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[Strategy for delivery in breech presentations. A retrospective study].
F F Lauszus1, A Petersen, J Praest
1Gynaekologisk/obstetrisk afdeling, Randers Centralsygehus.
Ugeskrift for Laeger
|January 13, 1992
Summary
Trial of vaginal delivery for breech presentation is safe for neonates, with a 41.1% success rate. Delivery route did not impact infant outcomes, but congenital disorders were noted.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Neonatal Outcomes
Context:
- Retrospective analysis of 236 singleton breech deliveries at term.
- Exclusion of infants small for gestational age.
- Evaluation of vaginal versus cesarean delivery routes.
Purpose:
- To assess the safety and success rate of attempted vaginal delivery for term breech presentations.
- To identify factors influencing vaginal delivery success.
- To determine the impact of delivery route on neonatal morbidity and mortality.
Summary:
- Vaginal delivery was successful in 41.1% of cases.
- Low parity, younger maternal age, and higher birth weight were associated with reduced vaginal delivery success.
- No significant difference in neonatal morbidity or mortality was observed between vaginal and cesarean deliveries.
Impact:
- Trial of labor for selected breech presentations can be considered without increasing neonatal risk.
- Increased incidence of congenital disorders noted, warranting further investigation.
- Informs clinical decision-making for term breech deliveries.