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Related Experiment Videos

Planned Caesarean section for term breech delivery.

G J Hofmeyr1, M E Hannah

  • 1(Director, Effective Care Research Unit, University of the Witwatersrand), Frere/Cecilia Makiwane Hospitals, Private Bag 9047, East London 5200, Eastern Cape, SOUTH AFRICA. gjh@global.co.za

The Cochrane Database of Systematic Reviews
|May 2, 2001
PubMed
Summary

Planned caesarean sections for breech presentation significantly reduce perinatal and neonatal deaths and morbidity. However, this approach is associated with a slight increase in maternal morbidity.

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Surgical Outcomes

Background:

  • Routine caesarean section for breech presentation is common practice.
  • Poor outcomes in breech births may stem from underlying conditions, not delivery complications.

Purpose of the Study:

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

Main Methods:

  • Systematic review of randomized controlled trials comparing planned caesarean section versus planned vaginal delivery for breech presentation.
  • Searched Cochrane Pregnancy and Childbirth and Cochrane Controlled Trials registers (up to November 2000).

Main Results:

  • Planned caesarean section led to a significant reduction in perinatal/neonatal mortality and neonatal morbidity.

Related Experiment Videos

  • Associated with a modest increase in maternal morbidity (RR 1.29).
  • Reductions in mortality were observed across countries with varying perinatal mortality rates.

    • Conclusions:

    • Planned caesarean section substantially decreases perinatal/neonatal mortality and neonatal morbidity.
    • This benefit comes at the cost of slightly increased maternal morbidity.
    • Findings support individualized decision-making for breech delivery management.