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Breech Delivery

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101. A Simple Method of Delivery in Difficult Breech Cases (PubMed)

A Simple Method of Delivery in Difficult Breech Cases 20749321 2011 03 29 2011 03 29 0007-1447 2 980 1879 Oct 11 British medical journal Br Med J A Simple Method of Delivery in Difficult Breech Cases. 573 Underhill C E CE eng Journal Article England Br Med J 0372673 0007-1447 2010 8 27 6 0 1879 10 11 0 0 1879 10 11 0 1 ppublish 20749321 PMC2240834

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1879 British medical journal

102. Breech Delivery (PubMed)

Breech Delivery 20781092 2011 04 04 2011 04 04 0007-1447 2 4013 1937 Dec 04 British medical journal Br Med J Breech Delivery. 1112-5 Macafee C H CH McClure H I HI eng Journal Article England Br Med J 0372673 0007-1447 2010 8 27 6 0 1937 12 4 0 0 1937 12 4 0 1 ppublish 20781092 PMC2087829

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1937 British medical journal

103. Delivery of Breech with Extended Legs (PubMed)

Delivery of Breech with Extended Legs 20772291 2011 03 31 2011 03 31 0007-1447 1 3393 1926 Jan 09 British medical journal Br Med J Delivery of Breech with Extended Legs. 54-5 Hall N B NB Page H W HW eng Journal Article England Br Med J 0372673 0007-1447 2010 8 27 6 0 1926 1 9 0 0 1926 1 9 0 1 ppublish 20772291 PMC2522556

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1926 British medical journal

104. A METHOD OF BREECH DELIVERY (PubMed)

A METHOD OF BREECH DELIVERY 20321526 2010 06 24 2010 06 24 0008-4409 41 5 1939 Nov Canadian Medical Association journal Can Med Assoc J A METHOD OF BREECH DELIVERY. 468-70 Philpott N W NW Montreal. eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 2010 3 24 6 0 1939 11 1 0 0 1939 11 1 0 1 ppublish 20321526 PMC537569

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1939 Canadian Medical Association Journal

105. The randomized management of term frank breech presentation: vaginal delivery vs. cesarean section. (PubMed)

The randomized management of term frank breech presentation: vaginal delivery vs. cesarean section. A prospective study of the management of term frank breech presentation is currently ongoing at LAC-USC Medical Center. To date, 57 patients have been randomized to an elective cesarean section group and 70 to a vaginal delivery group. Of the 70 patients selected for vaginal delivery, 35 had one or more inadequate pelvic measurements by x-ray pelvimetry and were scheduled for indicated cesarean (...) section. Of the remaining 35 patients in this group, 30 delivered vaginally without perinatal death. Two of the infants, however sustained brachial plexus injuries. Of the 57 patients scheduled, 55 underwent elective cesarean section. There were no maternal deaths, but 20 (36.4%) patients experienced morbidity and 5(9.1 per cent) patients experienced intraoperative complications. Based on the data accumulated to date, it seems reasonable to allow vaginal delivery in carefully selected cases of term

1978 American journal of obstetrics and gynecology

106. Safe Prevention of the Primary Cesarean Delivery

that contemporary labor progresses at a rate substantially slower than what was historically taught. Additionally, improved and standardized fetal heart rate interpretation and management may have an effect. Increasing women’s access to nonmedical interventions during labor, such as continuous labor and delivery support, also has been shown to reduce cesarean birth rates. External cephalic version for breech presentation and a trial of labor for women with twin gestations when the first twin is in cephalic (...) for breech presentation at term: the international randomized Term Breech Trial. Term Breech Trial Collaborative Group. . ** Data from Gregory KD, Jackson S, Korst L, Fridman M. Cesarean versus vaginal delivery: whose risks? Whose benefits? . It is difficult to isolate the morbidity caused specifically by route of delivery. For example, in one of the few randomized trials of approach to delivery, women with a breech presentation were randomized to undergo planned cesarean delivery or planned vaginal

2014 American College of Obstetricians and Gynecologists

107. Randomised controlled trial: Caesarean delivery for twin gestation at 32?38?weeks does not lead to improved clinical outcomes for neonates or mothers

. 1 , 2 Although some observational studies have suggested that there may be decreased risk of adverse perinatal outcomes with CD, clear benefits of routine CD for twin gestation have not been established, especially when the primary provider is experienced in breech extraction of the second twin. 3 This large multicentre trial aimed to avoid the biases of observational studies in order to answer the question of optimal delivery mode for twin gestation. Methods This was a randomised, unblinded (...) Randomised controlled trial: Caesarean delivery for twin gestation at 32?38?weeks does not lead to improved clinical outcomes for neonates or mothers Caesarean delivery for twin gestation at 32–38 weeks does not lead to improved clinical outcomes for neonates or mothers | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies

2014 Evidence-Based Medicine (Requires free registration)

108. Breech presentation: its predictors and consequences. An analysis of the Hungarian Tauffer Obstetric Database (1996-2011). (PubMed)

). Covariates were maternal medical history and data on the present pregnancy. Multivariable logistic regression was used to investigate predictors of breech presentation and of delivery (cesarean section or other obstetrical interventions at birth) and fetal outcomes (Apgar score ≤ 7, need for perinatal intensive treatment, intrauterine death or perinatal mortality) related to breech presentation.Breech presentation was independently associated with older maternal age, medical history (primiparity (...) , stillbirth, spontaneous abortion, hormone treatment, and assisted reproduction), maternal morbidities (hypertension and oligohydramnios), and the fetal factors (female sex, younger gestational age at delivery, developmental abnormalities, small for gestational age, and birthweight). An adverse delivery outcome was 11.7 times (95% confidence interval 11.3-12.0) and an adverse fetal outcome was 1.39 times (95% confidence interval 1.33-1.45) more frequent in pregnancies with breech presentation compared

2015 Acta Obstetricia et Gynecologica Scandinavica

109. The Impact of an ECV Service is Limited by Antenatal Breech Detection: A Retrospective Cohort Study. (PubMed)

The Impact of an ECV Service is Limited by Antenatal Breech Detection: A Retrospective Cohort Study. External cephalic version (ECV) reduces the chance of breech presentation at term birth and lowers the chance of a cesarean delivery. ECV services are now in place in many units in the United Kingdom but their effectiveness is unknown. The aim of this study was to investigate the reasons for breech presentation at term birth.We performed a retrospective cohort study of 394 consecutive babies who (...) were in breech presentation at term birth in a large United Kingdom maternity unit that offers ECV. The cohort was analyzed over two time periods 10 years apart: 1998-1999 and 2008-2009.Only 33.8 percent of women had undergone a (failed) ECV attempt. This low proportion was mainly because breech presentation was not diagnosed antenatally (27.9%). Other contributing factors were: ECV not offered by clinicians (12.2%), ECV declined by women (14%), and contraindications to ECV (10.7%). Over the 10

2015 Birth

110. Interventions for helping to turn term breech babies to head first presentation when using external cephalic version. (PubMed)

1.48, 95% CI 0.62 to 3.57, two studies, 210 women, low-quality evidence), although studies were underpowered for assessing these outcomes. Studies did not report on failure to achieve a cephalic vaginal birth (breech vaginal deliveries plus caesarean sections) nor on perinatal mortality or serious infant morbidity.Data were insufficient on the use of regional analgesia without tocolysis, vibroacoustic stimulation, amnioinfusion, systemic opioids and hypnosis, and on the use of talcum powder or gel (...) Interventions for helping to turn term breech babies to head first presentation when using external cephalic version. Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth so as to avoid the adverse effects of breech vaginal birth or caesarean section. Interventions such as tocolytic drugs and other methods have been used in an attempt

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2015 Cochrane database of systematic reviews (Online)

111. PICO Negative Pressure Wound Therapy in Obese Women Undergoing Elective Cesarean Delivery.

with a 24 - 41 weeks gestational age pregnancy scheduled for cesarean delivery for any routine indication (repeat procedure, breech presentation, abnormal placentation, uterine anomaly, maternal medical condition, or elective) Surgical skin site preparation with chlorhexidine gluconate solution (ChloraPrep©) Received preoperative surgical prophylaxis antibiotics as per protocol Surgical incision that can be covered completely by the NPWT skin system Pre-operatively assessed to undergo a procedure (...) PICO Negative Pressure Wound Therapy in Obese Women Undergoing Elective Cesarean Delivery. PICO Negative Pressure Wound Therapy in Obese Women Undergoing Elective Cesarean Delivery. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more

2018 Clinical Trials

112. Cesarean Delivery in the United States 2005 - 2014: A Population-Based Analysis Using the Robson Ten Group Classification System. (PubMed)

, were used to classify all women included into 1 of 10 groups.The overall cesarean rate was 31.6%. Group-3 births (singleton, term, cephalic multiparas in spontaneous labor) were most common, while group-5 births (those with a previous cesarean) accounted for the most cesarean deliveries increasing from 27% of all cesareans in 2005 through 2006 to >34% in 2013 through 2014. Breech pregnancies (groups 6 and 7) had cesarean rates >90%. Primiparous and multiparous women who had a prelabor cesarean (...) Cesarean Delivery in the United States 2005 - 2014: A Population-Based Analysis Using the Robson Ten Group Classification System. Cesarean delivery has increased steadily in the United States over recent decades with significant downstream health consequences. The World Health Organization has endorsed the Robson 10-Group Classification System as a global standard to facilitate analysis and comparison of cesarean delivery rates.Our objective was to apply the Robson 10-Group Classification

2018 American Journal of Obstetrics and Gynecology

113. Neonatal morbidity associated with vaginal delivery of non-cephalic second twins. (PubMed)

. The primary outcome was a composite of intrapartum mortality and neonatal mortality and morbidity. Neonatal outcomes of second twins born ≥32 weeks of gestation after vaginal delivery of the first cephalic or breech twin were compared according to the noncephalic or cephalic second twin presentation. Multivariable logistic regression models controlled for potential confounders. Subgroup analyses were conducted according to the breech or transverse presentation of the noncephalic second twin (...) , and gestational age at delivery, before or after 37 weeks of gestation.Among 3903 second twins enrolled in the study, 2384 (61.1%) were in cephalic and 1519 (38.9%) in noncephalic presentations, of whom 999 (25.6%) were in breech and 520 (13.3%) in transverse presentation. Composite neonatal mortality and morbidity did not differ between the noncephalic and cephalic group (47/1519 [3.1%] vs 59/2384 [2.5%]; adjusted odds ratio, 1.23; 95% confidence interval, 0.81-1.85). No significant difference between groups

2018 American Journal of Obstetrics and Gynecology

114. Neonatal Morbidity After Management of Vaginal Noncephalic Second-Twin Delivery by Residents. (PubMed)

Poisson regression models and propensity score matching to control for indication bias and potential confounders, including the maternity unit status. We performed subgroup analyses according to gestational age at delivery, before or after 37 weeks of gestation, and to the noncephalic second twin presentation, breech or transverse.Among 1,376 noncephalic second-twin deliveries, 545 (39.6%) were initially managed by a resident and 831 (60.4%) by a senior obstetrician. Residents failed to deliver (...) Neonatal Morbidity After Management of Vaginal Noncephalic Second-Twin Delivery by Residents. To assess neonatal mortality and morbidity according to whether a resident or senior obstetrician initially managed vaginal delivery of noncephalic second twins.The JUmeaux MODe d'Accouchement study was a national, prospective, population-based, cohort study of twin deliveries in 176 maternity units in France, where active management of second-twin delivery is recommended. The primary outcome of our

2018 Obstetrics and Gynecology

115. In which groups of pregnant women can the caesarean delivery rate likely be reduced safely in the USA? A multicentre cross-sectional study. (PubMed)

In which groups of pregnant women can the caesarean delivery rate likely be reduced safely in the USA? A multicentre cross-sectional study. To identify obstetrical subgroups in which (1) the caesarean delivery (CD) rate may be reduced without compromising safety and (2) CD may be associated with better perinatal outcomes.A multicentre cross-sectional study.19 hospitals in the USA that participated in the Consortium on Safe Labor.228 562 pregnant women in 2002-2008.Maternal and neonatal safety (...) was measured using the individual Weighted Adverse Outcome Score.Women were divided into 10 subgroups according to a modified Robson classification system. Generalised estimated equation model was used to examine the relationships between mode of delivery and Weighted Adverse Outcome Score in each subgroup.The overall caesarean rate was 31.2%. Repeat CD contributed 29.5% of all CD, followed by nulliparas with labour induction (15.3%) and non-cephalic presentation (14.3%). The caesarean rates in induced

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2018 BMJ open

116. Early Preterm Preeclampsia Outcomes by Intended Mode of Delivery. (PubMed)

regression model with propensity score adjustment. The calculation of propensity scores considered covariates such as maternal age, gestational age, parity, body mass index, tobacco use, diabetes mellitus, chronic hypertension, hospital type and site, birthweight, history of cesarean delivery, malpresentation/breech, simplified Bishop score, insurance, marital status, and steroid use.Among the 460 women with induction (50%), 47% of deliveries were vaginal. By gestational age, 24 to 27 6/7, 28 to 31 6/7 (...) Early Preterm Preeclampsia Outcomes by Intended Mode of Delivery. The optimal route of delivery in early-onset preeclampsia before 34 weeks is debated because many clinicians are reluctant to proceed with induction for perceived high risk of failure.Our objective was to investigate labor induction success rates and compare maternal and neonatal outcomes by intended mode of delivery in women with early preterm preeclampsia.We identified 914 singleton pregnancies with preeclampsia

2018 American Journal of Obstetrics and Gynecology

117. Management of Labor and Delivery After Fetoscopic Repair of an Open Neural Tube Defect. (PubMed)

were induced and 20 labored spontaneously. Of the latter, five were augmented. Of 26 laboring patients, 17 delivered vaginally and nine underwent urgent cesarean delivery (35%, 95% CI 17-56%; seven nonreassuring fetal heart tracings and two breech). There were no cases of uterine rupture or dehiscence. Most (94%, 95% CI 80-99%) had normal 5-minute Apgar scores; one neonate (3%, 95% CI 0-15%) had acidosis but normal Apgar scores.Our data regarding trial of labor, use of low-dose oxytocin (...) Management of Labor and Delivery After Fetoscopic Repair of an Open Neural Tube Defect. To report labor, delivery, and neonatal outcomes in a cohort of women delivering neonates who had undergone fetoscopic neural tube defect repair.We conducted a retrospective cohort study from April 2014 to January 2018. All patients met Management of Myelomeningocele Study eligibility criteria. We included patients with completed second-trimester fetoscopic neural tube defect repair (laparotomy, uterine

2018 Obstetrics and Gynecology

118. Delivery of the second twin: influence of presentation on neonatal outcome, a case controlled study. (PubMed)

Delivery of the second twin: influence of presentation on neonatal outcome, a case controlled study. Spontaneous vaginal twin delivery after 32nd week of gestation is safe when first twin presenting cephalic. Aim of this study is to identify obstetric factors influencing the condition of second twin and to verify whether non-cephalic presentation and vaginal breech delivery of the second twin is safe.This is a retrospective case controlled cohort study of 717 uncomplicated twin deliveries ≥32 (...) after ECS had significant better umbilical artery UA pH (p < 0.001) and better Apgar compared to UPC (p = 0.002). Variables for a fetal population "at risk" for adverse neonatal outcome after vaginal delivery (UA pH < 7.20, Apgar 5´ < 9) were associated with higher gestational age (p = 0.001), longer twin-twin interval (p = 0.05) and vacuum extraction of twin A (p = 0.04). Non-cephalic presentation of second twins was not associated (UA pH < 7.20 OR 1.97, CI 95% 0.93-4.22, p = 0.07, Apgar 5´ < 9

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2018 BMC Pregnancy and Childbirth

119. WITHDRAWN: Caesarean delivery for the second twin. (PubMed)

WITHDRAWN: Caesarean delivery for the second twin. The optimal mode of birth for a second twin in breech position is controversial, with support for both caesarean and vaginal birth.The objective of this review was to assess the effects of caesarean birth compared with vaginal birth of a second twin not presenting cephalically.The Cochrane Pregnancy and Childbirth Group's Trials Register and bibliographies up to 31 January 2007.Randomised trials of caesarean birth compared with vaginal birth

2011 Cochrane

120. Rebozo and External Cephalic Version in Breech Presentation.

research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Understands Danish in writing. Intention of accepting vaginal delivery if cephalic presentation. Can be offered standard treatment of external cephalic version according to local guidelines, e.g.: Singleton pregnancy Fetus in breech (...) Rebozo and External Cephalic Version in Breech Presentation. Rebozo and External Cephalic Version in Breech Presentation. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Rebozo and External Cephalic Version

2014 Clinical Trials

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