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Breech Delivery

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121. 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

122. Can Caesarean section improve child and maternal health? The case of breech babies. (Abstract)

and the number of family doctor visits in the first year of life. We find no significant effects for severe neonatal morbidity or hospitalizations. While mothers are hospitalized longer after birth, we find no effects of CS for maternal post-birth complications or infections. Although the change in mode of delivery for the marginal breech babies increases direct costs, the health benefits show that CS is the safest option for these children. Copyright © 2014 Elsevier B.V. All rights reserved. (...) Can Caesarean section improve child and maternal health? The case of breech babies. This paper examines the health effects of Caesarean section (CS) for children and their mothers. We use exogenous variation in the probability of CS in a fuzzy regression discontinuity design. Using administrative Danish data, we exploit an information shock for obstetricians that sharply altered CS rates for breech babies. We find that CS decreases the child's probability of having a low APGAR score

2014 Journal of Health Economics

123. Intrapartum monitoring with cardiotocography and ST-waveform analysis in breech presentation: an observational study. Full Text available with Trip Pro

Intrapartum monitoring with cardiotocography and ST-waveform analysis in breech presentation: an observational study. To determine the electrocardiographic performance and neonatal outcome of pregnancies with breech presentation and planned vaginal delivery monitored with ST-waveform analysis (STAN).Prospective observational study.University hospital, Norway; 2004-2008.Singleton pregnancies with a gestational age above 35 + 6 weeks, breech presentation, selected for vaginal delivery (...) for vaginal delivery. Intrapartum monitoring by STAN was performed in 433 (69%). Compared with vertex presentations, fetuses in breech presentation had a lower risk of baseline T/QRS rise during labour [odds ratio (OR) = 0.7, 95% confidence interval (95% CI) = 0.7-0.9, P = 0.003] and a higher risk for intervention as a result of preterminal cardiotocogram (OR = 2.9, 95% CI = 1.6-5.9, P = 0.001). The risks of perinatal mortality (OR = 1.8, 95% CI = 0.2-15, P = 0.6), cord metabolic acidosis (OR = 0.8, 95

2014 BJOG

124. Breech Presentation (Overview)

Breech Presentation (Overview) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation Updated (...) : Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

125. Breech Presentation (Treatment)

Breech Presentation (Treatment) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation (...) Updated: Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

126. Breech Presentation (Follow-up)

Breech Presentation (Follow-up) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation (...) Updated: Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

127. Breech Presentation (Diagnosis)

Breech Presentation (Diagnosis) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery 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=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation (...) Updated: Jun 15, 2016 Author: Richard Fischer, MD; Chief Editor: Ronald M Ramus, MD Share Email Print Feedback Close Sections Sections Breech Presentation Overview Overview Breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. This occurs in 3-4% of all deliveries. The percentage of breech deliveries decreases with advancing gestational age from 22-25% of births prior to 28 weeks' gestation to 7-15% of births at 32 weeks' gestation to 3-4

2014 eMedicine.com

128. Operative Vaginal Delivery

. 33,34 However, no bleeding was reported in two randomised trials comparing forceps and vacuum extraction. 35–37 Forceps and vacuum extractor deliveries before full dilatation of the cervix are contraindicated. Forceps can be used for the after-coming head of the breech and in situations where maternal effort is impossible or contraindicated. 4.4 What are the essential conditions for safe operative vaginal delivery? Safe operative vaginal delivery requires a careful assessment of the clinical (...) Operative Vaginal Delivery Operative Vaginal Delivery Green–top Guideline No. 26 January 2011RCOG Green-top Guideline No. 26 2 of 19 © Royal College of Obstetricians and Gynaecologists Operative Vaginal Delivery This is the third edition of this guideline, which was published under the same title in October 2005 and formerly as Instrumental vaginal delivery, which was published in October 2000. 1. Purpose and scope The aim of this guideline is to provide up-to-date information on the use

2011 Royal College of Obstetricians and Gynaecologists

129. Brief report: a cost analysis of neuraxial anesthesia to facilitate external cephalic version for breech fetal presentation. (Abstract)

Brief report: a cost analysis of neuraxial anesthesia to facilitate external cephalic version for breech fetal presentation. In this study, we sought to determine whether neuraxial anesthesia to facilitate external cephalic version (ECV) increased delivery costs for breech fetal presentation.Using a computer cost model, which considers possible outcomes and probability uncertainties at the same time, we estimated total expected delivery costs for breech presentation managed by a trial of ECV (...) prediction interval $8896-$9419) if ECV was attempted/performed without anesthesia. The expected mean incremental difference between the total cost of delivery that includes ECV with anesthesia and ECV without anesthesia was $-276 (2.5th-97.5th percentile prediction interval $-720 to $112).The total cost of delivery in women with breech presentation may be decreased (up to $720) or increased (up to $112) if ECV is attempted/performed with neuraxial anesthesia compared with ECV without neuraxial

2013 Anesthesia and Analgesia

130. Theoretical Compared With hands-on Training of Vaginal Breech Management

): Clemens Tempfer, Ruhr University of Bochum Study Details Study Description Go to Brief Summary: This trial aims to assess the hypothesis that hands-on training of vaginal breech delivery on a pelvic model is significantly better in terms of a technical skills scoring system compared to frontal teaching. Condition or disease Intervention/treatment Phase Vaginal Abnormality - Baby Delivered Other: hands-on training Other: frontal teaching Phase 3 Detailed Description: Primary endpoint is a score (...) Theoretical Compared With hands-on Training of Vaginal Breech Management Theoretical Compared With hands-on Training of Vaginal Breech Management - 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. Theoretical

2013 Clinical Trials

131. [External cephalic version in case of persisting breech presentation at term: Motivations and women's experience of the intervention]. (Abstract)

considering an ECV in the event of persistent breech position at 37 weeks. These women expressed the desire to give birth vaginally (52% versus 24.4%, P<0.001). In contrast, others women preferred an elective cesarean section to avoid the risk of a breech vaginal delivery. Women felt pain during the ECV and scored 60 on average using the analogical visual scale. Women rated on a verbal rating scale the ECV as severely painful to unbearable (68%), and as stressful (70%). Despite this, the majority of women (...) [External cephalic version in case of persisting breech presentation at term: Motivations and women's experience of the intervention]. To evaluate the efficacy and acceptability of external cephalic version (ECV).From 2004 to 2008, 212 pregnant women between 34-37 weeks of gestation with fetus in breech presentation were included in a randomized clinical trial and 125 externals cephalic versions were studied.A success rate of 37.6%t was recorded. At 34 weeks of gestation, 80.6% of women were

2013 Gynécologie, obstétrique & fertilité Controlled trial quality: uncertain

132. Caesarean section for preterm birth and, breech presentation and twin pregnancies. (Abstract)

Caesarean section for preterm birth and, breech presentation and twin pregnancies. Caesarean section incidence is steadily rising worldwide; the major contributor to this rise is pregnancies with previous caesarean section. Hence, it is important to scrutinise carefully the indication of primary caesarean sections. Preterm births, breech presentation and twin pregnancies together complicate 12-18% of all births. The role of caesarean section in these pregnancies is controversial and lacks good (...) evidence-based guidelines. Policy on mode of delivery in these three important obstetric groups is bound to influence overall primary caesarean section rates. In this chapter, we review the evidence on the place of caesarean delivery in these three important groups.Copyright © 2012 Elsevier Ltd. All rights reserved.

2013 Best practice & research. Clinical obstetrics & gynaecology

133. 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

2015 FP Notebook

134. Open Randomized Controlled Trial to Evaluate the Efficacy and Safety of Remifentanil Versus Nitrous Oxide in External Cephalic Version at Term in Singleton Pregnancy in Breech Presentation

Open Randomized Controlled Trial to Evaluate the Efficacy and Safety of Remifentanil Versus Nitrous Oxide in External Cephalic Version at Term in Singleton Pregnancy in Breech Presentation Open Randomized Controlled Trial to Evaluate the Efficacy and Safety of Remifentanil Versus Nitrous Oxide in External Cephalic Version at Term in Singleton Pregnancy 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. Open Randomized Controlled Trial to Evaluate the Efficacy and Safety of Remifentanil Versus Nitrous Oxide in External Cephalic Version at Term in Singleton Pregnancy in Breech Presentation (REMIVER) The safety and scientific validity of this study is the responsibility

2012 Clinical Trials

135. Ex utero intrapartum treatment procedure for management of congenital high airway obstruction syndrome in a vertex/breech twin gestation. (Abstract)

Ex utero intrapartum treatment procedure for management of congenital high airway obstruction syndrome in a vertex/breech twin gestation. Congenital high airway obstruction syndrome (CHAOS) is one indication for the ex utero intrapartum treatment (EXIT), which is used to secure the fetal airway, while fetal oxygenation is maintained by uteroplacental circulation. We report a successful EXIT procedure in a twin gestation in which one child had CHAOS while the other was a healthy child without (...) any congenital abnormalities. After version of Twin B to allow for delivery of Twin A, Twin B underwent airway evaluation and tracheostomy for laryngeal atresia prior to delivery.Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

2012 International Journal of Pediatric Otorhinolaryngology

136. Cesarean delivery for the prevention of anal incontinence. Full Text available with Trip Pro

Cesarean delivery for the prevention of anal incontinence. Caesarean delivery (CD) is a common form of delivery of a baby, rising in frequency. One reason for its performance is to preserve maternal pelvic floor function, part of which is anal continence.To assess the ability of CD in comparison to vaginal delivery (VD) to preserve anal continence in a systematic reviewSearch terms include: "Caesarean section, Cesarean delivery, vaginal delivery, incontinence and randomised". PubMed, EMBASE (...) and the Cochrane Central Register of Controlled Trials (Central) were searched from their inception through July, 2009.Both randomised and non-randomised studies that allowed comparisons of post partum anal continence (both fecal and flatus) in women who had had babies delivered by either CD or VD were included.Mode of delivery, and when possible mode of all previous deliveries prior to the index pregnancy were extracted, as well as assessment of continence post partum of both faeces and flatus. In Non-RCTs

2010 Cochrane

137. Cephalic Version in Breech Presentation Full Text available with Trip Pro

Cephalic Version in Breech Presentation 13078642 2003 05 01 2018 12 01 0044-0086 25 6 1953 Jun The Yale journal of biology and medicine Yale J Biol Med Cephalic version in breech presentation. 517-24 FRIEDMAN I I eng Journal Article United States Yale J Biol Med 0417414 0044-0086 OM Breech Presentation Delivery, Obstetric Female Humans Labor Presentation Pregnancy Work 5324:49385:181:353 DELIVERY LABOR, PRESENTATION 1953 6 1 1953 6 1 0 1 1953 6 1 0 0 ppublish 13078642 PMC2599449 Acta Obstet

1953 The Yale journal of biology and medicine

138. Breech management with fetal blood sampling. Full Text available with Trip Pro

Breech management with fetal blood sampling. 4686561 1973 04 05 2016 09 04 0007-1447 1 5847 1973 Jan 27 British medical journal Br Med J Breech management with fetal blood sampling. 229-30 eng Journal Article England Br Med J 0372673 0007-1447 AIM IM Anesthesia, Epidural Apgar Score Blood Delivery, Obstetric Female Fetal Heart Humans Hydrogen-Ion Concentration Infant, Newborn Labor Presentation Pregnancy Umbilical Veins 1973 1 27 1973 1 27 0 1 1973 1 27 0 0 ppublish 4686561 PMC1588161

1973 British medical journal

139. Method of Breech Management Incorporating Use of Fetal Blood Sampling Full Text available with Trip Pro

Method of Breech Management Incorporating Use of Fetal Blood Sampling We have developed a method of breech management based on the use of fetal blood sampling. Twenty-five cases were studied throughout labour, and fetal blood samples taken throughout the first and second stages. These showed that the Apgar score at one minute correlated closely with the fetal pH just before delivery. We believe that cord compression is an important variable factor which can be assessed only by fetal blood (...) sampling. If this shows that fetal anoxia is becoming severe then immediate delivery is mandatory.

1972 British medical journal

140. Labor and Delivery, Normal Delivery of the Newborn

and may be managed expectantly. If the patient is unstable or no conversion occurs, cesarean delivery is recommended. Face presentation Clinicians and mothers may tolerate a trial of expectant management, if cephalopelvic disproportion is not suspected and if the face is in a mentum anterior or mentum transverse position. If the face is mentum posterior (chin facing the maternal sacrum), a cesarean delivery is required. Up to 5% of all fetuses and 1-3% of full-term pregnancies present in the breech (...) position. Plan for abdominal delivery for a footling presentation. For frank breech (ie, hips flexed, knees extended) and complete breech (ie, hips and knees flexed) presentations detected before the onset of labor, manual pressure maneuvers called external cephalic version (ECV) may be performed to attempt conversion to a vertex presentation. The success rates of ECV are greater than 50% in properly selected patients, but these maneuvers should be performed at term, as they may stimulate labor

2014 eMedicine.com

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