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Published on: June 6, 2020
Scoping Review on En Caul Births
Summary
En caul birth literature is limited but suggests benefits for preterm infants and in specific cesarean birth complications. Further research on this rare delivery method is warranted.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Reproductive Health
Background:
- En caul birth, where the fetus is born encased in the amniotic sac, is a rare obstetric event.
- Existing literature on en caul births is fragmented, necessitating a comprehensive review.
Purpose of the Study:
- To systematically identify and analyze the existing body of literature concerning en caul births.
- To synthesize findings regarding en caul births in both vaginal and cesarean deliveries.
Main Methods:
- A systematic literature search was conducted across PubMed, Embase, and Scopus databases.
- Included were all full-text, peer-reviewed articles in English or Italian, without publication date restrictions.
- Data extraction focused on birth type, en caul characteristics, and key findings related to gestational age and fetal presentation.
Main Results:
- Thirty-two full-text articles met the inclusion criteria for this review.
- The literature was organized by birth type, highlighting findings on gestational age, fetal presentation, and en caul cesarean birth.
- Specific pregnancy complications, such as vasa previa, were noted in relation to en caul cesarean births.
Conclusions:
- The current evidence base for en caul births is limited.
- En caul vaginal birth may benefit preterm newborns, irrespective of fetal presentation.
- En caul cesarean birth might be advantageous for certain rare obstetric complications like vasa previa.
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