Breech Presentation: Vaginal Versus Cesarean Delivery, Which Intervention Leads to the Best Outcomes?

Fonseca, Andreia; Silva, Rita; Rato, Inês Rueff; Neves, Ana Raquel; Peixoto, Carla; Ferraz, Zita; Ramalho, Inês; Carocha, Ana; Félix, Nisa; Valdoleiros, Sandra; Galvão, Ana; Gonçalves, Daniela; Curado, Carla; Palma, Maria João; Antunes, Isabel; Clode, Nuno; Graça, Luís

doi:10.20344/amp.7920

Cited by 14 publications

(19 citation statements)

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“…In the centers where vaginal breech delivery is performed more frequently outcome is still good in experienced and skilled hands. [11][12][13][14] In our study there were 2.12% were breech deliveries which is similar to study conducted in Ethopia where prevalence was 3.4%. 3 15.5% newborn following cesarean breech delivery were admitted in neonatal care unit while 1.6% of newborn following vaginal breech delivery were admitted in NCU.…”

Section: Discussionsupporting

confidence: 86%

Perinatal Outcome of Vaginal Breech Delivery versus Caesarean Breech Delivery in a Tertiary Care Center

2018

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Introduction: Breech delivery has always been matter of interest in obstetrics. Cesarean breech delivery has been preferred method of delivery. We aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup. Methods: Data were collected from record book of Department of Gynaecology and obstetrics, Pokhara Academy of Health Sciences, Kaski, Nepal. Pregnant with breech presentation who had delivery in the centre from 2074 Baishak to 2074 chaitra were enrolled in the study. Data of 174 patients were analysed among which 74 underwent vaginal delivery for breech and 110 underwent cesarean breech delivery. Results: Only 1 (1.6%) of newborn delivered by vaginal route were admitted to NCU vs 17 (15.5% )in cesarean group which was significant (odds ratio= 0.071, 95% C.I 0.009-0.574; p= 0.004). There was only one death of newborn which was delivered by vaginal route. Mean APGAR score at 1 and 5 minute in vaginal breech delivery was 6 and 7 and in cesarean breech delivery was 6 and 8. Conclusions: Though perinatal morbidity was more with cesarean breech delivery but further study with more sample size is needed before reaching conclusion.

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Section: Discussionsupporting

confidence: 86%

Perinatal Outcome of Vaginal Breech Delivery versus Caesarean Breech Delivery in a Tertiary Care Center

2018

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“…In the centers where vaginal breech delivery is performed more frequently outcome is still good in experienced and skilled hands. [8][9][10][11] Similar to study conducted in Ethopia where prevalence was 3.4%. 3 12.50% newborn following cesarean breech delivery were admitted in neonatal care unit while 5.56% of newborn following vaginal breech delivery were admitted in NCU.…”

Section: Discussionsupporting

confidence: 65%

Perinatal Outcome of Vaginal Breech Delivery Versus Caesarean Breech Delivery

Malik¹,

Gupta²

2021

IJMBS

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Background: The aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup Methods: Data were collected from record book of Department of Gynecology and obstetrics. Data of 100 patients were analysed among which 36 underwent vaginal delivery for breech and 64 underwent cesarean breech delivery Results: Binary logistic regression was used to compare outcome among different groups. In our study only 5.56% of newborn delivered by vaginal route were admitted to NCU vs. 12.50% in cesarean group which was significant (odds ratio=0.07, P=0.01) Conclusion: Keywords: LSCS, Breech, NICU

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“…27 Despite the conclusions of the Term Breech Trial published in 2000, we are making an effort to perform more breech deliveries based on the favorable outcomes documented in the last years contributing to a decrease in the CS rate in this group. 28,29 In our study, the proportion of multiple pregnancies (Group 8) may be due to the fact that our department is a national reference center for medically assisted procreation. Despite the fact the CS rate in this group is considered low (56.3%) it contributed to 8.1% of the overall CS rate.…”

Section: Discussionmentioning

confidence: 86%

Cesarean Section Rate Analysis in a Tertiary Hospital in Portugal According to Robson Ten Group Classification System

Vargas

Rego

Clode

2020

Rev Bras Ginecol Obstet

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Objective The Robson 10 group classification system (RTGCS) is a reproducible, clinically relevant and prospective classification system proposed by the World Health Organization (WHO) as a global standard for assessing, monitoring and comparing cesarean section (CS) rates. The purpose of the present study is to analyze CS rates according to the RTGCS over a 3-year period and to identify the main contributors to this rate. Methods We reviewed data regarding deliveries performed from 2014 up to 2016 in a tertiary hospital in Portugal, and classified all women according to the RTGCS. We analyzed the CS rate in each group. Results We included data from 6,369 deliveries. Groups 1 (n = 1,703), 2 (n = 1,229) and 3 (n = 1,382) represented 67.7% of the obstetric population. The global CS rate was 25% (n = 1,594). Groups 1, 2, 5 and 10 were responsible for 74.2% of global CS deliveries. Conclusion As expected, Groups 1, 2, 5 and 10 were the greatest contributors to the overall CS rate. An attempt to increase the number of vaginal deliveries in these groups, especially in Groups 2 and 5, might contribute to the reduction of the CS rate.

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Breech Presentation: Vaginal Versus Cesarean Delivery, Which Intervention Leads to the Best Outcomes?

Abstract: Both delivery routes seem equally valid, neither posing high maternal or neonatal complications' incidence.

Cited by 14 publications

References 14 publications

Perinatal Outcome of Vaginal Breech Delivery versus Caesarean Breech Delivery in a Tertiary Care Center

Perinatal Outcome of Vaginal Breech Delivery versus Caesarean Breech Delivery in a Tertiary Care Center

Perinatal Outcome of Vaginal Breech Delivery Versus Caesarean Breech Delivery

Cesarean Section Rate Analysis in a Tertiary Hospital in Portugal According to Robson Ten Group Classification System

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