Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 08 Oct 2003
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Breech presentation at term: morbidity and mortality according to the type of delivery at Port Royal Maternity hospital from 1993 through 1999. European Journal of Obstetrics & Gynecology and Reproductive Biology 2002;102:137-142.

Author(s) :

Kayem G, Goffinet F, Clément D, Hessabi M, Cabrol D.

Year of publication :

2002

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To compare neonatal morbidity and mortality at Port Royal Maternity between 1993 and 1999 for infants with a singleton breech presentation born after 37 weeks, according to planned mode of delivery.
STUDY DESIGN: Retrospective study of 501 patients of whom vaginal delivery was planned in 322 (64%) or/and cesarean in 179 (36%).

RESULTS: Severe neonatal morbidity was similar in the two groups (13/322, 4.0% versus 8/179, 4.5%; P=0.82); severe trauma morbidity was not significantly higher in the "planned vaginal delivery" group (3/322, 0.9% versus 1/179, 0.06%; P=0.16); there were no long-term sequelae. Mortality was not higher when vaginal delivery was planned.

CONCLUSION: We have not found in this series any excess of morbidity or mortality attributable to vaginal delivery of breech presentations. This work does not indicate that we should change our obstetrical practice in the light of other recently-published studies.

Sumário (português)  :

Comments :

Acces libre au resume, texte payant.

Argument (français) :

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; breech presentation ; dystocy ; morbidity

Author of this record :

Cécile Loup — 08 Oct 2003
➡ latest update : Bernard Bel — 02 Dec 2007