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Breech Delivery

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61. Maternal experiences of vaginal breech delivery. (PubMed)

Maternal experiences of vaginal breech delivery. The optimal mode of breech birth remains controversial. In Finland, a trial of vaginal delivery is possible if strict selection criteria are met. As clinical practice in managing vaginal breech birth differs from that in normal delivery, the birth experience may also be different. This cohort study compares the childbirth experience between term breech and vertex deliveries.Intended vaginal term breech births from 2008 to October 2012 were (...) included, and for every breech delivery, a vertex control was selected. The proportions of deliveries ending in a cesarean section and of mothers who had given birth vaginally before were equal in both groups. Three hundred eight mothers were sent the childbirth experience questionnaire and 170 returned it.The birth experience does not differ between breech and vertex births, except for aspects with respect to the choice of birthing position. Indications of an even more positive experience were

2014 Birth

62. Term breech deliveries in the Netherlands: did the increased cesarean rate affect neonatal outcome? A population-based cohort study. (PubMed)

Term breech deliveries in the Netherlands: did the increased cesarean rate affect neonatal outcome? A population-based cohort study. The aim of this study was to evaluate the effect of the increased cesarean rate for term breech presentation on neonatal outcome. We also investigated whether the clinical case selection for vaginal delivery applied by Dutch obstetricians led to an optimization of neonatal outcome, or whether there is still room for improvement in terms of perinatal (...) outcome.Retrospective cohort.The Netherlands.Singleton term breech deliveries from 37+0 to 41+6 weeks, excluding fetuses with congenital malformations or antenatal death.We used data from the Dutch national perinatal registry from 1999 up to 2007.Perinatal mortality and morbidity.We studied 58,320 women with a term breech delivery. There was an increase in the elective cesarean rate (from 24 to 60%). As a consequence, overall perinatal mortality decreased [1.3 0/00 vs. 0.7 0/00;odds ratio 0.51 (95% confidence

2014 Acta Obstetricia et Gynecologica Scandinavica

63. A meta-analysis of reverse breech extraction to deliver a deeply impacted head during cesarean delivery. (PubMed)

A meta-analysis of reverse breech extraction to deliver a deeply impacted head during cesarean delivery. During cesarean delivery, extracting a deeply impacted head is a real challenge for obstetricians.To compare selected maternal and fetal outcome indicators of the "pull" (reverse breech extraction) and "push" methods for impacted fetal head extraction during cesarean delivery.A computer-based search of the Medline, Cochrane library, and HINARI databases.Studies that compared the maternal (...) and perinatal outcomes of the push and pull methods for impacted fetal head extraction during cesarean delivery were included.A meta-analysis of Mantel-Haenszel odds ratios and standardized mean differences from 11 randomized comparative and retrospective cohort studies was performed.In the pooled analysis, the risk of uterine incision extension was more than 8 times higher with the push method than with the pull method. Blood loss and operation time were also increased with the push method, and this method

2014 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

64. The safety of vaginal breech delivery and counselling of women. (PubMed)

The safety of vaginal breech delivery and counselling of women. 25200674 2015 01 15 2018 12 02 1600-0412 93 12 2014 Dec Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand The risks and time-frame of vaginal breech delivery and counseling of women. 1330 10.1111/aogs.12498 Sholapurkar Shashikant L SL Department of Obstetrics & Gynaecology, Royal United Hospital, Bath, UK. eng Letter Comment 2014 09 30 United States Acta Obstet Gynecol Scand 0370343 0001-6349 IM Acta Obstet (...) Gynecol Scand. 2015 Jan;94(1):119 25393360 Acta Obstet Gynecol Scand. 2014 Sep;93(9):888-96 25113411 Breech Presentation Cesarean Section statistics & numerical data Female Humans Pregnancy 2014 9 10 6 0 2014 9 10 6 0 2015 1 16 6 0 ppublish 25200674 10.1111/aogs.12498

2014 Acta Obstetricia et Gynecologica Scandinavica

65. A multicentre randomised controlled trial comparing elective and selective caesarean section for the delivery of the preterm breech infant. (Full text)

A multicentre randomised controlled trial comparing elective and selective caesarean section for the delivery of the preterm breech infant. To determine the optimum mode of delivery for women in preterm breech labour at a gestational age of 26 to 32 weeks.A multicentre randomised controlled trial.Twenty-six hospitals in England, UK.Women with a singleton breech fetus in spontaneous preterm labour between 26 and 32 completed weeks of gestation, with no clear indication for a caesarean section (...) or vaginal breech delivery.Random allocation to either 'intention to delivery vaginally' or 'intention to deliver by caesarean section'.Perinatal mortality, neonatal morbidity, maternal morbidity and gestation at delivery.The trial was closed after 17 months because of low recruitment, by which time substantial numbers of women had been in the eligible gestation period. Thirteen women from six hospitals were recruited. One infant, randomised to and delivered vaginally, was stillborn. Three fetal

2014 BJOG PubMed

66. Risks of vaginal breech delivery at term compared to elective cesarean section - Reply to comments by Walker and Powell, and Sholapurkar. (PubMed)

Risks of vaginal breech delivery at term compared to elective cesarean section - Reply to comments by Walker and Powell, and Sholapurkar. 25393360 2015 02 18 2018 12 02 1600-0412 94 1 2015 Jan Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand Risks of vaginal breech delivery at term compared with elective cesarean section - reply to comments by Walker and Powell, and Sholapurkar. 119 10.1111/aogs.12539 Vlemmix Floortje F Department of Obstetrics and Gynecology, Academic (...) Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Mol Ben Willem BW Kok Marjolein M all co-authors eng Letter Comment United States Acta Obstet Gynecol Scand 0370343 0001-6349 IM Acta Obstet Gynecol Scand. 2014 Dec;93(12):1329 25200572 Acta Obstet Gynecol Scand. 2014 Dec;93(12):1330 25200674 Breech Presentation Cesarean Section statistics & numerical data Female Humans Pregnancy 2014 11 07 2014 11 08 2014 11 14 6 0 2014 11 14 6 0 2015 2 19 6 0 ppublish 25393360 10.1111/aogs.12539

2014 Acta Obstetricia et Gynecologica Scandinavica

67. Term Breech Deliveries in the Netherlands. (PubMed)

Term Breech Deliveries in the Netherlands. 25311000 2015 04 29 2018 12 02 1600-0412 94 4 2015 Apr Acta obstetricia et gynecologica Scandinavica Acta Obstet Gynecol Scand Term breech deliveries in the Netherlands. 441 10.1111/aogs.12527 Page Geert G Obstetrics and Gynecology, Jan Yperman Hospital, Ypres, Belgium. eng Letter Comment 2014 10 30 United States Acta Obstet Gynecol Scand 0370343 0001-6349 IM Acta Obstet Gynecol Scand. 2015 Apr;94(4):442 25676439 Acta Obstet Gynecol Scand. 2014 Sep;93 (...) (9):888-96 25113411 Breech Presentation Cesarean Section statistics & numerical data Female Humans Pregnancy 2014 10 05 2014 10 07 2014 10 15 6 0 2014 10 15 6 0 2015 4 30 6 0 ppublish 25311000 10.1111/aogs.12527

2014 Acta Obstetricia et Gynecologica Scandinavica

68. Term Cesarean Delivery in the First Pregnancy is Not Associated with an Increased Risk for Preterm Delivery in the Subsequent Pregnancy. (PubMed)

weeks), early preterm delivery (< 34 weeks), and small for gestational age (SGA) birth.Of a total of 6,456 linked pregnancies, 2,284 deliveries were matched; 1142 were preceded by cesarean delivery and 1142 were preceded by vaginal delivery. The main indications for cesarean delivery in the first pregnancy were dystocia in 703 (61.5%), non-reassuring fetal status in 222 (19.4%), breech presentation in 100 (8.8%), and other in 84 (7.4%). The mean (standard deviation) gestational ages at delivery (...) Term Cesarean Delivery in the First Pregnancy is Not Associated with an Increased Risk for Preterm Delivery in the Subsequent Pregnancy. Prior studies have reported an increased risk for preterm delivery following a term cesarean delivery. However, these studies did not adjust for high risk conditions related to the first cesarean delivery and are known to recur.To determine if there is an association between term cesarean delivery in the first pregnancy and subsequent spontaneous or indicated

2019 American Journal of Obstetrics and Gynecology

69. Pregnancy, Breech Delivery (Follow-up)

Pregnancy, Breech Delivery (Follow-up) Breech Delivery Follow-up: Further Inpatient Care, Inpatient & Outpatient Medications, Transfer Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvNzk3NjkwLWZvbGxvd3Vw processing (...) > Breech Delivery Follow-up Updated: Dec 28, 2015 Author: Philippe H Girerd, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Delivery Follow-up Further Inpatient Care See the list below: Warm and dry the infant. Place him or her in an infant incubator. If the infant is younger than 37 weeks' gestation, the lungs may be premature. Consider endotracheal intubation with mechanical ventilation. Even in infants older than 37 weeks' gestation, the infant still

2014 eMedicine Emergency Medicine

70. Pregnancy, Breech Delivery (Overview)

Pregnancy, Breech Delivery (Overview) Breech Delivery: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvNzk3NjkwLW92ZXJ2aWV3 processing > Breech Delivery Updated: Dec 28 (...) , 2015 Author: Philippe H Girerd, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Delivery Overview Background occurs when the fetus presents to the birth canal with buttocks or feet first. This presentation creates a mechanical problem in delivery of the fetus. Next: Pathophysiology The buttocks and feet of the fetus do not provide an effective wedge to dilate the cervix. The umbilical cord may prolapse, and/or the aftercoming head may get trapped

2014 eMedicine Emergency Medicine

71. Pregnancy, Breech Delivery (Diagnosis)

Pregnancy, Breech Delivery (Diagnosis) Breech Delivery: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvNzk3NjkwLW92ZXJ2aWV3 processing > Breech Delivery Updated: Dec 28 (...) , 2015 Author: Philippe H Girerd, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Delivery Overview Background occurs when the fetus presents to the birth canal with buttocks or feet first. This presentation creates a mechanical problem in delivery of the fetus. Next: Pathophysiology The buttocks and feet of the fetus do not provide an effective wedge to dilate the cervix. The umbilical cord may prolapse, and/or the aftercoming head may get trapped

2014 eMedicine Emergency Medicine

72. Pregnancy, Breech Delivery (Treatment)

Pregnancy, Breech Delivery (Treatment) Breech Delivery Treatment & Management: Prehospital Care, Emergency Department Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvNzk3NjkwLXRyZWF0bWVudA (...) == processing > Breech Delivery Treatment & Management Updated: Dec 28, 2015 Author: Philippe H Girerd, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Delivery Treatment Prehospital Care See the list below: If a vaginal delivery is planned, or the fetus has an underlying concern leading to a breech presentation transport the mother to the nearest facility with neonatal intensive care. If the mother is in the second-stage of labor or if amniotic membranes have

2014 eMedicine Emergency Medicine

73. CRACKCast E180 – Labor & Delivery

with cesarean section and will therefore face the prospect of an extremely high-risk vaginal delivery. As expected, these abnormal deliveries increase the risk of fetal and maternal complications. Aggressive attempts to obtain obstetric, neonatal, and anesthesia are warranted! According to Rosen’s: Breech presentation = 1/25 live births Shoulder dystocia = 1/300 live births Face presentation = 1/550 live births Brow presentation = 1/1400 live births According to Uptodate: Occiput posterior – 1/19 deliveries (...) Occiput transverse – no clear incidence known (? 8%) Breech – 1/33 deliveries Face – 1/600 to 1/800 deliveries (Left mentum anterior, right mentum anterior, and right mentum posterior) Brow – 1/500 to 1/4000 deliveries Transverse lie – 1/833 deliveries (back down vs. back up) Compound – 1/1500 deliveries 11) List 3 major reasons for shoulder dystocia. Describe the stepwise progression of management of a shoulder dystocia. Normally, the shoulders negotiate the maternal pelvis in sequential fashion

2018 CandiEM

74. Techniques for assisting difficult delivery at caesarean section. (PubMed)

facilitate the birth of the baby at caesarean section. Delivery of the impacted head after prolonged obstructed labour can be associated with significant maternal and neonatal complication; to facilitate delivery of the head the surgeon may utilise either reverse breech extraction or head pushing.To compare the use of tocolysis (routine or selective use) with no use of tocolysis or placebo and to compare different extraction methods at the time of caesarean section for outcomes of infant birth trauma (...) the birth of the baby. Use of instrument versus manual delivery to facilitate birth of the baby. Reverse breech extraction versus head pushing to facilitate delivery of the deeply impacted fetal head.Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy.Seven randomised controlled trials, involving 582 women undergoing caesarean section were included in this review. The risk of bias of included trials was variable, with some trials

2016 Cochrane

75. Delivery mode and neonatal outcome after a trial of external cephalic version (ECV): a prospective trial of vaginal breech versus cephalic delivery. (PubMed)

Delivery mode and neonatal outcome after a trial of external cephalic version (ECV): a prospective trial of vaginal breech versus cephalic delivery. To examine the delivery mode and neonatal outcome after a trial of external cephalic version (ECV) procedures.This is an interim analysis of an ongoing larger prospective off-centre randomised trial, which compares a clinical hypnosis intervention against neuro-linguistic programming (NLP) of women with a singleton breech foetus at or after 37(0/7 (...) ) (259 days) weeks of gestation and normal amniotic fluid index. Main outcome measures were delivery mode and neonatal outcome.On the same day after the ECV procedure two patients (2 %), who had unsuccessful ECVs, had Caesarean sections (one due to vaginal bleeding and one due to pathological CTG). After the ECV procedure 40.4 % of women had cephalic presentation (n = 38) and 58.5 % (n = 55) remained breech presentation. One patient remained transverse presentation (n = 1; 1.1 %). Vaginal delivery

2013 Archives of gynecology and obstetrics

76. Balance of long-term benefits and risks of caesarean delivery explained

there is the opportunity to plan the method of delivery. Share your views on the research. Why was this study needed? Caesarean delivery rates are rising worldwide. A caesarean may be offered to women for clinical reasons such as breech presentation of the baby or multiple pregnancies, but caesarean deliveries without medical indication are also increasing. In 2012-13, around 25 to 30% of births in UK regions were caesarean deliveries. In England, during that period this divides into 14.8% of births by emergency (...) received no direct funding. Bibliography NICE. . CG132. London: National Institute for Health and Care Excellence; 2011, updated 2012. NHS website. London: Department of Health and Social Care; last reviewed 2016. RCOG. . GTG 45. London: Royal College of Obstetricians and Gynaecologists; 2015. Why was this study needed? Caesarean delivery rates are rising worldwide. A caesarean may be offered to women for clinical reasons such as breech presentation of the baby or multiple pregnancies, but caesarean

2019 NIHR Dissemination Centre

77. Breech Presentation

window. Related Studies (from Trip Database) Ontology: Breech Presentation (C0006157) Definition (NCI) A fetal presentation in which the baby descends into the birth canal with hips, buttocks or its foot first during delivery.(NICHD) Definition (MSH) A malpresentation of the FETUS at near term or during OBSTETRIC LABOR with the fetal cephalic pole in the fundus of the UTERUS. There are three types of breech: the complete breech with flexed hips and knees; the incomplete breech with one or both hips (...) , Position of breech presentatn , Malpos fetus breech present , breech presentation of fetus (diagnosis) , breech presentation of fetus , a buttocks presentation was observed , breech presentation (physical finding) , buttocks presentation , buttocks presentation (physical finding) , breech presentation , Breech Presentation [Disease/Finding] , breech presentations , Breech presentation NOS (finding) , Breech delivery (disorder) , Breech delivery , Breech presentation (disorder) , Breech presentation

2018 FP Notebook

78. The association between mode of delivery and developmental dysplasia of the hip in breech infants: a systematic review of 9 cohort studies. (PubMed)

The association between mode of delivery and developmental dysplasia of the hip in breech infants: a systematic review of 9 cohort studies. Although developmental dysplasia of the hip (DDH) is a relatively common disorder, its aetiology remains elusive. The authors undertook a systematic review to determine whether there is an association between DDH and vaginal or caesarean delivery for singleton breech infants. The review focussed on cohort studies which provided risk estimates for DDH (...) in breech-presenting infants, as a function of mode of delivery. Nine cohort studies with 35,139 infants were found. In the short-term, breech infants delivered through caesarean section had a significantly lower risk (13.5% less) for DDH: 5.95%, versus 6.88% (weighted values) in the vaginal delivery group (p = 0.008) {RR = 0.87 (95% CI 0.78-0.97)}. This might be mediated by the reduced stretch of the hip capsule, due to the absence of increased uterine pressure, which normally occurs in the active

2013 Acta orthopaedica Belgica

79. Objective Structured Assessment of Technical Skills (OSATS) evaluation of theoretical versus hands-on training of vaginal breech delivery management: a randomized trial. (PubMed)

Objective Structured Assessment of Technical Skills (OSATS) evaluation of theoretical versus hands-on training of vaginal breech delivery management: a randomized trial. To compare the skills of performing a vaginal breech (VB) delivery after hands-on training versus demonstration.We randomized medical students to a 30-min demonstration (group 1) or a 30-min hands-on (group 2) training session using a standardized VB management algorithm on a pelvic training model. Subjects were tested

2013 European journal of obstetrics, gynecology, and reproductive biology

80. Vaginal breech delivery: results of a prospective registration study. (Full text)

Vaginal breech delivery: results of a prospective registration study. Most 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.A 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.Of 568 women, elective cesarean section was planned in 279 (49%) cases

2013 BMC Pregnancy and Childbirth PubMed

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