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Published on: June 6, 2020
[Vaginal delivery versus cesarean section for term breech delivery]
Ivana Babović1, Snezana Plesiinac, Zoran Radojicić
1Klinicki centar Srbije, Institut za ginekologiju i akuserstvo, Beograd, Srbija. ivana.r.babovic@gmail.com
Vojnosanitetski Pregled
|November 12, 2010
Summary
For term breech presentation, elective cesarean section is preferred for nulliparous women over 35. Vaginal delivery is recommended for younger multiparous women with estimated fetal weight between 2500-3500 grams.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Neonatal Outcomes
Background:
- The optimal delivery method for term breech presentation remains controversial, potentially due to declining vaginal breech delivery skills.
- Risk factors and the influence of delivery mode on neonatal outcomes require further investigation.
Purpose of the Study:
- To examine risk factors (maternal age, parity, labor duration, estimated neonatal birth weight) for term breech presentation delivery mode.
- To assess the impact of delivery mode on neonatal outcomes.
Main Methods:
- Retrospective study of 401 term breech deliveries (vaginal delivery, urgent cesarean section, elective cesarean section).
- Data collected included maternal demographics, labor characteristics, neonatal birth weight, Apgar scores, and NICU stay.
- Statistical analyses included t-tests, Chi-squared tests, Kruskal-Wallis, Mann Whitney, and ANOVA.
Main Results:
- Maternal age differed significantly between vaginal delivery and elective cesarean section groups (p=0.022).
- Elective cesarean section was more common in nulliparous women over 35, while vaginal delivery was more common in multiparous women under 35.
- Perinatal asphyxia was higher in the vaginal delivery group compared to cesarean section groups (p=0.001).
- Neonates experienced significantly longer NICU stays after urgent cesarean section compared to vaginal or elective cesarean section (p=0.001).
Conclusions:
- Elective cesarean section is the primary delivery method for nulliparous women over 35 with term breech presentation.
- Vaginal delivery is the preferred method for younger multiparous women with estimated neonatal birth weight between 2500-3500 grams.
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