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
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Giuliani Albrecht
- Co-authors Med Uni Graz
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Schöll Wolfgang
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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.
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Adult -
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Apgar Score -
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Breech Presentation -
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Cesarean Section -
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Delivery, Obstetric - methods
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Developmental Disabilities - epidemiology
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Female - epidemiology
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Follow-Up Studies - epidemiology
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Humans - epidemiology
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Hydrogen-Ion Concentration - epidemiology
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Infant Mortality - epidemiology
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Infant, Newborn - epidemiology
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Morbidity - epidemiology
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Muscle Spasticity - epidemiology
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Pregnancy - epidemiology
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Pregnancy Outcome - epidemiology
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Retrospective Studies - epidemiology
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Umbilical Arteries - epidemiology
- Find related publications in this database (Keywords)
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breech presentation
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neonatal morbidity
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injury