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[Breech presentation: cesarean section or vaginal delivery?].

F E Mansani, V Condemi, M Ceruti

    Acta Bio-Medica De L'Ateneo Parmense : Organo Della Societa Di Medicina E Scienze Naturali Di Parma
    |January 1, 1984
    PubMed
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    Vaginal breech delivery occurred in 12.91% of cases, with higher neonatal morbidity (66.66%) compared to cesarean sections. Authors suggest vaginal breech delivery only in select cases due to potential hazards.

    Area of Science:

    • Obstetrics and Gynecology
    • Perinatal Medicine
    • Neonatal Health

    Background:

    • Breech presentation is a significant obstetric complication.
    • Vaginal delivery versus cesarean section for breech presentation has been a topic of debate.
    • Understanding perinatal outcomes is crucial for clinical decision-making.

    Purpose of the Study:

    • To analyze the rate of breech presentation at the Institute of Obstetrics and Gynecology of the University of Parma in 1983.
    • To compare perinatal morbidity and mortality between vaginal breech delivery and cesarean section (emergency and elective).

    Main Methods:

    • Retrospective study of breech presentations in 1983.
    • Comparison of perinatal outcomes based on delivery mode (vaginal vs. cesarean).

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    Main Results:

    • Breech presentation deliveries occurred vaginally in 12.91% and by cesarean section in 87.09%.
    • Neonatal morbidity was 31.18% for all breech deliveries, with a significantly higher rate (66.66%) in vaginal deliveries.
    • A single perinatal death occurred, unrelated to breech presentation.

    Conclusions:

    • Vaginal breech delivery is associated with higher neonatal morbidity.
    • Cesarean section is the predominant mode of delivery for breech presentation.
    • Vaginal breech delivery should be considered only in carefully selected cases due to associated risks.