Pregnancy outcomes by mode of delivery among breech births

Objective To compare maternal and neonatal outcomes of the vaginal delivery versus cesarean delivery for the breech presentation. Methods We reviewed the maternal and neonatal charts of all singleton breech deliveries of 4,000 g delivered between 2000 and 2006 at our institution. The study populatio...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2012-02, Vol.285 (2), p.297-303
Main Authors: Demirci, Oya, Tuğrul, Ahmet Semih, Turgut, Abdulkadir, Ceylan, Şirin, Eren, Sadiye
Format: Article
Language:English
Subjects:
Adult
Anemia - etiology
Birth Weight
Breech presentation
Breech Presentation - epidemiology
Breech Presentation - surgery
Cesarean Section - adverse effects
Cesarean Section - statistics & numerical data
Childbirth & labor
Delivery, Obstetric - adverse effects
Delivery, Obstetric - statistics & numerical data
Endocrinology
Female
Gestational Age
Gynecology
Health risk assessment
Human Genetics
Humans
Infant Mortality
Infant, Newborn
Infant, Newborn, Diseases - mortality
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Morbidity
Mortality
Obstetrics/Perinatology/Midwifery
Perinatal Mortality
Pregnancy
Pregnancy Outcome
Premature Birth - mortality
Retrospective Studies
Surgical Wound Infection - etiology
Young Adult
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Summary:Objective To compare maternal and neonatal outcomes of the vaginal delivery versus cesarean delivery for the breech presentation. Methods We reviewed the maternal and neonatal charts of all singleton breech deliveries of 4,000 g delivered between 2000 and 2006 at our institution. The study population consisted of 1,537 women with a fetus in a breech presentation. A group of 478 women that had delivered vaginally was compared with a group of 1,059 women, who had cesarean delivery, regarding neonatal mortality and morbidity (asphyxia, bone fractures, intraventricular hemorrhage, convulsions, respiratory distress syndrome, necrotizing enterocolitis, congenital hip dislocation), and maternal morbidity (febrile morbidity, anemia, wound infection). Results Neonatal complications did not differ between the group of women with term babies, 1,500 g babies in breech presentation for women that had vaginal delivery and those that had cesarean delivery. On the other hand, breech presentation in preterm delivery between 1,000 and 1,500 g birth weight appears an independent risk factor for the neonatal mortality. There were fewer maternal complications in the vaginal group than in the cesarean group. Conclusion Vaginal delivery of 1,000–1,500 g babies presenting as breech is associated with the increased neonatal mortality compared with cesarean delivery. Cesarean delivery is associated with maternal morbidity compared with the vaginal delivery.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-011-1956-0