Outcome of breech delivery at term.

Abstract:

OBJECTIVE:To compare neonatal mortality and morbidity in term infants presenting by the breech and delivered vaginally or by caesarean section. DESIGN:Population based comparison of outcomes. Data derived from the St Mary's maternity information system. SETTING:North West Thames Regional Health Authority, 1988-90. SUBJECTS:3447 singleton fetuses presenting by the breech at term. MAIN OUTCOME MEASURES:Intrapartum and neonatal mortality, low Apgar scores, intubation at birth, and admission to special care baby units. RESULTS:After the exclusion of babies with congenital anomalies the incidence of intrapartum and neonatal death associated with vaginal birth was 8/961 (0.83%) compared with 1/2486 (0.03%) in babies born by caesarean section (relative risk 20, 95% confidence interval 2.5 to 163). The numbers of low Apgar scores and neonatal intubation were doubled in babies born vaginally or by emergency caesarean section compared with those delivered by elective operation. CONCLUSIONS:The good neonatal outcome associated with elective caesarean delivery of the term breech fetus may influence the decision of women and their obstetricians about mode of delivery.

journal_name

BMJ

authors

Thorpe-Beeston JG,Banfield PJ,Saunders NJ

doi

10.1136/bmj.305.6856.746

keywords:

subject

Has Abstract

pub_date

1992-09-26 00:00:00

pages

746-7

issue

6856

eissn

0959-8138

issn

1756-1833

journal_volume

305

pub_type

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