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Factors associated with adverse perinatal outcomes for term breech fetuses with planned vaginal delivery.

Abstract：

OBJECTIVE:We sought to identify factors associated with adverse perinatal outcomes (APO) among term breech neonates with planned vaginal deliveries. STUDY DESIGN:We conducted univariable and multilevel multivariable analysis of the data collected in the multicenter prospective observational study PREsentation et MODe d'Accouchement (PREMODA) in women with planned vaginal delivery giving birth to singleton term breech babies. The end point was a composite set of APO. RESULTS:Of 2502 women with planned vaginal delivery recruited in the 174 participating centers, 1772 (71%) delivered vaginally. Adverse outcomes were observed in 165 cases (6.59%). After adjustment, the factors associated with them were geographic origin, gestational age <39 weeks at birth, birthweight <10th percentile, and annual number of maternity unit births <1500. CONCLUSION:When strict conditions governed the selection of delivery route and management of labor was rigorous, APO were not associated with any prenatal or peripartum obstetric factors.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Azria E,Le Meaux JP,Khoshnood B,Alexander S,Subtil D,Goffinet F,PREMODA Study Group.

doi

10.1016/j.ajog.2012.08.027

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

285.e1-9

issue

4

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(12)00906-4

journal_volume

207

pub_type

杂志文章

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