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Outcomes of children at 2 years after planned cesarean birth versus planned vaginal birth for breech presentation at term: the International Randomized Term Breech Trial.
Am J Obstet Gynecol. 2004 Sep; 191(3):864-71.AJ

Abstract

OBJECTIVE

The purpose of this study was to determine whether planned cesarean delivery for the singleton fetus in breech presentation at term reduces the risk of death or neurodevelopmental delay at 2 years of age.

STUDY DESIGN

In selected centers in the Term Breech Trial, children were screened for abnormalities at > or =2 years of age with the Ages and Stages Questionnaire, followed by a neurodevelopmental assessment if the Ages and Stages Questionnaire score was abnormal.

RESULTS

A total of 923 of 1159 children (79.6%) from 85 centers were followed to 2 years of age. The risk of death or neurodevelopmental delay was no different for the planned cesarean than for the planned vaginal birth groups (14 children [3.1%] vs 13 children [2.8%]; relative risk, 1.09; 95% CI, 0.52- 2.30; P = .85; risk difference, +0.3%; 95% CI, -1.9%, +2.4%).

CONCLUSION

Planned cesarean delivery is not associated with a reduction in risk of death or neurodevelopmental delay in children at 2 years of age.

Authors+Show Affiliations

Department of Pediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15467555

Citation

Whyte, Hilary, et al. "Outcomes of Children at 2 Years After Planned Cesarean Birth Versus Planned Vaginal Birth for Breech Presentation at Term: the International Randomized Term Breech Trial." American Journal of Obstetrics and Gynecology, vol. 191, no. 3, 2004, pp. 864-71.
Whyte H, Hannah ME, Saigal S, et al. Outcomes of children at 2 years after planned cesarean birth versus planned vaginal birth for breech presentation at term: the International Randomized Term Breech Trial. Am J Obstet Gynecol. 2004;191(3):864-71.
Whyte, H., Hannah, M. E., Saigal, S., Hannah, W. J., Hewson, S., Amankwah, K., Cheng, M., Gafni, A., Guselle, P., Helewa, M., Hodnett, E. D., Hutton, E., Kung, R., McKay, D., Ross, S., & Willan, A. (2004). Outcomes of children at 2 years after planned cesarean birth versus planned vaginal birth for breech presentation at term: the International Randomized Term Breech Trial. American Journal of Obstetrics and Gynecology, 191(3), 864-71.
Whyte H, et al. Outcomes of Children at 2 Years After Planned Cesarean Birth Versus Planned Vaginal Birth for Breech Presentation at Term: the International Randomized Term Breech Trial. Am J Obstet Gynecol. 2004;191(3):864-71. PubMed PMID: 15467555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes of children at 2 years after planned cesarean birth versus planned vaginal birth for breech presentation at term: the International Randomized Term Breech Trial. AU - Whyte,Hilary, AU - Hannah,Mary E, AU - Saigal,Saroj, AU - Hannah,Walter J, AU - Hewson,Sheila, AU - Amankwah,Kofi, AU - Cheng,Mary, AU - Gafni,Amiram, AU - Guselle,Patricia, AU - Helewa,Michael, AU - Hodnett,Ellen D, AU - Hutton,Eileen, AU - Kung,Rose, AU - McKay,Darren, AU - Ross,Susan, AU - Willan,Andrew, AU - ,, PY - 2004/10/7/pubmed PY - 2004/11/9/medline PY - 2004/10/7/entrez SP - 864 EP - 71 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 191 IS - 3 N2 - OBJECTIVE: The purpose of this study was to determine whether planned cesarean delivery for the singleton fetus in breech presentation at term reduces the risk of death or neurodevelopmental delay at 2 years of age. STUDY DESIGN: In selected centers in the Term Breech Trial, children were screened for abnormalities at > or =2 years of age with the Ages and Stages Questionnaire, followed by a neurodevelopmental assessment if the Ages and Stages Questionnaire score was abnormal. RESULTS: A total of 923 of 1159 children (79.6%) from 85 centers were followed to 2 years of age. The risk of death or neurodevelopmental delay was no different for the planned cesarean than for the planned vaginal birth groups (14 children [3.1%] vs 13 children [2.8%]; relative risk, 1.09; 95% CI, 0.52- 2.30; P = .85; risk difference, +0.3%; 95% CI, -1.9%, +2.4%). CONCLUSION: Planned cesarean delivery is not associated with a reduction in risk of death or neurodevelopmental delay in children at 2 years of age. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/15467555/Outcomes_of_children_at_2_years_after_planned_cesarean_birth_versus_planned_vaginal_birth_for_breech_presentation_at_term:_the_International_Randomized_Term_Breech_Trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002937804006568 DB - PRIME DP - Unbound Medicine ER -