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Mode of delivery for breech presentation in grandmultiparous women.
Int J Gynaecol Obstet. 2004 Jun; 85(3):234-9.IJ

Abstract

OBJECTIVES

To compare maternal and neonatal outcomes of planned vaginal delivery vs. elective cesarean delivery for breech presentation at term.

METHODS

Retrospective study of term breech deliveries from January 1997 through December 2000. A group of 128 women for whom vaginal delivery was planned was compared with a group of 122 women who had an elective cesarean delivery with regard to neonatal mortality and morbidity (birth trauma, birth asphyxia, hyperbilirubinemia, and duration of stay in the neonatal intensive care unit) and maternal morbidity (infections, hemorrhage, hysterectomy, deep venous thrombosis, and pulmonary embolism).

RESULTS

There was no difference in neonatal mortality and morbidity between the two groups (13.0% vs. 9.4%). There were fewer maternal complications in the planned vaginal group than in the elective cesarean group (5.5% vs. 18%; P<0.01). In the planned vaginal delivery group 70% of multiparas and 85% of grandmultiparas were delivered vaginally compared with 50% of nulliparas.

CONCLUSIONS

In breech presentations at term vaginal delivery can be achieved in 85% of grandmultiparas without significant neonatal morbidity. Elective cesarean section is associated with increased maternal morbidity compared with planned vaginal delivery.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Al-Mafraq Hospital, Abu Dhabi, United Arab Emirates. srinathk@emirates.net.aeNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15145257

Citation

Kumari, A S., and H Grundsell. "Mode of Delivery for Breech Presentation in Grandmultiparous Women." International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, vol. 85, no. 3, 2004, pp. 234-9.
Kumari AS, Grundsell H. Mode of delivery for breech presentation in grandmultiparous women. Int J Gynaecol Obstet. 2004;85(3):234-9.
Kumari, A. S., & Grundsell, H. (2004). Mode of delivery for breech presentation in grandmultiparous women. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, 85(3), 234-9.
Kumari AS, Grundsell H. Mode of Delivery for Breech Presentation in Grandmultiparous Women. Int J Gynaecol Obstet. 2004;85(3):234-9. PubMed PMID: 15145257.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mode of delivery for breech presentation in grandmultiparous women. AU - Kumari,A S, AU - Grundsell,H, PY - 2003/07/28/received PY - 2003/11/11/revised PY - 2003/11/13/accepted PY - 2004/5/18/pubmed PY - 2004/9/8/medline PY - 2004/5/18/entrez SP - 234 EP - 9 JF - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JO - Int J Gynaecol Obstet VL - 85 IS - 3 N2 - OBJECTIVES: To compare maternal and neonatal outcomes of planned vaginal delivery vs. elective cesarean delivery for breech presentation at term. METHODS: Retrospective study of term breech deliveries from January 1997 through December 2000. A group of 128 women for whom vaginal delivery was planned was compared with a group of 122 women who had an elective cesarean delivery with regard to neonatal mortality and morbidity (birth trauma, birth asphyxia, hyperbilirubinemia, and duration of stay in the neonatal intensive care unit) and maternal morbidity (infections, hemorrhage, hysterectomy, deep venous thrombosis, and pulmonary embolism). RESULTS: There was no difference in neonatal mortality and morbidity between the two groups (13.0% vs. 9.4%). There were fewer maternal complications in the planned vaginal group than in the elective cesarean group (5.5% vs. 18%; P<0.01). In the planned vaginal delivery group 70% of multiparas and 85% of grandmultiparas were delivered vaginally compared with 50% of nulliparas. CONCLUSIONS: In breech presentations at term vaginal delivery can be achieved in 85% of grandmultiparas without significant neonatal morbidity. Elective cesarean section is associated with increased maternal morbidity compared with planned vaginal delivery. SN - 0020-7292 UR - https://www.unboundmedicine.com/medline/citation/15145257/Mode_of_delivery_for_breech_presentation_in_grandmultiparous_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S002072920300523X DB - PRIME DP - Unbound Medicine ER -