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Related Experiment Videos

Planned caesarean section for term breech delivery.

G J Hofmeyr1, M E Hannah

  • 1Department of Obstetrics and Gynaecology, Coronation Hospital and University of the Witwatersrand, 7 York Road, Parktown 2193, Johannesburg, South Africa. 091just@chiron.wits.ac.za

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary

Planned caesarean sections for breech presentation show increased maternal risk but reduced neonatal complications. More evidence is needed to determine the best delivery policy for breech babies.

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Clinical Trial Analysis

Background:

  • Widespread use of caesarean sections for breech presentation is common.
  • Poor outcomes in breech births may stem from underlying conditions, not delivery trauma.

Purpose of the Study:

  • To evaluate the impact of planned caesarean sections on pregnancy outcomes for breech presentations.

Main Methods:

  • Systematic review of randomized trials comparing planned caesarean section versus planned vaginal delivery for breech presentation.
  • Searched Cochrane databases up to October 1997.

Main Results:

  • Two trials with 313 women were analyzed.
  • Planned caesarean section increased maternal morbidity but reduced short-term neonatal morbidity.

Related Experiment Videos

  • No significant differences were found in brachial plexus injuries, Apgar scores, or perinatal mortality.

    • Conclusions:

    • Insufficient evidence exists to support a policy of planned caesarean section for breech presentation.
    • A large Canadian trial is ongoing to further investigate this critical obstetric question.