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Published on: June 6, 2020
Previous cesarean section increases the risk for breech presentation at term pregnancy
I Kalogiannidis1, N Masouridou, T Dagklis
14th Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Greece. kalogiannidis@mailbox.gr
Clinical and Experimental Obstetrics & Gynecology
|April 28, 2010
Summary
Women with a history of cesarean section (CS) face a doubled risk of breech presentation in subsequent term pregnancies. This finding highlights important considerations for labor and delivery planning in women with prior CS.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Perinatal Epidemiology
Background:
- Breech presentation at term is a significant obstetric concern.
- Previous cesarean section (CS) is a common obstetric procedure.
- Understanding risk factors for breech presentation is crucial for optimizing delivery outcomes.
Purpose of the Study:
- To evaluate the association between prior cesarean delivery and the risk of term breech presentation in singleton pregnancies.
- To compare the incidence of breech presentation in women with at least one previous CS versus those with at least one previous vaginal delivery.
Main Methods:
- Retrospective analysis of 2008 singleton pregnancies meeting inclusion criteria from a larger cohort.
- Inclusion criteria focused on women with singleton pregnancies at term.
- Risk factors including maternal history, number of previous CSs, maternal age, parity, birth weight, gestational age, neonatal sex, and placenta previa were analyzed.
Main Results:
- The overall incidence of term breech presentation was 3.2%.
- Women with a history of at least one prior CS had a two-fold increased risk of breech presentation (5.3%) compared to those with prior vaginal delivery (2.6%) (p=0.01).
- The number of previous CSs did not significantly correlate with breech presentation risk.
Conclusions:
- A history of cesarean delivery is associated with an increased risk of term breech presentation in subsequent singleton pregnancies.
- This finding has implications for antenatal counseling and delivery planning.
- Further research may explore mechanisms underlying this association.
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