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Is a breech presentation at term more frequent in women with a history of cesarean delivery?
Am J Obstet Gynecol. 2008 May; 198(5):521.e1-6.AJ

Abstract

OBJECTIVE

The purpose of this study was to determine whether breech presentation at term is more common among women with at least 1 previous cesarean delivery.

STUDY DESIGN

This historic cohort study (n = 84,688) included women with a singleton term pregnancy and at least 1 previous delivery. Results were expressed as crude relative risks and adjusted odds ratios.

RESULTS

While 2.46% of women had a fetus in breech presentation at term, 14.91% of women had had 1 or more previous cesareans. The relative risk of a breech presentation at term for women with a history of cesarean was 2.18 (95%CI: 1.98-2.39). It did not differ according to the number of previous cesareans. The logistic regression analysis took into account confounding factors including gestational age, maternal age, parity, birthweight, and oligohydramnios. The adjusted odds ratio was 2.12 (95%CI: 1.91-2.36).

CONCLUSION

Women with previous cesarean deliveries have a risk of breech presentation at term twice that of women with previous vaginal deliveries.

Authors+Show Affiliations

Association des Utilisateurs de Dossiers Informatisés en Pédiatrie, Obstétrique et Gynécologie sentinel network, Lyon, France. fvendittelli@chuclermontferrand.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18241817

Citation

Vendittelli, Françoise, et al. "Is a Breech Presentation at Term More Frequent in Women With a History of Cesarean Delivery?" American Journal of Obstetrics and Gynecology, vol. 198, no. 5, 2008, pp. 521.e1-6.
Vendittelli F, Rivière O, Crenn-Hébert C, et al. Is a breech presentation at term more frequent in women with a history of cesarean delivery? Am J Obstet Gynecol. 2008;198(5):521.e1-6.
Vendittelli, F., Rivière, O., Crenn-Hébert, C., Rozan, M. A., Maria, B., & Jacquetin, B. (2008). Is a breech presentation at term more frequent in women with a history of cesarean delivery? American Journal of Obstetrics and Gynecology, 198(5), e1-6. https://doi.org/10.1016/j.ajog.2007.11.009
Vendittelli F, et al. Is a Breech Presentation at Term More Frequent in Women With a History of Cesarean Delivery. Am J Obstet Gynecol. 2008;198(5):521.e1-6. PubMed PMID: 18241817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is a breech presentation at term more frequent in women with a history of cesarean delivery? AU - Vendittelli,Françoise, AU - Rivière,Olivier, AU - Crenn-Hébert,Catherine, AU - Rozan,Marc-Alain, AU - Maria,Bernard, AU - Jacquetin,Bernard, AU - ,, Y1 - 2008/02/01/ PY - 2007/05/04/received PY - 2007/08/19/revised PY - 2007/11/05/accepted PY - 2008/2/5/pubmed PY - 2008/5/28/medline PY - 2008/2/5/entrez SP - 521.e1 EP - 6 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 198 IS - 5 N2 - OBJECTIVE: The purpose of this study was to determine whether breech presentation at term is more common among women with at least 1 previous cesarean delivery. STUDY DESIGN: This historic cohort study (n = 84,688) included women with a singleton term pregnancy and at least 1 previous delivery. Results were expressed as crude relative risks and adjusted odds ratios. RESULTS: While 2.46% of women had a fetus in breech presentation at term, 14.91% of women had had 1 or more previous cesareans. The relative risk of a breech presentation at term for women with a history of cesarean was 2.18 (95%CI: 1.98-2.39). It did not differ according to the number of previous cesareans. The logistic regression analysis took into account confounding factors including gestational age, maternal age, parity, birthweight, and oligohydramnios. The adjusted odds ratio was 2.12 (95%CI: 1.91-2.36). CONCLUSION: Women with previous cesarean deliveries have a risk of breech presentation at term twice that of women with previous vaginal deliveries. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/18241817/Is_a_breech_presentation_at_term_more_frequent_in_women_with_a_history_of_cesarean_delivery L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(07)02116-3 DB - PRIME DP - Unbound Medicine ER -