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[Breech presentation: management (304 cases)]
C Dubois1, P Dufour, F Quandalle
1Hôpital Jeanne de Flandre, CHRU de Lille.
Contraception, Fertilite, Sexualite (1992)
|July 2, 1998
Summary
Optimal management for breech presentation in 1997 involves careful patient selection for vaginal delivery. Key factors include fetal weight, head flexion, and maternal/fetal conditions, not primiparity alone.
Area of Science:
- Obstetrics
- Perinatal Medicine
- Fetal Development
Context:
- Breech presentation poses delivery challenges.
- Management strategies evolved by 1997.
- 304 cases analyzed from 1991-1995.
Purpose:
- To define optimal management for breech presentation.
- To identify criteria for safe vaginal delivery.
- To reduce cesarean section rates where appropriate.
Summary:
- Cesarean section rate was 51%.
- Vaginal delivery complications were low (8.72%), with minimal fetal injury.
- Fetal mortality primarily linked to prematurity and malformations, not delivery mode.
Impact:
- Establishes criteria for selecting patients for vaginal breech delivery.
- Highlights radiopelvimetry, estimated fetal weight, and fetal head flexion as crucial.
- Suggests primiparity alone is not an indication for cesarean section.