Can labor with breech presentation be induced?

Abstract:

:Our objective was to evaluate the efficacy and safety of labor induction in women with a breech presentation, and an unripe cervix. We conducted a retrospective, matched-paired study on patients with breech presentation and an unripe cervix (n = 23), who underwent induction of labor using extra-amniotic saline instillation. The women were compared to three matched control groups: 46 women with vertex presentation and an unripe cervix, whose labor was induced by the same method, 23 with breech presentation who underwent a vaginal trial of labor, and 23 women with breech presentation who underwent a cesarean section without a trial of labor. In the study group, 12 women (52.2%) delivered vaginally. Rates of Apgar score, birth trauma, and maternal morbidity were similar in all groups. Induction of labor in patients with a breech presentation and an unripe cervix may be attempted in selected cases as it seems to be efficacious (vaginal delivery rate of 52.2%) and safe for both fetus and mother.

journal_name

Gynecol Obstet Invest

authors

Fait G,Daniel Y,Lessing JB,Bar-Am A,Gull I,Shenhav M,Kupferminc MJ

doi

10.1159/000010029

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

181-6

issue

3

eissn

0378-7346

issn

1423-002X

pii

goi46181

journal_volume

46

pub_type

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