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[Child development after abdominal version of the fetus from breech presentation to vertex presentation near term]
Insights
This study followed 116 children who underwent fetal version for breech presentation. Most children showed normal development, with only a few cases of speech or motor disturbances identified.
Area of Science:
- Obstetrics and Gynecology
- Developmental Pediatrics
- Perinatology
Context:
- Prospective follow-up of 116 children born 1977-1980.
- Children underwent abdominal version for breech presentation near term.
- Developmental assessment using Denver Developmental Screening Test at ages 2-5.75 years.
Purpose:
- To evaluate the developmental outcomes of children following fetal version.
- To identify any secondary morbidity, such as speech or motor disturbances.
- To analyze the relationship between version success, obstetric factors, and developmental outcomes.
Summary:
- Four children exhibited psychomotor retardation of speech; two had minimal cerebral motor disturbances.
- Early detection of developmental issues during infancy was noted.
- Secondary morbidity was analyzed against version success, pregnancy/birth factors, and parental socioeconomic status.
Impact:
- Provides insights into the long-term developmental safety of fetal version.
- Highlights the importance of early detection and intervention for developmental delays.
- Informs obstetric practice regarding management of breech presentations and potential neonatal outcomes.
Abstract:
The prospective study presented here describes the results of follow-up examinations of the developmental stage of 116 children born between 1977 and 1980 in whom abdominal version of the foetus from breech presentation to vertex presentation was performed near term. The children were examined according to the Denver Developmental Screening Test at the age of 2 to 5 3/4 years in various fields (social contacts, minor motor functions and adaptation, speech and major motor functions). Children with abnormal findings were subjected to special examinations. Those with disturbed development were re-examined after one year. In the entire group of children there were four with psychomotor retardation of speech, and two further children with minimal cerebral motor disturbances. The children had been detected early during infancy. These results, classified as secondary morbidity (disturbances of speech and minimal cerebral motor disturbances) were analysed taking into account the results of version (successful and unsuccessful version) and other obstetric factors (course of pregnancy and birth, method of delivery, biochemical examinations during and after birth, age of mother and socioeconomic status of parents).