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Vaginal delivery or cesarean section at term breech delivery--chance or risk?
J Matern Fetal Neonatal Med. 2016; 29(12):1930-4.JM

Abstract

AIM

The aim of the study was to examine maternal age, parity, and estimated neonatal birth weight (BW) depending on the mode of a full-term breech presentation (BP) birth delivery and neonatal outcomes.

MATERIAL AND METHODS

One hundred and forty-six singleton term breech presentation pregnancies were included in a retrospective study conducted at the Department of Gynecology/Obstetrics, Clinical Center of Serbia in Belgrade in 2013. Statistical analysis: Student's-t test, χ(2) likelihood ratio, and the Fisher's exact test. The level of statistical significance was set at p <0.05.

RESULTS

An ECS was the most common mode of delivery in (81.2%) nulliparous older than 35 years and most of the neonates (66.67%) with an estimated birth weight (BW) above 3500 grams were delivered by elective cesarean section (ECS). Perinatal asphyxia remained increased in the successful vaginal delivery (SVD) group (23.8%) compared with the urgent CS (UCS) group (13.3%) (p = 0.035). Birth asphyxia was the most common in neonates were delivered by SVD (23.8%). There were no cases of perinatal deaths.

CONCLUSION

ECS remained the recommended mode of breech term delivery in nulliparous women older than 35 years, as well as in neonates with an estimated BW above 3500 grams.

Authors+Show Affiliations

a Department of Gynecology and Obstetrics , Clinical Center of Serbia, School of Medicine, University of Belgrade , Belgrade , Serbia.a Department of Gynecology and Obstetrics , Clinical Center of Serbia, School of Medicine, University of Belgrade , Belgrade , Serbia.a Department of Gynecology and Obstetrics , Clinical Center of Serbia, School of Medicine, University of Belgrade , Belgrade , Serbia.a Department of Gynecology and Obstetrics , Clinical Center of Serbia, School of Medicine, University of Belgrade , Belgrade , Serbia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26169706

Citation

Babović, Ivana, et al. "Vaginal Delivery or Cesarean Section at Term Breech Delivery--chance or Risk?" The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, vol. 29, no. 12, 2016, pp. 1930-4.
Babović I, Arandjelović M, Plešinac S, et al. Vaginal delivery or cesarean section at term breech delivery--chance or risk? J Matern Fetal Neonatal Med. 2016;29(12):1930-4.
Babović, I., Arandjelović, M., Plešinac, S., & Sparić, R. (2016). Vaginal delivery or cesarean section at term breech delivery--chance or risk? The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 29(12), 1930-4. https://doi.org/10.3109/14767058.2015.1067768
Babović I, et al. Vaginal Delivery or Cesarean Section at Term Breech Delivery--chance or Risk. J Matern Fetal Neonatal Med. 2016;29(12):1930-4. PubMed PMID: 26169706.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginal delivery or cesarean section at term breech delivery--chance or risk? AU - Babović,Ivana, AU - Arandjelović,Milica, AU - Plešinac,Snežana, AU - Sparić,Radmila, Y1 - 2015/07/28/ PY - 2015/7/15/entrez PY - 2015/7/15/pubmed PY - 2017/1/14/medline KW - Cesarean section KW - neonatal outcome KW - term breech delivery KW - vaginal delivery SP - 1930 EP - 4 JF - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JO - J Matern Fetal Neonatal Med VL - 29 IS - 12 N2 - AIM: The aim of the study was to examine maternal age, parity, and estimated neonatal birth weight (BW) depending on the mode of a full-term breech presentation (BP) birth delivery and neonatal outcomes. MATERIAL AND METHODS: One hundred and forty-six singleton term breech presentation pregnancies were included in a retrospective study conducted at the Department of Gynecology/Obstetrics, Clinical Center of Serbia in Belgrade in 2013. Statistical analysis: Student's-t test, χ(2) likelihood ratio, and the Fisher's exact test. The level of statistical significance was set at p <0.05. RESULTS: An ECS was the most common mode of delivery in (81.2%) nulliparous older than 35 years and most of the neonates (66.67%) with an estimated birth weight (BW) above 3500 grams were delivered by elective cesarean section (ECS). Perinatal asphyxia remained increased in the successful vaginal delivery (SVD) group (23.8%) compared with the urgent CS (UCS) group (13.3%) (p = 0.035). Birth asphyxia was the most common in neonates were delivered by SVD (23.8%). There were no cases of perinatal deaths. CONCLUSION: ECS remained the recommended mode of breech term delivery in nulliparous women older than 35 years, as well as in neonates with an estimated BW above 3500 grams. SN - 1476-4954 UR - https://www.unboundmedicine.com/medline/citation/26169706/Vaginal_delivery_or_cesarean_section_at_term_breech_delivery__chance_or_risk L2 - https://www.tandfonline.com/doi/full/10.3109/14767058.2015.1067768 DB - PRIME DP - Unbound Medicine ER -