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Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
Long-term follow-up for organic dysfunction in breech - presenting children.
Krzysztof Preis1, Mariola Bidzan, Małgorzata Swiatkowska-Freund
1Department of Obstetrics, Medical University of Gdansk, Gdansk, Poland.
Summary
Mode of delivery for breech presentation does not impact long-term child brain development. Vaginal breech births are safe for mothers, regardless of parity.
Area of Science:
- Obstetrics and Gynecology
- Pediatric Neurology
- Developmental Psychology
Background:
- Breech presentation deliveries require careful consideration of delivery mode.
- Long-term neurodevelopmental outcomes in children born via breech presentation are a significant concern.
Purpose of the Study:
- To analyze the long-term outcomes of children born via breech presentation.
- To determine if the mode of delivery (vaginal vs. cesarean section) influences neurodevelopmental outcomes.
Main Methods:
- Analysis of 874 breech deliveries (1981-1990), excluding stillbirths and multiple pregnancies.
- Follow-up with 232 mothers regarding children's development and school-age issues.
- Psychological examination of 83 children using the Bender-Kopitz Test (BKT) and Benton Visual Retention Test (BVRT).
Main Results:
- No statistically significant difference in the incidence of organic brain disorders was found between delivery modes.
- The mode of delivery (vaginal or cesarean) did not influence outcomes on the BKT or BVRT.
Conclusions:
- Vaginal breech delivery is a safe option for both primiparous and multiparous mothers.
- Delivery mode does not appear to affect the risk of brain damage in children born via breech presentation.
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