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Breech Delivery

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821. Outcome of breech delivery at term. (Full text)

Outcome of breech delivery at term. To compare neonatal mortality and morbidity in term infants presenting by the breech and delivered vaginally or by caesarean section.Population based comparison of outcomes. Data derived from the St Mary's maternity information system.North West Thames Regional Health Authority, 1988-90.3447 singleton fetuses presenting by the breech at term.Intrapartum and neonatal mortality, low Apgar scores, intubation at birth, and admission to special care baby (...) caesarean delivery of the term breech fetus may influence the decision of women and their obstetricians about mode of delivery.

1992 BMJ : British Medical Journal PubMed

822. Outcome of breech delivery at term. (Full text)

Outcome of breech delivery at term. 1493410 1993 03 10 2018 11 13 0959-8138 305 6867 1992 Dec 12 BMJ (Clinical research ed.) BMJ Outcome of breech delivery at term. 1499-500 Cleary R R eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Sep 26;305(6856):746-7 1422330 Breech Presentation Data Collection Female Humans Infant, Newborn Pregnancy Pregnancy Outcome Sensitivity and Specificity 1992 12 12 1992 12 12 0 1 1992 12 12 0 0 ppublish 1493410 PMC1884072 BMJ. 1992 Sep 26;305(6856

1992 BMJ : British Medical Journal PubMed

823. Delivery type and neonatal mortality among 10,749 breeches. (Full text)

Delivery type and neonatal mortality among 10,749 breeches. Data on 10,749 breech presentations were analyzed for the effect of delivery type on neonatal mortality. Most of the data are from developing countries, and most of the hospitals have higher mortality than is found in Europe or the United States. The simultaneous effect of type of hospital where the delivery occurred, type of breech, birthweight, and parity were examined. The benefit of cesarean delivery was greater for nulliparae than (...) multiparae, greater for footlings than for frank or complete breeches, and greater for larger babies than smaller ones. This last finding probably reflects the quality of neonatal care in developing country hospitals rather than the value of cesarean section. Maternal mortality and morbidity was higher among women delivered abdominally than among those delivered vaginally.

1986 American Journal of Public Health PubMed

824. Long-term outcome by method of delivery of fetuses in breech presentation at term: population based follow up. (Full text)

Long-term outcome by method of delivery of fetuses in breech presentation at term: population based follow up. To compare the long-term outcome of infants delivered in breech presentation at term by intended mode of delivery.A population based comparison of outcomes up to school age. Data obtained from maternity, health visitor, and school medical records and handicap register.Grampian region 1981-90.1645 infants delivered alive at term after breech presentation.Handicap, developmental delay (...) planned.In selected cases of breech presentation at term planned vaginal delivery with caesarean section if necessary remains as safe as elective caesarean section in terms of long term handicap. It was not possible to determine whether particular babies would have fared better had they been delivered by elective caesarean section.

1996 BMJ : British Medical Journal PubMed

825. Long-term outcome by method of delivery of fetuses in breech presentation. External cephalic version at term should be considered. (Full text)

Long-term outcome by method of delivery of fetuses in breech presentation. External cephalic version at term should be considered. 8842090 1996 11 05 2018 11 13 0959-8138 313 7060 1996 Sep 28 BMJ (Clinical research ed.) BMJ Long-term outcome by method of delivery of fetuses in breech presentation. External cephalic version at term should be considered. 817; author reply 818 Bhal P S PS Asaad K K Sharma A A Shaw R W RW eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1996 Jun 8;312 (...) (7044):1451-3 8664622 Breech Presentation Congenital Abnormalities Delivery, Obstetric methods Female Humans Infant Mortality Infant, Newborn Pregnancy Version, Fetal 1996 9 28 1996 9 28 0 1 1996 9 28 0 0 ppublish 8842090 PMC2352194 Am J Obstet Gynecol. 1974 Mar 1;118(5):700-12 4813810 J Pediatr. 1975 Mar;86(3):419-21 1113232 Obstet Gynecol. 1993 Aug;82(2):306-12 8336883 BMJ. 1996 Jun 8;312(7044):1451-3 8664622

1996 BMJ : British Medical Journal PubMed

826. Long-term outcome by method of delivery of fetuses in breech presentation. Evaluation should have included long-term follow up of the mothers. (Full text)

Long-term outcome by method of delivery of fetuses in breech presentation. Evaluation should have included long-term follow up of the mothers. 8842092 1996 11 05 2018 11 13 0959-8138 313 7060 1996 Sep 28 BMJ (Clinical research ed.) BMJ Long-term outcome by method of delivery of fetuses in breech presentation. Evaluation should have included long-term follow up of the mothers. 817; author reply 818 Barrett G G Victor C R CR eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1996 Jun (...) 8;312(7044):1451-3 8664622 Breech Presentation Delivery, Obstetric methods Dyspareunia etiology Female Follow-Up Studies Humans Pregnancy Puerperal Disorders etiology 1996 9 28 1996 9 28 0 1 1996 9 28 0 0 ppublish 8842092 PMC2352204 BMJ. 1996 Jun 8;312(7044):1433-4 8664609 BMJ. 1996 Jun 8;312(7044):1451-3 8664622 Am J Obstet Gynecol. 1980 May 15;137(2):235-44 7377243 BMJ. 1994 Dec 10;309(6968):1584-5 7819922 Am J Obstet Gynecol. 1983 May 1;146(1):34-40 6342396

1996 BMJ : British Medical Journal PubMed

827. Long term outcome by method of delivery of fetuses in breech presentation. Policy of planned caesarean section could have appreciable costs. (Full text)

Long term outcome by method of delivery of fetuses in breech presentation. Policy of planned caesarean section could have appreciable costs. 8842089 1996 11 05 2018 11 13 0959-8138 313 7060 1996 Sep 28 BMJ (Clinical research ed.) BMJ Long term outcome by method of delivery of fetuses in breech presentation. Policy of planned caesarean section could have appreciable costs. 817; author reply 818 West J J eng Letter Comment England BMJ 8900488 0959-8138 AIM IM BMJ. 1996 Jun 8;312(7044):1451-3 (...) 8664622 Breech Presentation Cesarean Section economics Female Health Policy Humans Infant, Newborn Liability, Legal Malpractice Pregnancy United Kingdom 1996 9 28 1996 9 28 0 1 1996 9 28 0 0 ppublish 8842089 PMC2352216 BMJ. 1996 Jun 8;312(7044):1433-4 8664609 BMJ. 1996 Jun 8;312(7044):1451-3 8664622

1996 BMJ : British Medical Journal PubMed

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

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

1996 British journal of obstetrics and gynaecology

829. Reasons for declining participation in a prospective randomized trial to determine the optimum mode of delivery of the preterm breech. (PubMed)

Reasons for declining participation in a prospective randomized trial to determine the optimum mode of delivery of the preterm breech. Increasing numbers of preterm breech infants are being delivered by cesarean section, which confers no proven advantage to the infant and subjects the mother to increased risk. In order to assess the feasibility of performing a randomized controlled trial to compare elective with selective cesarean delivery for the preterm breech infant, consultants in 36 (...) , availability, and requisite skill of the personnel delivering the preterm breech, doubts about the details of the protocol, medicolegal considerations, and disagreement about the desirability of the trial among the consultant members of a department. If prospective evaluation of clinical practice is to be carried out in the future the staffing levels of obstetric departments must taken into account the additional work load that this entails.

1990 Controlled clinical trials

830. [More moderate neonatal morbidity in the case of non-randomized vaginal delivery of term breech pregnancies]. (PubMed)

[More moderate neonatal morbidity in the case of non-randomized vaginal delivery of term breech pregnancies]. To compare the outcome of term breech pregnancies by planned caesarean section or by planned vaginal delivery at the Department of Obstetrics and Gynaecology, Atrium Medisch Centrum Heerlen, the Netherlands, with the findings in the so-called 'Term breech trial' (TBT).Randomised and descriptive non-randomised clinical trial.During the period of participation in the TBT prospective data (...) were collected on all deliveries of a term baby in breech presentation. The pregnant women who were included in the TBT (n = 35) were randomised in a planned caesarean section (CS) group and a planned vaginal delivery (VD) group. All women with a child in term breech presentation who did not join the trial constituted the non-randomised group (n = 201) and were divided in a primary CS group (n = 48) and a started VD group (n = 153). Neonatal and maternal mortality and morbidity were analysed

2001 Nederlands tijdschrift voor geneeskunde

831. Maternal and neonatal outcome of 846 term singleton breech deliveries: seven-year experience at a single center. (PubMed)

Maternal and neonatal outcome of 846 term singleton breech deliveries: seven-year experience at a single center. Our purpose was to evaluate the maternal and neonatal outcome of 846 consecutive term singleton breech deliveries at a single center.We reviewed the maternal and neonatal charts of all women who delivered singleton breech fetuses between 1984 and 1990 and divided them into two groups: women who fulfilled the criteria for trial of labor (group 1, n = 613) and those who did not meet (...) I (0.33% corrected neonatal mortality in group 1). Newborns in Group 1 exhibited a higher rate of trauma with borderline statistical significance (3.0% vs 0.5%, p = 0.052). No significant differences were found in the rates of low Apgar scores, intubation, and intensive care unit admission.Although certain short-term outcome variables may appear less favorable in term singleton breech infants delivered vaginally, large randomized studies of short- and long-term outcome should be undertaken

1996 American journal of obstetrics and gynecology

832. A meta-analysis of infant outcomes after breech delivery. (PubMed)

A meta-analysis of infant outcomes after breech delivery. To estimate the risks of neonatal morbidity and mortality associated with a trial of labor and with elective cesarean for the term breech infant.Using the terms "breech," "malpresentation," and "external cephalic version," we used the MEDLINE and Health Planning and Administration data bases to search the English-language literature from January 1981 to June 1993. The search was supplemented with a review of the reference lists of key (...) articles and text chapters.We included randomized trials or cohort studies that specified selection criteria for a vaginal delivery, provided detailed outcome data, and allowed for analysis by intended mode of delivery.Nine studies met the inclusion criteria. We pooled the weighted results from these studies to estimate the risks of birth injuries and perinatal death, and the risk differences between trial of labor and no trial of labor groups. The pooled risk for any injury was 1.00% after a trial

1995 Obstetrics and Gynecology

833. Outcomes at 3 months after planned cesarean vs planned vaginal delivery for breech presentation at term: the international randomized Term Breech Trial. (PubMed)

Outcomes at 3 months after planned cesarean vs planned vaginal delivery for breech presentation at term: the international randomized Term Breech Trial. The Term Breech Trial found a significant reduction in adverse perinatal outcomes without an increased risk of immediate maternal morbidity with planned cesarean delivery compared with planned vaginal birth. No randomized controlled trial of planned cesarean delivery has measured benefits and risks of postpartum outcomes months after (...) the birth.To compare maternal outcomes of planned cesarean delivery and planned vaginal birth at 3 months post partum.Follow-up study to the Term Breech Trial, a randomized controlled trial conducted between January 9, 1997, and April 21, 2000.A total of 1596 of 1940 women from 110 centers worldwide who had a singleton fetus in breech presentation at term responded to a follow-up questionnaire at 3 months post partum.Breastfeeding; infant health; ease of caring for infant and adjusting to being a new

2002 JAMA

834. Mode of delivery and outcome of 699 term singleton breech deliveries at a single center. (PubMed)

Mode of delivery and outcome of 699 term singleton breech deliveries at a single center. Elective cesarean delivery has been postulated to improve the outcome of term fetuses in breech presentation. We retrospectively compared the short- and long-term outcomes of term infants who were delivered from a breech presentation at a single center.We reviewed 699 consecutive term breech presentations according to the intended mode of delivery at a single center between January 1993 and December 1999 (...) ). Spasticity was not noted in any of the children.Our data suggest that planned vaginal delivery remains an option for selected term breech presentations.

2002 American Journal of Obstetrics and Gynecology

835. [Cesarean section versus vaginal delivery of breech presentation in primiparous patients]. (PubMed)

[Cesarean section versus vaginal delivery of breech presentation in primiparous patients]. 2693251 1990 03 08 2009 11 11 0017-6001 29 Suppl 2 1989 Gynakologische Rundschau Gynakol Rundsch [Cesarean section versus vaginal delivery of breech presentation in primiparous patients]. 319-20 Stiglbauer M M Sevelda P P Vavra N N Weninger M M Sterniste W W Wagenbichler P P ger Clinical Trial Comparative Study Journal Article Randomized Controlled Trial Sectio versus vaginale Entbindung der Beckenendlage (...) bei Primiparae. Switzerland Gynakol Rundsch 0011363 0017-6001 IM Breech Presentation Cesarean Section Extraction, Obstetrical Female Humans Infant, Newborn Pregnancy Pregnancy Outcome Prospective Studies Randomized Controlled Trials as Topic 1989 1 1 1989 1 1 0 1 1989 1 1 0 0 ppublish 2693251

1990 Gynakologische Rundschau

836. Long-term outcome by method of delivery of fetuses in breech presentation. Outcomes of breech presentations not diagnosed until labour need to be studied. (Full text)

Long-term outcome by method of delivery of fetuses in breech presentation. Outcomes of breech presentations not diagnosed until labour need to be studied. 8842091 1996 11 05 2018 11 13 0959-8138 313 7060 1996 Sep 28 BMJ (Clinical research ed.) BMJ Long-term outcome by method of delivery of fetuses in breech presentation. Outcomes of breech presentations not diagnosed until labour need to be studied. 817; author reply 818 Vause S S eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ (...) . 1996 Jun 8;312(7044):1451-3 8664622 Breech Presentation Delivery, Obstetric methods Female Humans Obstetric Labor Complications diagnosis Pregnancy 1996 9 28 1996 9 28 0 1 1996 9 28 0 0 ppublish 8842091 PMC2352196 BMJ. 1996 Jun 8;312(7044):1451-3 8664622 Br J Obstet Gynaecol. 1994 Jul;101(7):648-9 8043554 Br J Obstet Gynaecol. 1987 Aug;94(8):746-52 3311132 Br J Obstet Gynaecol. 1993 Jun;100(6):531-5 8334087

1996 BMJ : British Medical Journal PubMed

837. How to manage term breech deliveries : Avoid vaginal breech deliveries but offer external cephalic version (Full text)

How to manage term breech deliveries : Avoid vaginal breech deliveries but offer external cephalic version 11485937 2001 08 30 2018 11 13 0959-8138 323 7307 2001 Aug 04 BMJ (Clinical research ed.) BMJ How to manage term breech deliveries. 244-5 Shennan A A Bewley S S eng Editorial England BMJ 8900488 0959-8138 AIM IM BMJ. 2002 Jan 5;324(7328):49-50; author reply 50-1 11797643 Breech Presentation Cesarean Section Female Humans Infant Mortality Infant, Newborn Meta-Analysis as Topic Pregnancy

2001 BMJ : British Medical Journal PubMed

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