section is considered the safest form of delivery for infants with a persisting breech presentation at term

2018 BMJ Best Practice

12. Planned delivery route of preterm breech singletons and neonatal and 2-year outcomes: a population-based cohort study. Full Text available with Trip Pro

Planned delivery route of preterm breech singletons and neonatal and 2-year outcomes: a population-based cohort study. To assess whether planned route of delivery is associated with perinatal and 2-year outcomes for preterm breech singletons.Prospective nationwide population-based EPIPAGE-2 cohort study.France, 2011.Three hundred and ninety women with breech singletons born at 26-34 weeks of gestation after preterm labour or preterm prelabour rupture of membranes.Propensity-score (...) between planned caesarean delivery and improved outcomes for preterm breech singletons born at 26-34 weeks of gestation after preterm labour or preterm prelabour rupture of membranes was found. The route of delivery should be discussed with women, balancing neonatal outcomes with the higher risks of maternal morbidity associated with caesarean section performed at low gestational age.© 2018 Royal College of Obstetricians and Gynaecologists.

2018 BJOG

13. Choose preterm breech delivery mode individually, case by case. Full Text available with Trip Pro

Choose preterm breech delivery mode individually, case by case. 30276950 2019 03 05 2019 03 05 1471-0528 126 1 2019 01 BJOG : an international journal of obstetrics and gynaecology BJOG Choose preterm breech delivery mode individually, case by case. 82 10.1111/1471-0528.15483 Steer P J PJ Academic Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, Imperial College London, London, UK. eng Journal Article Comment 2018 10 24 England BJOG 100935741 1470-0328 AIM IM BJOG (...) . 2019 Jan;126(1):73-82 30216654 Breech Presentation Cohort Studies Delivery, Obstetric Humans Infant, Newborn 2018 10 3 6 0 2019 3 6 6 0 2018 10 3 6 0 ppublish 30276950 10.1111/1471-0528.15483

2018 BJOG

14. Is the art of assisted breech delivery still fading in the Kingdom of Saudi Arabia? Full Text available with Trip Pro

Is the art of assisted breech delivery still fading in the Kingdom of Saudi Arabia? [No Abstract Available].

2018 Saudi medical journal

15. Corrigendum to “Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study” Full Text available with Trip Pro

Corrigendum to “Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study” [This corrects the article DOI: 10.1155/2017/9413717.].

2018 Journal of environmental and public health

16. ACOG Committee Opinion No. 745 Summary: Mode of Term Singleton Breech Delivery. (Abstract)

ACOG Committee Opinion No. 745 Summary: Mode of Term Singleton Breech Delivery. There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. The number of practitioners with the skills and experience to perform vaginal breech delivery has decreased. The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider. Obstetrician-gynecologists and other obstetric care providers (...) should offer external cephalic version as an alternative to planned cesarean for a woman who has a term singleton breech fetus, desires a planned vaginal delivery of a vertex-presenting fetus, and has no contraindications. External cephalic version should be attempted only in settings in which cesarean delivery services are readily available. Planned vaginal delivery of a term singleton breech fetus may be reasonable under hospital-specific protocol guidelines for eligibility and labor management

2018 Obstetrics and Gynecology

17. ACOG Committee Opinion No. 745: Mode of Term Singleton Breech Delivery. (Abstract)

ACOG Committee Opinion No. 745: Mode of Term Singleton Breech Delivery. There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. The number of practitioners with the skills and experience to perform vaginal breech delivery has decreased. The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider. Obstetrician-gynecologists and other obstetric care providers should offer (...) external cephalic version as an alternative to planned cesarean for a woman who has a term singleton breech fetus, desires a planned vaginal delivery of a vertex-presenting fetus, and has no contraindications. External cephalic version should be attempted only in settings in which cesarean delivery services are readily available. Planned vaginal delivery of a term singleton breech fetus may be reasonable under hospital-specific protocol guidelines for eligibility and labor management. If a vaginal

2018 Obstetrics and Gynecology

18. Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study Full Text available with Trip Pro

Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.To determine prevalence and perinatal outcomes of singleton term breech delivery.Hospital based cross-sectional study was conducted on 384 participants (...) retrospectively. Descriptive and analytical statistics was used.A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women's age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14-6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25-0.91), ruptured membrane (AOR = 5.11, 95% CI

2017 Journal of environmental and public health

19. Maternal and neonatal outcomes of vaginal breech delivery for singleton term pregnancies in a carefully selected Cameroonian population: a cohort study. Full Text available with Trip Pro

Maternal and neonatal outcomes of vaginal breech delivery for singleton term pregnancies in a carefully selected Cameroonian population: a cohort study. Vaginal breech delivery (VBD) is known to be associated with more perinatal and maternal complications. Very few studies on the subject have been carried out in poor-resource settings. The aim of this study was to determine maternal and neonatal outcomes in carefully selected cases of VBD for singleton term pregnancies in a tertiary centre (...) in Cameroon.A retrospective cohort study.A tertiary hospital in Yaounde, Cameroon.Cases of VBD of newborns weighing 2500-3500 g were matched in a ratio of 1:4 to consecutive vaginal cephalic deliveries (VCDs) of newborns weighing 2500-3500 g over a 5-year period. Both groups were matched for maternal age and parity. We excluded cases of multiple gestations, footling breech, clinically inadequate maternal pelvis, preterm delivery, post-term pregnancies, fetal demise prior to the onset of labour, placenta

2017 BMJ open

20. Long Bone Fractures Associated with Abdominal Breech Deliveries: A Report of Two Cases. (Abstract)

Long Bone Fractures Associated with Abdominal Breech Deliveries: A Report of Two Cases. BACKGROUND: Birth-related injuries are a well-known complication of vaginal breech deliveries but are not anticipated during cesarean breech deliveries. However, long bone fractures in the neonate can result from delivery of the breech presentation by cesarean section. CASES: We report 2 cases of long bone fractures that occurred during cesarean section for breech presentation. No underlying bone pathology (...) or systemic illness could be identified in either case. There were no other predisposing risk factors for fractures except breech presentation. Both infants were managed with cast application and outpatient physical therapy and recovered without any residual deformity. CONCLUSION: Obstetricians should be aware of the possibility of long bone fractures with abdominal breech deliveries. Their prompt recognition and conservative management, including physical therapy, can prevent bone deformities.

2017 Journal of Reproductive Medicine

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