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Selected Publication:

Giuliani, A; Schöll, WM; Basver, A; Tamussino, KF.
Mode of delivery and outcome of 699 term singleton breech deliveries at a single center.
Am J Obstet Gynecol. 2002; 187(6):1694-1698 Doi: 10.1067%2Fmob.2002.127902
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Leading authors Med Uni Graz
Giuliani Albrecht
Co-authors Med Uni Graz
Schöll Wolfgang
Tamussino Karl
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Abstract:
OBJECTIVE: Elective cesarean delivery has been postulated to improve the outcome of term fetuses in breech presentation. We retrospectively compared the short- and long-term outcomes of term infants who were delivered from a breech presentation at a single center. STUDY DESIGN: We reviewed 699 consecutive term breech presentations according to the intended mode of delivery at a single center between January 1993 and December 1999. The short-term outcome measures were perinatal death, neonatal death, or serious neonatal morbidity; the long-term outcome measures were developmental delay and spasticity. RESULTS: The rate of serious perinatal morbidity in the trial-of-labor and cesarean delivery groups was 2.3% and 0.5%, respectively (P =.12). There was no perinatal or neonatal death in either group. With a median follow-up period of 57 months (range, 13-100 months), the rate of developmental delay was 1.9% and 0.5%, respectively (P =.29). Spasticity was not noted in any of the children. CONCLUSION: Our data suggest that planned vaginal delivery remains an option for selected term breech presentations.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Apgar Score -
Breech Presentation -
Cesarean Section -
Delivery, Obstetric - methods
Developmental Disabilities - epidemiology
Female - epidemiology
Follow-Up Studies - epidemiology
Humans - epidemiology
Hydrogen-Ion Concentration - epidemiology
Infant Mortality - epidemiology
Infant, Newborn - epidemiology
Morbidity - epidemiology
Muscle Spasticity - epidemiology
Pregnancy - epidemiology
Pregnancy Outcome - epidemiology
Retrospective Studies - epidemiology
Umbilical Arteries - epidemiology

Find related publications in this database (Keywords)
breech presentation
neonatal morbidity
injury
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