Fetal outcome for infants in breech by method of delivery: experiences with a stand-by service system of senior obstetricians and women's choices of mode of delivery

J Perinat Med. 2011 Jul;39(4):385-90. doi: 10.1515/jpm.2011.044.

Abstract

Objective: To show that the fetal outcome in vaginal deliveries (VD) of breech presentation in a setting of a senior obstetrician stand-by system is as good as in planned cesarean sections.

Patients and methods: This observational prospective intent-to-treat study (n=211 singleton breech presentation pregnancies of ≥35 weeks of gestation) compared two groups of breech deliveries: planned cesarean sections (PCS, n=126) and intended VD (IVD, n=85) resulting in vaginal deliveries (VD, n=46) as well as secondary cesarean sections (SCS, n=39). Women's informed choice as well as strict pre-selection criteria for vaginally intended breech presentation deliveries was followed.

Results: Fetal outcome of vaginal breech deliveries and of primary as well as SCS (45.9% of IVD) was comparable in terms of cord blood pH, base excess, Apgar score, fetal trauma, and transfer to neonatal intensive care unit.

Conclusions: Vaginal breech delivery is a safe option in a stand-by system of senior obstetricians with controlled decision-making before labor.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Apgar Score
  • Breech Presentation / surgery
  • Breech Presentation / therapy*
  • Cesarean Section
  • Choice Behavior
  • Delivery, Obstetric / methods*
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Obstetrics and Gynecology Department, Hospital
  • Pregnancy
  • Pregnancy Outcome
  • Prospective Studies
  • Young Adult