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Patterns of management with breech presentation

D F Wolter

    American Journal of Obstetrics and Gynecology
    |July 15, 1976
    PubMed
    Summary
    This summary is machine-generated.

    This review of term breech deliveries found an increasing use of cesarean sections and consultations, alongside a decline in perinatal morbidity. Care patterns evolved over 12 years in a community hospital.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Community Health Research

    Background:

    • Term breech delivery management varies, particularly in community hospital settings.
    • Understanding care patterns is crucial for optimizing outcomes in breech presentations.
    • A 12-year review was conducted to analyze trends in term breech delivery management.

    Purpose of the Study:

    • To review 12 years of experience with term breech deliveries at a suburban community hospital.
    • To identify changes in clinical practice and outcomes for term breech presentations.
    • To assess the correlation between X-ray pelvimetry and clinical pelvimetry.

    Main Methods:

    • Retrospective review of 402 term breech deliveries managed by family practitioners and obstetricians.

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  • Analysis of delivery methods (vaginal vs. cesarean section) and associated rates.
  • Evaluation of trends in consultation, pelvimetry use, labor duration, and perinatal morbidity.

    • Main Results:

    • An overall cesarean section rate of 21.9% was observed, increasing to 43.9% in the last two years.
    • X-ray pelvimetry correlated with clinical pelvimetry in two-thirds of cases.
    • Trends included increased consultation, obstetrician management, pelvimetry use, and cesarean sections, with decreased prolonged labor and perinatal morbidity.

    Conclusions:

    • Term breech delivery management has evolved, with a significant rise in cesarean sections.
    • Increased consultation and obstetrician involvement may contribute to improved perinatal outcomes.
    • Community hospitals demonstrate shifting patterns in managing term breech presentations, impacting morbidity rates.