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Breech Delivery

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141. Caesarean section for preterm birth and, breech presentation and twin pregnancies. (PubMed)

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

142. 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

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

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

144. Contraindications for external cephalic version in breech position at term: a systematic review. (PubMed)

Contraindications for external cephalic version in breech position at term: a systematic review. External cephalic version (ECV) is a safe and effective intervention that can prevent breech delivery, thus reducing the need for cesarean delivery. It is recommended in national guidelines. These guidelines also mention contraindications for ECV, and thereby restrict the application of ECV. We assessed whether the formulation of these contraindications in guidelines are based on empiric (...) data.Systematic review.Pregnant women with a singleton breech presentation from 34 weeks.We searched the National Guideline Clearinghouse, the Cochrane Central Register of Controlled Trials, MEDLINE (1953-2009), EMBASE (1980-2009), TRIP database (until 2011), NHS (National Health Services, until 2011), Diseases database (until 2011) and NICE guidelines (until 2011) for existing guidelines on ECV and studied the reproducibility of the contraindications stated in the guidelines. Furthermore, we systematically

2013 Acta Obstetricia et Gynecologica Scandinavica

145. Cesarean delivery for the prevention of anal incontinence. (PubMed)

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

146. 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

147. 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

148. 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

149. Cephalic version by postural management for breech presentation. (PubMed)

Cephalic version by postural management for breech presentation. Babies with breech presentation (bottom first) are at increased risk of complications during birth, and are often delivered by caesarean section. The chance of breech presentation persisting at the time of delivery, and the risk of caesarean section, can be reduced by external cephalic version (ECV - turning the baby by manual manipulation through the mother's abdomen). It is also possible that maternal posture may influence fetal (...) position. Many postural techniques have been used to promote cephalic version.The objective of this review was to assess the effects of postural management of breech presentation on measures of pregnancy outcome. We evaluated procedures in which the mother rests with her pelvis elevated. These include the knee-chest position, and a supine position with the pelvis elevated with a wedge-shaped cushion.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (22 August 2012).Randomised

2012 Cochrane database of systematic reviews (Online)

150. 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 (7 August 2012).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 seven studies. The pooled data from these studies show a statistically significant and clinically meaningful reduction in non-cephalic birth (seven

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2012 Cochrane database of systematic reviews (Online)

151. Cephalic version by moxibustion for breech presentation. (PubMed)

Cephalic version by moxibustion for breech presentation. Moxibustion (a type of Chinese medicine which involves burning a herb close to the skin) to the acupuncture point Bladder 67 (BL67) (Chinese name Zhiyin), located at the tip of the fifth toe, has been proposed as a way of correcting breech presentation.To examine the effectiveness and safety of moxibustion on changing the presentation of an unborn baby in the breech position, the need for external cephalic version (ECV), mode of birth (...) , and perinatal morbidity and mortality for breech presentation.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (26 March 2012), MEDLINE (1966 to 1 August 2011), EMBASE (1980 to August 2011), CINAHL (1982 to 1 August 2011), MIDIRS (1982 to 1 August 2011) and AMED (1985 to 1 August 2011) and searched bibliographies of relevant papers.The inclusion criteria were published and unpublished randomised controlled trials comparing moxibustion (either alone or in combination with acupuncture

2012 Cochrane database of systematic reviews (Online)

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

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

153. Cephalic Version by Acupuncture-Moxibustion for Breech Presentation

Cephalic Version by Acupuncture-Moxibustion for Breech Presentation Cephalic Version by Acupuncture-Moxibustion for 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. Cephalic Version (...) by Acupuncture-Moxibustion for Breech Presentation (ACUVERSE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01487590 Recruitment Status : Completed First Posted : December 7, 2011 Last Update Posted : January 18, 2012 Sponsor: University Hospital, Lille Information provided by (Responsible Party

2011 Clinical Trials

154. Reverse breech extraction versus head pushing in cesarean section for obstructed labor. A comparative study in Yemen. (PubMed)

in the study. They were divided randomly into 2 groups. A study group (n=59) was assigned to deliver the baby by reverse breech extraction, and control group (n=59) was assigned to deliver by the conventional method. The maternal and neonatal outcomes between the 2 groups were compared.Extension of the uterine incision occurred in significantly less women using reverse breech extraction compared to cephalic delivery (5% versus 40.6%; p=0.0001). It was observed that the mean operation time and blood loss (...) Reverse breech extraction versus head pushing in cesarean section for obstructed labor. A comparative study in Yemen. To compare the maternal and fetal outcome of 2 different methods of delivering the baby during cesarian section when the fetal head is deeply engaged.A prospective case control study was carried out in the Obstetrics and Gynecology Department, Al-Thawra General Hospital, Sana'a, Yemen from January to December 2010. A total of 118 women who met our criteria were included

2011 Saudi medical journal

155. Report of a breech cesarean section maternal death. (PubMed)

Report of a breech cesarean section maternal death. In Australia in 2007, a woman with two previous normal vaginal deliveries underwent an emergency cesarean section at full dilatation of the cervix with a breech presentation. The woman died after a severe hemorrhage. The official Coroner's Report attributed the cause of death to postpartum hemorrhage, whereas the breech presentation was barely mentioned, suggesting that complications with breech cesarean deliveries are under-appreciated

2011 Birth

156. Cephalic Version in Breech Presentation (PubMed)

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

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1953 The Yale journal of biology and medicine

157. Method of Breech Management Incorporating Use of Fetal Blood Sampling (PubMed)

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.

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1972 British medical journal

158. Breech management with fetal blood sampling. (PubMed)

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

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1973 British medical journal

159. Management of twins: vaginal or cesarean delivery? (PubMed)

unnecessary cesarean deliveries and maternal morbidity, it is important to continue to train residents to perform obstetrics maneuvers necessary for vaginal delivery of twins such as vaginal breech extraction. (...) Management of twins: vaginal or cesarean delivery? Recent level I evidence from a single randomized-controlled trial has shown that there is no difference in fetal or neonatal outcomes (composite of fetal/neonatal death or serious neonatal morbidity) between planned cesarean delivery and planned vaginal delivery for twins between 32 and 38 6/7 weeks. As long as the presenting twin is vertex, vaginal delivery should be considered regardless of the presentation of the second twin. To avoid

2015 Clinical Obstetrics and Gynecology

160. Increased maternal TSH and decreased maternal FT4 are associated with a higher operative delivery rate in low-risk pregnancies: A prospective cohort study. (PubMed)

was related to specific reasons for operative deliveries.In this prospective cohort study, low-risk Caucasian women, pregnant of a single cephalic fetus were included. Women with known auto-immune disease, a pre-labour Caesarean section, induction of labour, breech presentation or preterm delivery were excluded. In all trimesters of pregnancy the thyroid function was assessed. Differences in mean TSH and FT4 were assessed using t-test. Mean TSH and FT4 levels for operative deliveries were determined (...) Increased maternal TSH and decreased maternal FT4 are associated with a higher operative delivery rate in low-risk pregnancies: A prospective cohort study. The increasing number of operative deliveries is a topic of major concern in modern obstetrics. Maternal thyroid function is of known influence on many obstetric parameters. Our objective was to investigate a possible relation between maternal thyroid function, and operative deliveries. Secondary aim was to explore whether thyroid function

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2015 BMC Pregnancy and Childbirth

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