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Breech Delivery

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21. Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study (PubMed)

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

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2017 Journal of environmental and public health

22. Assisted breech vaginal delivery of dicephalus dipus dibrachius conjoined twins: a case report. (PubMed)

Assisted breech vaginal delivery of dicephalus dipus dibrachius conjoined twins: a case report. Conjoined twinning is a rare congenital anomaly. Even after significant advancement in the health care delivery system in developing countries, adequate antenatal care of pregnant patients and antenatal diagnosis of congenital malformations by radiological techniques like sonogram need to be emphasized.A 25-year-old woman (G1P0) at 38 weeks' gestation vaginally delivered stillborn dicephalus male (...) twins with 2 heads, 2 necks, and a common trunk with 2 arms and 2 legs at Kasturba Hospital. The fetuses were in breech presentation and were delivered using assisted breech vaginal delivery. The conjoint nature of the fetuses remained undiagnosed antenatally and was clinically unsuspected during the intrapartum period. It was only confirmed after delivery. The intrapartum and postpartum course was uncomplicated, and the patient was discharged home on postpartum day 2.The diagnosis of conjoined

2017 Journal of Reproductive Medicine

23. Breech birth at home: outcomes of 60 breech and 109 cephalic planned home and birth center births. (PubMed)

Breech birth at home: outcomes of 60 breech and 109 cephalic planned home and birth center births. Research on outcomes of out-of-hospital breech birth is scarce. This study evaluates the outcomes of singleton term breech and cephalic births in a home or birth center setting.This is a retrospective observational cohort study of 60 breech and 109 cephalic planned out-of-hospital term singleton births during a 6 year period with a single obstetrician. Outcomes measured included mode of delivery (...) ; birth weights; 1 & 5-min Apgar scores; ante-, intra-, and post-partum transports; perineal integrity; and other maternal and neonatal morbidity.50 breech and 102 cephalic presentations were still in the obstetrician's care at the onset of labor; of those, 10 breech and 11 cephalic mothers required transport during labor. 76% of breech and 92.2% of cephalic births were planned to occur at home, with the remainder at a freestanding birth center. When compared to the cephalic group, the breech group

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2018 BMC Pregnancy and Childbirth

24. New MRI Criteria for Successful Vaginal Breech Delivery in Primiparae (PubMed)

New MRI Criteria for Successful Vaginal Breech Delivery in Primiparae Even if lower vaginal delivery success rates and impaired neonatal short-term outcomes have been reported for primiparous women with breech presentation, vaginal breech delivery remains an option for carefully selected patients. Because Magnetic resonance imaging (MRI) pelvimetry can provide additional information on maternal pelvic morphology, we sought to identify new MRI parameters that predict successful vaginal breech (...) delivery.In this retrospective unicentre study, 240 primiparous women with breech presentation at term underwent MRI pelvimetry. For all patients vaginal delivery was planned, according to German guidelines and if the conjugata vera (CV) was ≥12 cm. The patients with uneventful vaginal deliveries and the patients who underwent a secondary caesarean section were compared according to pelvimetric parameters and outcomes. Regression analyses were performed.In the vaginal delivery group (n = 162, (67.5

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2016 PloS one

25. Long-term childhood outcomes of breech presentation by intended mode of delivery: a population record linkage study. (PubMed)

Long-term childhood outcomes of breech presentation by intended mode of delivery: a population record linkage study. There is a lack of information on long-term outcomes by mode of delivery for term breech presentation. We aimed to compare childhood mortality, cerebral palsy, hospitalizations, developmental, and educational outcomes associated with intended vaginal breech birth (VBB) with planned cesarean section.Population birth and hospital records from New South Wales, Australia, were used (...) to identify women with non-anomalous pregnancies eligible for VBB during 2001-2012. Intended mode of delivery was inferred from labor onset and management. Death, hospital, and education records were used for follow up until 2014. Cox proportional hazards regression and modified Poisson regression were used for analysis.Of 15 281 women considered eligible for VBB, 7.7% intended VBB, 74.2% planned cesarean section, and intention was uncertain for 18.1%. Intended VBB did not differ from planned cesarean

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2016 Acta Obstetricia et Gynecologica Scandinavica

26. Breech delivery at a University Hospital in Tanzania. (PubMed)

Breech delivery at a University Hospital in Tanzania. There is a global increase in rates of Cesarean delivery (CD). A minor factor in this increase is a shift towards CD for breech presentation. The aim of this study was to analyze breech births by mode of delivery and investigate short-term fetal and maternal outcomes in a low-income setting.The study design was cross-sectional and the setting was Muhimbili National Hospital (MNH), Dar-es-Salaam, Tanzania. Subjects were drawn from a clinical (...) database (1999-2010) using the following inclusion criteria: breech presentation, birth weight ≥ 2,500 g, single pregnancy, fetal heart sound at admission, and absence of pregnancy-related complication as indication for CD. Of 2,765 mothers who had a breech delivery, 1,655 met the inclusion criteria. Analyses were stratified by mode of delivery, taking into account also other birth characteristics. The outcome measures were perinatal death (stillbirths + in-hospital neonatal deaths) and moderate

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2016 BMC Pregnancy and Childbirth

27. Breech Delivery

Breech Delivery Breech Delivery Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Breech Delivery Breech Delivery Aka: Breech Delivery (...) forceps Empty with catheterization Deliver the first leg and then the second Grasping both legs, deliver body to level of With the baby's buttock's up, deliver baby to the level of their chest Rotate the baby 90 degrees and swep out one arm Rotate the baby 180 degrees and sweep out the other arm Deliver the s With your finger in the baby's mouth, pull down to deliver the head Avoids neck Consider applying suprapubic pressure VI. Complications of Breech Delivery: Maternal Fourth degree perineal tear

2018 FP Notebook

28. Cardiotocography in breech versus vertex delivery: an examiner-blinded, cross-sectional nested case-control study. (PubMed)

Cardiotocography in breech versus vertex delivery: an examiner-blinded, cross-sectional nested case-control study. The safety of vaginal breech delivery has been debated for decades. Although it has been shown to predispose infants to immediate depression, several observational studies have also shown that attempting vaginal breech delivery does not increase perinatal morbidity or low Apgar score at the age of five minutes. Cardiotocography monitoring is recommended during vaginal breech (...) delivery, but comparative data describing differences between cardiotocography tracings in breech and vertex deliveries is scarce. This study aims to evaluate differences in intrapartum cardiotocography tracings between breech and vertex deliveries in the final 60 min of delivery. A secondary goal is to identify risk factors for suboptimal neonatal outcome in the study population.One hundred eight breech and 108 vertex singleton, intended vaginal deliveries at term from a tertiary hospital with 5000

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2016 BMC Pregnancy and Childbirth

29. External cephalic version for breech presentation before term. (PubMed)

on fetal presentation at birth, method of delivery, and the rate of preterm birth, perinatal morbidity, stillbirth or neonatal mortality.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 March 2015) and reference lists of retrieved studies.Randomised controlled trials (RCTs) of ECV attempted before term (37 weeks' gestation) or commenced before term, compared with a control group of women (in breech presentation) in which either no ECV attempted or ECV was attempted at term (...) to 0.90; participants = 1906; studies = three; I² = 0%, evidence graded high quality), failure to achieve vaginal cephalic birth (RR 0.90, 95% CI 0.83 to 0.97; participants = 1888; studies = three; I² = 0%, evidence graded high quality), and vaginal breech delivery (RR 0.44, 95% CI 0.25 to 0.78; participants = 1888; studies = three; I² = 0%, evidence graded high quality). The difference between groups for risk of caesarean was not statistically significant (RR 0.92, 95% CI 0.85 to 1.00; participants

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2015 Cochrane

30. External cephalic version for breech presentation at term. (PubMed)

External cephalic version for breech presentation at term. Management of breech presentation is controversial, particularly in regard to manipulation of the position of the fetus by external cephalic version (ECV). ECV may reduce the number of breech presentations and caesarean sections, but there also have been reports of complications with the procedure.The objective of this review was to assess the effects of ECV at or near term on measures of pregnancy outcome. Methods of facilitating ECV (...) , and ECV before term are reviewed separately.We searched the Cochrane Pregnancy and Childbirth Trials Register (28 February 2015) and reference lists of retrieved studies.Randomised trials of ECV at or near term (with or without tocolysis) compared with no attempt at ECV in women with breech presentation.Two review authors assessed eligibility and trial quality, and extracted the data.We included eight studies, with a total of 1308 women randomised. The pooled data from these studies show

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2015 Cochrane

31. Re: The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies: Let's avoid simplistic radicalism when reality is complex. (PubMed)

Re: The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies: Let's avoid simplistic radicalism when reality is complex. 26715350 2016 05 16 2018 12 02 1471-0528 123 1 2016 Jan BJOG : an international journal of obstetrics and gynaecology BJOG Re: The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies: Let's (...) 26715351 Brachial Plexus Neuropathies prevention & control Breech Presentation surgery Cesarean Section Delivery, Obstetric Elective Surgical Procedures Female Humans Pregnancy 2015 09 07 2015 12 31 6 0 2015 12 31 6 0 2016 5 18 6 0 ppublish 26715350 10.1111/1471-0528.13734

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2015 BJOG : an international journal of obstetrics and gynaecology

32. Author's reply re: The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies. (PubMed)

Author's reply re: The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies. 26715351 2016 05 16 2018 12 02 1471-0528 123 1 2016 Jan BJOG : an international journal of obstetrics and gynaecology BJOG Author's reply re: The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies. 147 10.1111/1471-0528.13733 Thornton (...) Jim J Nottingham City Hospital, Nottingham, UK. eng Letter Comment England BJOG 100935741 1470-0328 AIM IM BJOG. 2016 Jan;123(1):58 26238350 BJOG. 2016 Jan;123(1):145-7 26715350 Brachial Plexus Neuropathies prevention & control Breech Presentation surgery Cesarean Section Delivery, Obstetric Elective Surgical Procedures Female Humans Pregnancy 2015 09 13 2015 12 31 6 0 2015 12 31 6 0 2016 5 18 6 0 ppublish 26715351 10.1111/1471-0528.13733

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2015 BJOG : an international journal of obstetrics and gynaecology

33. The Dangerous Allure of Breech Birth at Home – and a Problematic New Paper

provide to argue against all this? It was published in in BMC Pregnancy and Childbirth by an American obstetrician, Stuart Fischbein, and doula and midwife’s assistant, . This is what they report: This is a retrospective observational cohort study of 60 breech and 109 cephalic planned out-of-hospital term singleton births during a 6 year period with a single obstetrician. Outcomes measured included mode of delivery; birth weights; 1 & 5-min Apgar scores; ante-, intra-, and post-partum transports (...) The Dangerous Allure of Breech Birth at Home – and a Problematic New Paper The Dangerous Allure of Breech Birth at Home – and a Problematic New Paper | Absolutely Maybe PLOS Blogs Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary Sciences Medicine & Health Research Analysis & Scientific Policy Diverse perspectives on science and medicine Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary

2018 Absolutely Maybe

34. Effect of Intrathecal Bupivacaine Dose on the Success of External Cephalic Version for Breech Presentation: A Prospective, Randomized, Blinded Clinical Trial

Effect of Intrathecal Bupivacaine Dose on the Success of External Cephalic Version for Breech Presentation: A Prospective, Randomized, Blinded Clinical Trial Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic (...) version success to a greater extent than lower-dose techniques, but no randomized study has evaluated the dose-response effect. We hypothesized that increasing the intrathecal bupivacaine dose would be associated with increased external cephalic version success.We conducted a randomized, double-blind trial to assess the effect of four intrathecal bupivacaine doses (2.5, 5.0, 7.5, 10.0 mg) combined with fentanyl 15 μg on the success rate of external cephalic version for breech presentation. Secondary

2017 EvidenceUpdates

35. Evaluation of the effectiveness of transcutaneous nerve stimulation during labor in breech presentation: a case series. (PubMed)

Evaluation of the effectiveness of transcutaneous nerve stimulation during labor in breech presentation: a case series. To analyze the effectiveness of pain relief with transcutaneous electrical nerve stimulation (TENS) dispositive during labor in breech vaginal delivery and also to describe its tolerance and satisfaction.A randomized, double-blind, and placebo-controlled trial was conducted.Labor room of Complejo Hospitalario Universitario Insular-Materno Infantil (Spain).Ten women who met (...) the inclusion criteria of the clinical trial and also had a fetus breech presentation were randomly assigned to three groups.A portable TENS, Cefar Rehab 2pro®, unit was used to apply the experimental intervention, with different doses in the three groups in women during labor. The device intensity (amplitude) was individually adjusted to each participant's maximum sensory level. The pain was evaluated with visual analog scale (VAS). COMFORTS scale was used to measure women's satisfaction.A significant

2019 The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

36. Is induction of labor a reasonable option for breech presentation? (PubMed)

Is induction of labor a reasonable option for breech presentation? Whereas spontaneous onset of labor and vaginal delivery for breech presentation is considered to be a safe and effective option in selected cases, the safety of induction of labor is not established yet. The objectives of this study were to describe the outcomes of pregnancy in women induced with a fetus in breech presentation and compare the outcomes with those undergoing planned cesarean delivery.We performed a secondary (...) analysis of the observational prospective multicenter PREMODA study, including all singleton breech deliveries after 37 weeks in 174 centers in France and Belgium. We excluded women with spontaneous onset of labor, scarred uterus or intrauterine fetal death. Our study population consisted of women with either induction of labor or planned cesarean delivery. The primary outcome was the composite criteria of neonatal mortality and serious morbidity used in the Term Breech Trial and in the PREMODA

2019 Acta Obstetricia et Gynecologica Scandinavica

37. Screening for breech presentation using universal late-pregnancy ultrasonography: A prospective cohort study and cost effectiveness analysis. (PubMed)

ultrasound. Where breech presentation was detected, an external cephalic version (ECV) was routinely offered. If the ECV was unsuccessful or not performed, the women were offered either planned cesarean section at 39 weeks or attempted vaginal breech delivery. To compare the likelihood of different mode of deliveries and associated long-term health outcomes for universal ultrasound to current practice, a probabilistic economic simulation model was constructed. Parameter values were obtained from the POP (...) by emergency cesarean section (EMCS) (27.9%). There were no women with undiagnosed breech presentation in labour in the entire cohort. On average, 40 scans were needed per detection of a previously undiagnosed breech presentation. The economic analysis indicated that, compared to current practice, universal late-pregnancy ultrasound would identify around 14,826 otherwise undiagnosed breech presentations across England annually. It would also reduce EMCS and vaginal breech deliveries by 0.7 and 1.0

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2019 PLoS medicine

38. Breech presentation is associated with lower adolescent tibial bone strength. (PubMed)

- 0.29 to 0.00), CSA (- 0.12SD, - 0.26 to 0.02), BMD (- 0.16SD, - 0.31 to - 0.01), periosteal circumference (- 0.14SD, - 0.27 to - 0.01), and CSMI (- 0.11SD, - 0.24 to 0.01). In females only, breech presentation was associated with lower hip CSA (- 0.24SD, - 0.43 to 0.00) but not with other hip outcomes. Additional adjustment for potential mediators (delivery method, birthweight, gestational age, childhood motor competence and adolescent height and body composition) did not substantially affect (...) Breech presentation is associated with lower adolescent tibial bone strength. We compared bone outcomes in adolescents with breech and cephalic presentation. Tibia bone mineral content, density, periosteal circumference, and cross-sectional moment of inertia were lower in breech presentation, and females with breech presentation had lower hip CSA. These findings suggest that prenatal loading may exert long-lasting influences on skeletal development.Breech position during pregnancy is associated

2019 Osteoporosis International

39. Maternal and neonatal outcome of reverse breech extraction of an impacted fetal head during caesarean section in advanced stage of labour: a retrospective cohort study. (PubMed)

. No statistically significant differences for the neonatal outcomes were described so far. However, among the group of difficult fetal delivery with the head pushing method two neonates had perinatal skull fractures, with one of those resulting in neonatal death.The head pushing method is associated with higher maternal morbidity than the reverse breech method for extraction of a deeply engaged fetus during intrapartum caesarean section in advanced stage of labour. (...) Maternal and neonatal outcome of reverse breech extraction of an impacted fetal head during caesarean section in advanced stage of labour: a retrospective cohort study. Caesarean section with extraction of a deeply impacted fetal head is technically challenging and is associated with serious maternal and neonatal complications. The purpose of the study was to identify risks and evaluate selected outcome parameters associated with difficult fetal head extraction during caesarean section

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2019 BMC Pregnancy and Childbirth

40. Once more unto the breech: planned vaginal delivery compared with planned cesarean delivery. (PubMed)

Once more unto the breech: planned vaginal delivery compared with planned cesarean delivery. This article provides a knowledge-based assessment of planned cesarean delivery compared with planned vaginal delivery for breech presentation at term gestation. The most critical evidence on this issue is the intention-to-treat analysis from the Term Breech Trial, which showed that planned cesarean delivery reduced composite perinatal death and serious neonatal morbidity. Although (...) delivery group; lack of exclusion criteria led to higher risk women (with contraindications to vaginal delivery) being included in the planned cesarean delivery group. Such selection bias notwithstanding, both the Term Breech Trial and the PREMODA study showed significantly higher rates of 5-minute Apgar score less than 4, 5-minute Apgar score less than 7, intubation, and birth trauma in the planned vaginal delivery group. Finally, studies from the Netherlands, Denmark, and Canada have shown

2015 Obstetrics and Gynecology

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