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Delivery of the very low birthweight breech: what is the best way for the baby?
Isr J Med Sci. 1996 Feb; 32(2):116-20.IJ

Abstract

A retrospective analysis was done to determine whether vaginally vs. cesarean section-born breech infants in the very low birthweight range are at increased risk for morbidity and mortality. Eighty-three viable singleton breech infants weighing 700-1,600 g, who were delivered in our medical center during the period 1980 through 1993, were followed for up to 5 years of age. Analysis of data after correction for weight, gestational age and other confounding variables such as antepartum complications revealed that survival rates in the 700-1,000 g group were similar in both routes of delivery. In the 1,001-1,600 g group, survival rate was 60.9% after vaginal delivery, as compared to 100% after cesarean section (P < 0.01). No difference was demonstrated in long-term outcome between the vaginal and cesarean groups, although the population was too small to draw statistical conclusions. Considering the limitation of such a retrospective analysis, our data identified a trend that supports prophylactic cesarean section in cases of pre-term breech infants weighing 1,000-1,600 g.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Central Emek Hospital, Afula, Israel.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

8631647

Citation

Gilady, Y, et al. "Delivery of the Very Low Birthweight Breech: what Is the Best Way for the Baby?" Israel Journal of Medical Sciences, vol. 32, no. 2, 1996, pp. 116-20.
Gilady Y, Battino S, Reich D, et al. Delivery of the very low birthweight breech: what is the best way for the baby? Isr J Med Sci. 1996;32(2):116-20.
Gilady, Y., Battino, S., Reich, D., Gilad, G., & Shalev, E. (1996). Delivery of the very low birthweight breech: what is the best way for the baby? Israel Journal of Medical Sciences, 32(2), 116-20.
Gilady Y, et al. Delivery of the Very Low Birthweight Breech: what Is the Best Way for the Baby. Isr J Med Sci. 1996;32(2):116-20. PubMed PMID: 8631647.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delivery of the very low birthweight breech: what is the best way for the baby? AU - Gilady,Y, AU - Battino,S, AU - Reich,D, AU - Gilad,G, AU - Shalev,E, PY - 1996/2/1/pubmed PY - 1996/2/1/medline PY - 1996/2/1/entrez SP - 116 EP - 20 JF - Israel journal of medical sciences JO - Isr. J. Med. Sci. VL - 32 IS - 2 N2 - A retrospective analysis was done to determine whether vaginally vs. cesarean section-born breech infants in the very low birthweight range are at increased risk for morbidity and mortality. Eighty-three viable singleton breech infants weighing 700-1,600 g, who were delivered in our medical center during the period 1980 through 1993, were followed for up to 5 years of age. Analysis of data after correction for weight, gestational age and other confounding variables such as antepartum complications revealed that survival rates in the 700-1,000 g group were similar in both routes of delivery. In the 1,001-1,600 g group, survival rate was 60.9% after vaginal delivery, as compared to 100% after cesarean section (P < 0.01). No difference was demonstrated in long-term outcome between the vaginal and cesarean groups, although the population was too small to draw statistical conclusions. Considering the limitation of such a retrospective analysis, our data identified a trend that supports prophylactic cesarean section in cases of pre-term breech infants weighing 1,000-1,600 g. SN - 0021-2180 UR - https://www.unboundmedicine.com/medline/citation/8631647/Delivery_of_the_very_low_birthweight_breech:_what_is_the_best_way_for_the_baby L2 - https://medlineplus.gov/cesareansection.html DB - PRIME DP - Unbound Medicine ER -