Cesarean section versus vaginal delivery for the breech fetus weighing less than 1,500 grams.

Abstract:

:Although previous studies have suggested that the breech infant weighing less than 1,500 gm benefits from cesarean section, the published results have not demonstrated statistically significant differences. We have evaluated pediatric outcome data for 240 breech infants and 525 vertex infants who weighed less than 1,500 gm, to determine whether route of delivery affects infant morbidity and mortality. Twenty-nine percent of these very small breech infants who were delivered by cesarean section died, as compared to 58% of breech infants of similar weight who were delivered vaginally (p less than 0.001). Comparable significant differences were found for the infants delivered at a university hospital as well as for those delivered at a group of nonuniversity hospitals. Apgar scores and the incidence and severity of intraventricular hemorrhage were not different for the cesarean section and vaginally delivered breech infants. Furthermore, the survival rate of the breech infants delivered by cesarean section equaled that of the vertex infants delivered either by cesarean section or vaginally.

journal_name

Am J Obstet Gynecol

authors

Main DM,Main EK,Maurer MM

doi

10.1016/0002-9378(83)90807-4

subject

Has Abstract

pub_date

1983-07-01 00:00:00

pages

580-4

issue

5

eissn

0002-9378

issn

1097-6868

pii

0002-9378(83)90807-4

journal_volume

146

pub_type

杂志文章
  • Second-trimester spontaneous abortion, the IUD, and infection.

    abstract::Nineteen cases of spontaneous second-trimester abortion associated with the intrauterine device (IUD) are reviewed and compared to 30 cases of spontaneous second-trimester abortion not associated with the IUD. Fifteen of the IUD's were Dalkon shields and four were Lippes loops. 16 of the 19 IUD-associated abortions be...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90099-5

    authors: Eisinger SH

    更新日期:1976-02-15 00:00:00

  • Identification of severe maternal morbidity during delivery hospitalizations, United States, 1991-2003.

    abstract:OBJECTIVE:This investigation aimed to identify pregnancy complications and risk factors for women who experienced severe maternal morbidity during the delivery hospitalization and to estimate severe maternal morbidity rates. STUDY DESIGN:We used the National Hospital Discharge Survey for 1991-2003 to identify delivery...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.12.020

    authors: Callaghan WM,Mackay AP,Berg CJ

    更新日期:2008-08-01 00:00:00

  • Placental transfer of sulindac and its active sulfide metabolite in humans.

    abstract:OBJECTIVE:Our aim was to investigate whether the human placenta is permeable to sulindac or its active sulfide metabolite. STUDY DESIGN:Nine pregnant patients (median gestational age [range]: 31.8 [24.3 to 36.4] weeks) were given a 200 mg oral dose of sulindac 5.5 (4.4 to 6.7) hours before 18 intravascular transfusion...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0002-9378(95)90016-0

    authors: Kramer WB,Saade G,Ou CN,Rognerud C,Dorman K,Mayes M,Moise KJ Jr

    更新日期:1995-03-01 00:00:00

  • Color Doppler flow patterns and flow velocity waveforms of the intraplacental fetal circulation in growth-retarded fetuses.

    abstract:OBJECTIVE:We examined intraplacental color Doppler flow patterns and spectral Doppler flow velocity waveforms of villous arteries in pregnancies with intrauterine growth retardation. STUDY DESIGN:A total of 192 uncomplicated pregnancies and 29 pregnancies with intrauterine growth retardation between 26 and 41 weeks' g...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(94)90143-0

    authors: Rotmensch S,Liberati M,Luo JS,Kliman HJ,Gollin Y,Bellati U,Hobbins JC,Copel JA

    更新日期:1994-11-01 00:00:00

  • Levator plate angle in women with pelvic organ prolapse compared to women with normal support using dynamic MR imaging.

    abstract:OBJECTIVE:The purpose of this study was to determine whether the levator plate is (1) horizontal in women with normal support, (2) different between women with and without prolapse, (3) related to levator hiatus and perineal body descent. STUDY DESIGN:Cohorts of cases with prolapse at least 1 cm below the hymen and no...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.01.055

    authors: Hsu Y,Summers A,Hussain HK,Guire KE,Delancey JO

    更新日期:2006-05-01 00:00:00

  • A simple assessment of the risk of low birth weight to select women for nutritional intervention.

    abstract::There is growing evidence that the high prevalence of low-birth-weight (LBW) babies, a characteristic of many poor societies, can be significantly reduced through nutritional intervention programs. In order to increase the efficiency of these programs, pregnant women at risk of delivering LBW babies must be identified...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90886-3

    authors: Lechtig A,Delgado H,Yarbrough C,Habicht JP,Martorell R,Klein RE

    更新日期:1976-05-01 00:00:00

  • Aberrant DNA methylation of apoptotic signaling genes in patients responsive and nonresponsive to therapy for cervical carcinoma.

    abstract:OBJECTIVE:We sought to investigate CpG-island methylation profiling of apoptotic genes apoptotic protease activating factor 1, caspase 8, death-associated protein kinase (DAPK), tumor necrosis factor receptor superfamily member 6 (FAS), Survivin, and tumor necrosis factor-related apoptosis-inducing ligand receptor-1 an...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2009.11.037

    authors: Chaopatchayakul P,Jearanaikoon P,Yuenyao P,Limpaiboon T

    更新日期:2010-03-01 00:00:00

  • Reduced umbilical artery prostacyclin formation in complicated pregnancies.

    abstract::Prostacyclin synthesis is severely depressed in the umbilical arteries of neonates of mothers with gestational diabetes mellitus, juvenile-onset diabetes mellitus, or preeclamptic symptoms, and of mothers who smoke during pregnancy and diabetic mothers who smoke. The reduced production of prostacyclin might be respons...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(82)90354-4

    authors: Dadak C,Kefalides A,Sinzinger H,Weber G

    更新日期:1982-12-01 00:00:00

  • Universal maternal cervical length screening during the second trimester: pros and cons of a strategy to identify women at risk of spontaneous preterm delivery.

    abstract::Three large randomized controlled trials investigating the efficacy of universal cervical length screening and treatment with vaginal progesterone or cervical cerclage to prevent preterm delivery have been published over the past several years. None of these trials demonstrate proven efficacy for universal cervical le...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2012.04.021

    authors: Parry S,Simhan H,Elovitz M,Iams J

    更新日期:2012-08-01 00:00:00

  • Antenatal vitamin K therapy of the low-birth-weight infant.

    abstract:OBJECTIVE:The purpose of our study was to determine whether maternal vitamin K1 administered antenatally improved global coagulation parameters and the levels of specific vitamin K-dependent proteins in low-birth-weight infants. STUDY DESIGN:Thirty-three preterm mothers admitted in labor were assigned in a prospective...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-9378(94)70389-2

    authors: Dickson RC,Stubbs TM,Lazarchick J

    更新日期:1994-01-01 00:00:00

  • Lower doses of human menopausal gonadotropin are associated with improved success with in vitro fertilization in women with low body weight.

    abstract::Since previous data suggested hyperresponsiveness to human menopausal gonadotropin by women with low body weight, the daily dose was reduced to 1.5 ampules in patients undergoing in vitro fertilization weighing less than 55 kg. This allowed the extension of treatment to a minimum of 6 days. These changes were associat...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(88)90778-8

    authors: Halme J,Hammond MG,Bailey L,Talbert LM

    更新日期:1988-01-01 00:00:00

  • Clinical experience with the copper-7 intrauterine contraceptive device. A preliminary report.

    abstract::There have been 203 copper-7 IUD insertions performed in 199 women. The data from 2,230 woman-months of use have been analyzed and compared with other published reports. The copper-7 IUD was an acceptable contraceptive method in regard to effectiveness, continuation, and lack of serious complications. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90756-0

    authors: Nebel WA,Currie JL,Lassiter RE

    更新日期:1976-11-01 00:00:00

  • Differential effects of natural and synthetic glucocorticoids on cytochrome 17alpha-hydroxylase (P-45017alpha) and cytochrome P-450 side-chain cleavage (P-450scc) messenger ribonucleic acid in the sheep placenta.

    abstract:OBJECTIVE:Our purpose was to determine differential effects of natural and synthetic glucocorticoids on cytochrome 17alpha-hydroxylase and cytochrome P-450 side-chain cleavage messenger ribonucleic acid in the sheep placenta and to determine whether feed-forward effects during labor are involved in further inducing pla...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(99)70619-8

    authors: Ma XH,Wu WX,Nathanielsz PW

    更新日期:1999-05-01 00:00:00

  • Explicit memory in pregnant women.

    abstract:OBJECTIVE:The study was conducted to systematically investigate previous anecdotal reports of memory decline during pregnancy. STUDY DESIGN:We used a longitudinal design to investigate memory in women throughout pregnancy and in the postpartum period. Closely matched, nonpregnant women were similarly studied at equiva...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(98)70073-0

    authors: Keenan PA,Yaldoo DT,Stress ME,Fuerst DR,Ginsburg KA

    更新日期:1998-09-01 00:00:00

  • Are entering obstetrics/gynecology residents more similar to the entering primary care or surgery resident workforce?

    abstract:OBJECTIVE:We compared demographic characteristics of first-year residents entering obstetrics/gynecology with those entering primary care and surgery. STUDY DESIGN:We analyzed first-year residents from the 1997-2004 National Graduate Medical Education Census. Multivariable logistic regression models identified indepen...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.07.031

    authors: McAlister RP,Andriole DA,Brotherton SE,Jeffe DB

    更新日期:2007-11-01 00:00:00

  • Endometrial adenocarcinoma estrogen receptor content: association of clinicopathologic features with immunohistochemical analysis compared with standard biochemical methods.

    abstract::Endometrial adenocarcinomas from 96 patients were studied for their biochemical estrogen receptor content as well as immunohistochemical localization of estrogen receptor. A well-characterized specific monoclonal antihuman estrogen receptor antibody (H222 sp gamma) as amplified by peroxidase/antiperoxidase techniques ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80090-x

    authors: Mutch DG,Soper JT,Budwit-Novotny DA,Cox EB,Creasman WT,McCarty KS Sr,McCarty KS Jr

    更新日期:1987-10-01 00:00:00

  • A randomized trial of ofloxacin versus cefoxitin and doxycycline in the outpatient treatment of acute salpingitis.

    abstract::The object of this randomized study was to compare the safety and efficacy of oral ofloxacin, 400 mg twice daily for 10 days, versus intramuscular cefoxitin, 2 gm, plus oral probenecid, 1 gm, followed by oral doxycycline, 100 mg twice daily for 10 days, in the outpatient treatment of uncomplicated acute salpingitis. T...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(91)91479-g

    authors: Wendel GD Jr,Cox SM,Bawdon RE,Theriot SK,Heard MC,Nobles BJ

    更新日期:1991-05-01 00:00:00

  • Use of oral decongestants during pregnancy and delivery outcome.

    abstract:OBJECTIVE:The purpose of this study was to evaluate delivery outcome after maternal use of oral decongestants. STUDY DESIGN:We identified 2474 women who had reported the use of oral decongestants (mainly phenylpropanolamine) during early pregnancy and 1771 women who used prescription oral decongestants later in pregna...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2005.06.087

    authors: Källén BA,Olausson PO

    更新日期:2006-02-01 00:00:00

  • Value of observation of fetal breathing activity in antenatal assessment of high-risk pregnancy.

    abstract::While observation of fetal breathing movements has been used in fetal assessment, quantitative parameters (percent time spent in breathing [incidence], breath rate, or breath rate variability) have not been adequately evaluated as predictive tools. We examined 283 patients with high-risk pregnancies between 32 and 42 ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90112-9

    authors: Devoe LD,Ruedrich DA,Searle NS

    更新日期:1989-01-01 00:00:00

  • Amniotic fluid tumor necrosis factor-alpha and interleukin-1 in a rabbit model of bacterially induced preterm pregnancy loss.

    abstract:OBJECTIVE:The objective of this study was to determine whether the cytokines tumor necrosis factor-alpha, interleukin-1 alpha, and interleukin-1 beta were produced in the amniotic fluid of the rabbit after intracervical inoculation with Escherichia coli. STUDY DESIGN:Timed pregnant rabbits on day 21 (70% of gestation)...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(92)91745-v

    authors: McDuffie RS Jr,Sherman MP,Gibbs RS

    更新日期:1992-12-01 00:00:00

  • Postsurgical medical treatment of advanced endometriosis: results of a randomized clinical trial.

    abstract:OBJECTIVE:Our purpose was to investigate the efficacy of postsurgical treatment with nafarelin in women with advanced endometriosis. STUDY DESIGN:Eligible for trial were women < or = 38 years old with unexplained infertility with or without chronic pelvic pain and stage III or IV endometriosis according to the America...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(94)90133-3

    authors: Parazzini F,Fedele L,Busacca M,Falsetti L,Pellegrini S,Venturini PL,Stella M

    更新日期:1994-11-01 00:00:00

  • Prevention of preterm birth with vaginal progesterone or 17-alpha-hydroxyprogesterone caproate: a critical examination of efficacy and safety.

    abstract::Progestogens are the first drugs to demonstrate reproducibly a reduction in the rate of early preterm birth. The efficacy and safety of progestogens are related to individual pharmacologic properties of each drug within this class of medication and characteristics of the population that is treated. The synthetic 17-hy...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2015.10.934

    authors: O'Brien JM,Lewis DF

    更新日期:2016-01-01 00:00:00

  • First- vs second-trimester ultrasound: the effect on pregnancy dating and perinatal outcomes.

    abstract:OBJECTIVE:The objective of the study was to examine the effect of first-trimester obstetric ultrasound (OBUS) on the measurement of the effect of complications ascribed to postterm pregnancies. STUDY DESIGN:We conducted a retrospective cohort study of all term, singleton pregnancies delivered at our institution who ha...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2008.03.034

    authors: Caughey AB,Nicholson JM,Washington AE

    更新日期:2008-06-01 00:00:00

  • Gonadoblastoma: histologic, ultrastructural, and histochemical observations in five cases.

    abstract::In this series of gonadoblastomas it appeared that the germ cells were the motivating force underlying either tumor proliferation or regression. The ultrastructural morphology confirmed the presence of undifferentiated gonadal cells with active steroid synthesis by the interstitial cells. The Call-Exner-like bodies wh...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90359-8

    authors: Garvin AJ,Pratt-Thomas HR,Spector M,Spicer SS,Williamson HO

    更新日期:1976-06-15 00:00:00

  • Follicular development is impaired by inhibitors of serine proteases in the rat.

    abstract::Serine proteases such as plasminogen activators are produced by granulosa cells both in vivo and in vitro and have been implicated in the process of ovulation. For a study of potential roles of serine proteases in early follicular development, immature rats were injected with pregnant mare serum gonadotropin, followed...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(88)90051-8

    authors: Pellicer A,Lightman A,Ariza A,DeCherney AH,Naftolin F,Littlefield BA

    更新日期:1988-03-01 00:00:00

  • Pharmacokinetics of ionized versus total magnesium in subjects with preterm labor and preeclampsia.

    abstract:OBJECTIVE:Intravenous magnesium sulfate is widely used in obstetrics for the treatment of both preterm labor and preeclampsia. Although therapeutic levels of total magnesium have been proposed, the levels remain controversial. Because the active form of magnesium is the free or ionized form, it is essential to determin...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.122421

    authors: Taber EB,Tan L,Chao CR,Beall MH,Ross MG

    更新日期:2002-05-01 00:00:00

  • Treatment of thyrotoxicosis during pregnancy with propranolol.

    abstract::The treatment of two pregnant thyrotoxic patients with propranolol alone is discussed. One patient had a spontaneous remission during pregnancy wile taking propranolol. In the other patient treatment with propranolol allowed postponement of definitive therapy until after delivery, when the fetus was no longer at risk....

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(75)90648-1

    authors: Bullock JL,Harris RE,Young R

    更新日期:1975-01-15 00:00:00

  • Inhibition of nitric oxide synthesis in rats during pregnancy produces signs similar to those of preeclampsia.

    abstract:OBJECTIVES:Preeclampsia is associated with hypertension, fetal growth retardation, and proteinuria. We hypothesized that impaired vascular nitric oxide synthesis during pregnancy may be an important causal factor in preeclampsia. STUDY DESIGN:An inhibitor of nitric oxide synthase, L-nitro-arginine methyl ester, or a n...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(93)90299-x

    authors: Yallampalli C,Garfield RE

    更新日期:1993-11-01 00:00:00

  • Elevated urine thrombomodulin/creatinine ratio in severely preeclamptic pregnancies.

    abstract::A relationship between the urine thrombomodulin/creatinine ratio and preeclampsia was investigated. Preeclamptic women had a higher urine thrombomodulin/creatinine ratio than did matched controls. However, significantly elevated urine thrombomodulin/creatinine ratios were found in severely, but not mildly, preeclampti...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(94)90111-2

    authors: Hsu CD,Lucas RB,Johnson TR,Hong SF,Chan DW

    更新日期:1994-09-01 00:00:00

  • Ultrasound evaluation of polyhydramnios and twin pregnancy.

    abstract::We analyzed the ultrasound examinations and medical records of 75 pairs of twins who were delivered between January, 1983, and December, 1984, to study the relationship between increased amniotic fluid volume, fetal abnormalities, and preterm labor. Ten of these 75 twin pregnancies demonstrated elevated amniotic fluid...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90752-0

    authors: Hashimoto B,Callen PW,Filly RA,Laros RK

    更新日期:1986-05-01 00:00:00