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Breech presentation c section

Yu Sun Bin, Christine L Roberts, Michael C Nicholl, Natasha Nassar, Jane B Ford
BACKGROUND: Recent population-wide changes in perinatal risk factors may affect rates of breech presentation at birth, and have implications for the provision of breech services and training in breech management. AIMS: To investigate whether changes in maternal and pregnancy characteristics explain the observed trend in breech presentation at term. MATERIALS AND METHODS: All singleton term (≥37 week) births in New South Wales during 2002-2012 were identified through birth and associated hospital records...
October 17, 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
Zhoobin H Bateni, Steven L Clark, Haleh Sangi-Haghpeykar, Kjersti M Aagaard, Yair J Blumenfeld, Susan M Ramin, Henry C Lee, Karin A Fox, Amirhossein Moaddab, Amir A Shamshirsaz, Bahram Salmanian, Pardis Hosseinzadeh, Diana A Racusin, Hadi Erfani, Jimmy Espinoza, Gary A Dildy, Michael A Belfort, Alireza A Shamshirsaz
OBJECTIVES: To determine the trends of cesarean delivery rate among twin pregnancies from 2006 to 2013. STUDY DESIGN: This is a population-based, cross-sectional analysis of twin live births from United State birth data files of the National Center for Health Statistics for calendar years 2006 through 2013. We stratified the population based on the gestational age groups, maternal race/ethnicity, advanced maternal age (AMA) which was defined by age more than 35 years and within the standard birth weight groups (group 1: birth weight 500-1499g, group 2: birth weight 1500-2499g and group 3: birth weight >2500g)...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
N P Watts, K Petrovska, A Bisits, C Catling, C S E Homer
BACKGROUND: Existing studies regarding women's experiences surrounding an External Cephalic Version (ECV) report on women who have a persistent breech post ECV and give birth by caesarean section, or on women who had successful ECVs and plan for a vaginal birth. There is a paucity of understanding about the experience of women who attempt an ECV then plan a vaginal breech birth when their baby remains breech. The aim of this study was to examine women's experience of an ECV which resulted in a persistent breech presentation...
2016: BMC Pregnancy and Childbirth
Yu Sun Bin, Christine L Roberts, Jane B Ford, Michael C Nicholl
BACKGROUND: Trial evidence supports a policy of caesarean section for singleton breech presentations at term, but vaginal breech birth is considered a safe option for selected women. AIMS: To provide recent Australian data on outcomes associated with intended mode of delivery for term breech singletons in women who meet conservative eligibility criteria for vaginal breech birth. MATERIALS AND METHODS: Birth and hospital records from 2009 to 2012 in New South Wales were used to identify women with nonanomalous pregnancies who would be considered eligible for vaginal breech birth...
June 24, 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
C Coppola, N Mottet, A S Mariet, C Baeza, E Poitrey, A Bourtembourg, R Ramanah, D Riethmuller
OBJECTIVES: To analyse the impact of external cephalic version (ECV) on caesarean section rate in a team with a high success rate of vaginal delivery in breech presentation. MATERIALS AND METHODS: Retrospective monocentric study including 298 patients with a breech presentations between 33 and 35weeks of amenorrhea followed at our university hospital and delivered after 35weeks, between 1st January 2011 and 31st December 2013. Patients were divided into 2 groups: planned ECV (n=216 patients) versus no planned ECV (n=57 patients)...
April 25, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
A Basu, C Flatley, S Kumar
OBJECTIVE: To determine intrapartum and perinatal outcomes following successful external cephalic version for breech presentation at term. STUDY DESIGN: This was a retrospective cohort study of outcomes following successful external cephalic version in 411 women at an Australian tertiary maternity unit between November 2008 and March 2015. The study cohort was compared with a control group of 1236 women with cephalic presentation who underwent spontaneous labor...
June 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
Ricardo Simões, João de Deus Valadares Neto, Wanderley M Bernardo, Antonio J Salomão, Edmund C Baracat
No abstract text is available yet for this article.
September 2015: Revista da Associação Médica Brasileira
Lester Bergenhenegouwen, Sabine Ensing, Anita C J Ravelli, Jelle Schaaf, Marjolein Kok, Ben-Willem Mol
OBJECTIVE: The objective of this study is to investigate the effect of the mode of delivery in women with preterm breech presentation on neonatal and maternal outcome in the subsequent pregnancy. METHODS: Nationwide population-based cohort study in the Netherlands of women with a preterm breech delivery and a subsequent delivery in the years 1999-2007. We compared planned caesarean section versus planned vaginal delivery for perinatal outcomes in both pregnancies...
2016: Journal of Maternal-fetal & Neonatal Medicine
Lester Bergenhenegouwen, Floortje Vlemmix, Sabine Ensing, Jelle Schaaf, Joris van der Post, Ameen Abu-Hanna, Anita C J Ravelli, Ben W Mol, Marjolein Kok
OBJECTIVE: To study the association of the intended mode of delivery and perinatal morbidity and mortality among breech fetuses who are delivered preterm. METHODS: We conducted a nationwide cohort study of women with a singleton pregnancy in breech presentation who delivered preterm (26 0/7-36 6/7 weeks of gestation) in the years 2000-2011. We compared perinatal outcomes according to the intended and actual mode of delivery using multivariate logistic regression analysis...
December 2015: Obstetrics and Gynecology
C Catling, K Petrovska, N Watts, A Bisits, C S E Homer
BACKGROUND: Since the Term Breech Trial in 2000, few Australian clinicians have been able to maintain their skills to facilitate vaginal breech births. The overwhelming majority of women with a breech presentation have been given one birth option, that is, caesarean section. The aim of this study was to explore clinician's experiences of caring for women when facilitating a vaginal breech birth. METHODS: A descriptive exploratory design was undertaken. Nine clinicians (obstetricians and midwives) from two tertiary hospitals in Australia who regularly facilitate vaginal breech birth were interviewed...
April 2016: Women and Birth: Journal of the Australian College of Midwives
C Lembrouck, N Mottet, A Bourtembourg, R Ramanah, D Riethmuller
OBJECTIVE: To determine which clinical practice changes were responsible for a decrease in cesarean rate from 19.2% in 2003 to 15.5% in 2012 at our university hospital treating high risk pregnancies, while verifying the absence of any increase in neonatal morbidity and death. MATERIALS AND METHODS: A descriptive retrospective study was undertaken at our labour ward including all patients delivering in 2003 and in 2012. Maternal, obstetrical and neonatal characteristics of the two populations were compared...
June 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
N Bruey, D Reinbold, C Creveuil, M Dreyfus
OBJECTIVE: The mode of delivery for preterm breech is still controversial, while no randomized study has been completed. The question of a protective effect of cesarean section on neonatal outcome arises. The objective of this study was to compare mortality and neonatal morbidity for children born before 35 weeks of gestation in breech presentation, depending on the route of delivery. METHODS: This was a retrospective study done in University Hospital type 3 over five years, comparing neonatal mortality and different neonatal morbidity criteria for children born between 25 weeks of gestation and 34 weeks+6 days spread into two groups according to their mode of delivery: elective caesarean section before labor and vaginal delivery...
November 2015: Gynécologie, Obstétrique & Fertilité
J Burgos, L Rodríguez, P Cobos, C Osuna, M Del Mar Centeno, R Larrieta, T Martínez-Astorquiza, L Fernández-Llebrez
OBJECTIVE: To evaluate the impact of management of childbirth (external cephalic version (ECV) plus planned vaginal delivery (PVD)) of breech presentation at term (⩾37 weeks of gestation). STUDY DESIGN: This retrospective cohort study was based on data collected of singleton breech presentations at term in the Obstetrics and Gynaecology Service, Cruces University Hospital (Biscay, Spain), from January 2003 to December 2012. RESULT: We attended 2377 singleton breech pregnancies at term...
October 2015: Journal of Perinatology: Official Journal of the California Perinatal Association
Hiromi Nagase, Hiroshi Ishikawa, Katsuaki Toyoshima, Yasufumi Itani, Noritaka Furuya, Kenji Kurosawa, Fumiki Hirahara, Michiko Yamanaka
To investigate the pregnancy outcome of the fetuses with trisomy 18, we studied 123 cases of trisomy 18 who were born at our hospital from 1993 to 2009. Among them, 95.9% were diagnosed with trisomy 18 prenatally. Prenatal ultrasound findings showed fetal growth restriction in 77.2%, polyhydramnios in 63.4% and congenital heart defects in 95.1%. For 18 cases, cesarean section (C-section) was chosen, and for 75 cases, transvaginal delivery was chosen. Premature delivery occurred in 35.5%. Stillbirths occurred in 50 cases (40...
January 2016: Congenital Anomalies
J Lansac, C Crenn-Hebert, O Rivière, F Vendittelli
Based on data from the AUDIPOG sentinel network between 1994 and 2010, we can say that the rate of singleton breech presentation at term is 3% and remains unchanged despite an external cephalic version rate of 35%. The total cesarean section rate is currently 75%. This rate increased by nearly 20% after the Hannah publication in 2000, regardless of the type of breech and type of maternity unit. The rate of planned cesarean sections increased in particular, going from 40% to 60%, and even reaching 67% for footling breech presentations...
May 2015: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Jose C P Ferreira, Dariusz Borowski, Bartosz Czuba, Wojciech Cnota, Agata Wloch, Krzysztof Sodowski, Miroslaw Wielgos, Piotr Wegrzyn
We investigated changes in the frequencies of four primary types of singleton fetal lie/presentation for each gestational week from 18 to 39 weeks in a retrospective, cross-sectional study which analyzed ultrasound examination records of fetal positions, in the outpatient prenatal diagnosis clinics in two cities in Poland. We calculated the prevalence and 95% confidence intervals for each type of lie/presentation. We then identified the gestational age after which no statistically significant changes in terms of prevalence were observed, by comparing the results at each week with the prevalence of cephalic presentation at 39(+0) weeks, used as reference...
June 2015: Acta Obstetricia et Gynecologica Scandinavica
Daniel F Mackay, Rachael Wood, Albert King, David N Clark, Sally-Ann Cooper, Gordon C S Smith, Jill P Pell
BACKGROUND: Obstetric management of term breech infants changed dramatically following the Term Breech Trial which suggested increased serious neonatal morbidity following trial of labour. Short-term morbidity is a poor proxy of long-term neurological sequelae. We determined whether vaginal breech delivery was associated with educational outcomes. METHODS: We linked three Scotland-wide administrative databases at an individual level: the ScotXed school census; Scottish Qualifications Authority (SQA) examination results; and Scottish Morbidity Record (SMR02) maternity database...
February 2015: International Journal of Epidemiology
Floortje Vlemmix, Ageeth N Rosman, Susan te Hoven, Suzanne van de Berg, Margot A H Fleuren, Marlies E Rijnders, Antje Beuckens, Brent C Opmeer, Ben Willem J Mol, Marjolein Kok
BACKGROUND: External cephalic version (ECV) reduces the rate of elective cesarean sections as a result of breech presentation. Several studies have shown that not all eligible women undergo an ECV attempt. The aim of this study was to evaluate the implementation of ECV in the Netherlands and to explain variation in implementation rates with hospital characteristics and individual factors. METHODS: We invited 40 hospitals to participate in this retrospective cohort study...
December 2014: Birth
Floortje Vlemmix, Lester Bergenhenegouwen, Jelle M Schaaf, Sabine Ensing, Ageeth N Rosman, Anita C J Ravelli, Joris A M Van Der Post, Arno Verhoeven, Gerard H Visser, Ben W J Mol, Marjolein Kok
OBJECTIVE: 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. DESIGN: Retrospective cohort. SETTING: The Netherlands. POPULATION: Singleton term breech deliveries from 37+0 to 41+6 weeks, excluding fetuses with congenital malformations or antenatal death...
September 2014: Acta Obstetricia et Gynecologica Scandinavica
C D Peterlein, T Penner, J Schmitt, S Fuchs-Winkelmann, C Fölsch
BACKGROUND: Since 1985 the hips of the newborns have been sonographically screened at the University Hospital Marburg by staff of the Orthopaedic Department. This study was conducted to collect data on the local incidence of DDH (developmental dysplasia of the hip). Moreover, the diagnostic findings were checked critically to detect weak points. Another aim was to analyse the influence of investigators' experience on the treatment recommendation. MATERIAL AND METHODS: In a retrospective study, 18 247 hip sonograms in a treatment period from 1985 to 2009 were analysed...
June 2014: Zeitschrift Für Orthopädie und Unfallchirurgie
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