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The relation of breech presentation at term to epilepsy in childhood

Lone Krebs1, Jens Langhoff-Roos

  • 1Department of Gynaecology and Obstetrics, 537, University of Copenhagen, Hvidovre Hospital, Kettegaard Alle 30, DK-2650 Hvidovre, Denmark. lone.krebs@dadlnet.dk

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|June 14, 2005
PubMed

Insights

Term breech presentation is a risk factor for childhood epilepsy. This increased risk is linked to growth restriction during pregnancy, not delivery complications.

Area of Science:

  • Pediatric Neurology
  • Obstetrics
  • Epidemiology

Background:

  • Breech presentation at term is associated with potential adverse outcomes.
  • Epilepsy in childhood is a significant neurological concern.

Purpose of the Study:

  • To examine the association between term breech presentation and childhood epilepsy.
  • To identify specific risk factors for epilepsy in infants born in breech presentation.

Main Methods:

  • A register-based study included 7,514 singleton term infants without malformations.
  • Cases of epilepsy were identified, with controls selected from infants born in breech presentation.

Main Results:

  • Breech presentation was identified as a risk factor for epilepsy (OR: 1.2).
  • Infants with breech presentation and epilepsy were more likely to be small for gestational age.
  • Mode of delivery and Apgar scores were not significantly related to epilepsy.

Conclusions:

  • The elevated risk of epilepsy in term breech infants is attributed to intrauterine growth restriction.
  • Intrapartum events do not appear to be the primary cause of this increased epilepsy risk.
Abstract

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