Breech birth at term: vaginal delivery or elective cesarean section? A systematic review of the literature by a Norwegian review team

Håheim, Lise Lund; Albrechtsen, Susanne; Berge, Lillian Nordbø; Børdahl, Per E.; Egeland, Thore; Henriksen, Tore; Øian, Pål

doi:10.1111/j.0001-6349.2004.00349.x

Cited by 27 publications

(6 citation statements)

References 25 publications

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“…Most of the studies concluded that vaginal delivery is safe and give a good selection for patients to have qualified assistance and careful management during delivery [10].…”

Section: Introductionmentioning

confidence: 99%

Maternal Preference, Mode of Delivery and Associated Factors among Women Who Gave Birth at Public and Private Hospitals in Hawassa City, Southern Ethiopia

Tenaw

Kassa

Kassahun

et al. 2019

Annals of Global Health

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Introduction: Despite the advances in modern obstetrics care, maternal morbidity and mortality remains a big problem. Proper choice in the mode of delivery is necessary to tackle this problem. The aim of this study was to assess maternal preference, mode of delivery and associated factors among women who gave birth at public and private hospitals in Hawassa city, Southern Ethiopia, 2017. Methods: A hospital based cross sectional study was carried out from January 01–30/2017. A systematic sampling procedure was utilized, and 300 mothers who gave births were included in the study. Data entered to EPI data 3.5.1 and exported to version 20.0 software packages for social science analysis. The presence of association between independent and dependent variables was determined using odds ratio at 95% confidence interval by applying logistic regression model. Results: The prevalence of caesarean section was 49.3% (95% CI: 43.7–55.3). Mothers that have a monthly income above poverty line, having previous pregnancy complications, and current pregnancy problems have higher odds of using the caesarean section mode of delivery. Whereas utilization of partograph lower the odds of caesarean section mode of delivery. Having previous pregnancy complications had higher odds of maternal preference for caesarean section delivery whereas the utilization of partograph lowered the odds of maternal preference for Caesarean section delivery. Conclusion: The prevalence of caesarean section mode of delivery in Hawassa city was high compared with world health organization threshold. Monthly income above poverty line, previous pregnancy complications, Current obstetrics problems are increasing caesarean section delivery, whereas utilization of partograph is decreasing caesarean section delivery. Therefore, utilization of partograph could be lessening unnecessary caesarean section delivery.

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“…Most of the studies concluded that vaginal delivery is safe and give a good selection for patients to have qualified assistance and careful management during delivery [10].…”

Section: Introductionmentioning

confidence: 99%

Maternal Preference, Mode of Delivery and Associated Factors among Women Who Gave Birth at Public and Private Hospitals in Hawassa City, Southern Ethiopia

Tenaw

Kassa

Kassahun

et al. 2019

Annals of Global Health

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show abstract

“…Many other studies have shown since then that spontaneous vaginal breech delivery is in the long-term perspective safe for both the mother and child if women are selected to trial of labor carefully and labor management takes place in an appropriate obstetric setting [4,[7][8][9][10][11][12][13]. The British, Canadian, French and German associations of obstetricians and gynecologists have defined guidelines to determine under which circumstances breech presentation is recommended for vaginal delivery [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Induction of labor in breech presentations at term: a retrospective observational study

Macharey

Ulander

Heinonen

et al. 2015

Arch Gynecol Obstet

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“…In Norway, a group of national experts reviewed the evidence underlying these recommendations. Taking into consideration the much lower perinatal mortality in Norway than in the study populations included in the TBT, these experts concluded that vaginal delivery would still be safe, provided careful assessment of maternal and fetal status [6]. Nonetheless, clinical practice also changed in Norway where the vaginal breech delivery rate decreased from around 50 to 30% after 2000 [7].…”

Section: Introductionmentioning

confidence: 99%

Adherence to guidelines and suboptimal practice in term breech delivery with perinatal death- a population-based case-control study in Norway

Bjellmo

Hjelle²,

Krebs

et al. 2019

BMC Pregnancy Childbirth

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Background In a recent population-based study we reported excess risk of neonatal mortality associated with vaginal breech delivery. In this case-control study we examine whether deviations from Norwegian guidelines are more common in breech deliveries resulting in intrapartum or neonatal deaths than in breech deliveries where the offspring survives, and if these deaths are potentially avoidable. Material and methods Case-control study completed as a perinatal audit including term breech deliveries of singleton without congenital anomalies in Norway from 1999 to 2015. Deliveries where the child died intrapartum or in the neonatal period were case deliveries. For each case, two control deliveries who survived were identified. All the included deliveries were reviewed by four obstetricians independently assessing if the deaths in the case group might have been avoided and if the management of the deviations from Norwegian guidelines were more common in case than in control deliveries. Results Thirty-one case and 62 control deliveries were identified by the Medical Birth Registry of Norway. After exclusion of non-eligible deliveries, 22 case and 31 control deliveries were studied. Three case and two control deliveries were unplanned home deliveries, while all in-hospital deliveries were in line with national guidelines. Antenatal care and/or management of in-hospital deliveries was assessed as suboptimal in seven (37%) case and two (7%) control deliveries (p = 0.020). Three case deliveries were completed as planned caesarean delivery and 12 (75%) of the remaining 16 deaths were considered potentially avoidable had planned caesarean delivery been done. In seven of these 16 deliveries, death was associated with cord prolapse or difficult delivery of the head. Conclusion All in-hospital breech deliveries were in line with Norwegian guidelines. Seven of twelve potentially avoidable deaths were associated with birth complications related to breech presentation. However, suboptimal care was more common in case than control deliveries. Further improvement of intrapartum care may be obtained through continuous rigorous training and feedback from repeated perinatal audits.

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Breech birth at term: vaginal delivery or elective cesarean section? A systematic review of the literature by a Norwegian review team

Cited by 27 publications

References 25 publications

Maternal Preference, Mode of Delivery and Associated Factors among Women Who Gave Birth at Public and Private Hospitals in Hawassa City, Southern Ethiopia

Maternal Preference, Mode of Delivery and Associated Factors among Women Who Gave Birth at Public and Private Hospitals in Hawassa City, Southern Ethiopia

Induction of labor in breech presentations at term: a retrospective observational study

Adherence to guidelines and suboptimal practice in term breech delivery with perinatal death- a population-based case-control study in Norway

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