Pregnancy outcomes in breech presentation analyzed according to intended mode of delivery.

Abstract

INTRODUCTION:

Optimal mode of delivery in breech presentation has been widely examined and debated. The aim of this study was to compare perinatal and maternal outcomes with either a policy of planned vaginal delivery or planned cesarean section in breech presentation.

MATERIAL AND METHODS:

This was a registry-based retrospective cohort study from Turku University Hospital, Finland with 1418 singleton breech deliveries at term over a period of 11 years (January 2002 to December 2012). Data were collected from the mothers' medical records.

RESULTS:

Apgar scores at 5 min as well as umbilical artery pH values were significantly lower in the planned vaginal breech delivery group compared with the planned cesarean section group, suggesting a short-lasting delayed recovery after birth. There were more puerperal infections in planned cesarean section group compared with the planned vaginal delivery group.

CONCLUSIONS:

The results confirm that planned vaginal breech delivery results in short-lasting delayed recovery after birth compared with planned cesarean section.

• Authors: Mirjami Mattila, Jatta Rautkorpi, Tuija Heikkinen
• Journal: Acta obstetricia et gynecologica Scandinavica (Acta Obstet Gynecol Scand) Vol. 94 Issue 10 Pg. 1102-4 (Oct 2015) ISSN: 1600-0412 [Electronic] United States
• PMID: 26123625 (Publication Type: Comparative Study, Journal Article)
• Copyright: © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

Topics

• Apgar Score
• Breech Presentation
• Cesarean Section
• Delivery, Obstetric
• Female
• Humans
• Hydrogen-Ion Concentration
• Pregnancy
• Pregnancy Outcome
• Retrospective Studies
• Umbilical Arteries (chemistry)