Recurrence of breech presentation in consecutive pregnancies

Ford, Jane B.; Roberts, CL; Nassar, Natasha; Giles, Warwick B.; Morris, J.M.

doi:10.1111/j.1471-0528.2010.02576.x

Cited by 33 publications

(17 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Risk patterns for occurrence and recurrence of gestational diabetes observed in the present study are similar to recurrence studies of other pregnancy conditions, such as post-partum haemorrhage and breech presentation [16,17]. Common patterns include: highest risk of occurrence in the first pregnancy, increased risk with each subsequent pregnancy, and decreased risk after an intervening unaffected pregnancy.…”

Section: Discussionsupporting

confidence: 76%

Occurrence and recurrence of diabetes in pregnancy

Khambalia¹,

Ford²,

Nassar³

et al. 2013

Diabet. Med.

View full text Add to dashboard Cite

word count: 244 Manuscript word count: 2, 996Number of figures: 1 Number of tables: 2 2 Abstract Aims: To determine occurrence and recurrence rates of gestational diabetes (GDM) and preexisting diabetes mellitus (PDM) among women having at least two consecutive pregnancies and to assess risk factors that contribute to GDM recurrence.Methods: Population-based study using longitudinally linked hospital discharge and birth records (2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009) in NSW, Australia. Participants included women without a pre-existing diagnosis of Type 1 or Type II diabetes at time of first pregnancy and with at least a first and second birth. Factors associated with GDM recurrence were examined using multivariate logbinomial models to adjust for correlation within mothers and estimate relative risks (RR) and 95% confidence intervals.Results: First occurrence of GDM was 3.7% (5 315/142 843) in the first pregnancy and 2.7% (3 689/137 528) in the second pregnancy. The recurrence rate of GDM in a second consecutive pregnancy was 41.2%. Risk of PDM in a pregnancy subsequent to one with first occurrence of GDM was 2.2% and 2.0% in the second or third pregnancy, respectively. Among women with a GDM diagnosis in the first pregnancy, independent predictors of GDM recurrence were maternal age ≥35 years, ethnicity (Middle East/North Africa and Asia), pregnancy hypertension, large for gestational age infant and preterm birth in the first pregnancy, longer interpregnancy birth interval and pregnancy hypertension and multiple pregnancy in the second pregnancy. Conclusions:Women with a first pregnancy complicated by GDM have elevated recurrence rates and require screening, active management and monitoring in between and during subsequent pregnancies.

show abstract

Section: Discussionsupporting

confidence: 76%

Occurrence and recurrence of diabetes in pregnancy

Khambalia¹,

Ford²,

Nassar³

et al. 2013

Diabet. Med.

View full text Add to dashboard Cite

show abstract

“…Risk factors for breech presentation include older maternal age [5][6][7], nulliparity [5][6][7], preexisting diabetes [7,8], gestational diabetes [7], smoking [5], placenta previa [7], uterine abnormalities [6,9], previous breech presentation [10], previous caesarean section [5], small fetal size [5][6][7], and congenital anomalies [6,7,10]. There is also some evidence that the rate of breech presentation may differ by ethnicity, with women of African ancestry appearing to have the lowest rates [5,8].…”

Section: Introductionmentioning

confidence: 99%

Contribution of changing risk factors to the trend in breech presentation at term

Bin

Roberts

Nicholl

et al. 2016

Aust N Z J Obstet Gynaecol

View full text Add to dashboard Cite

Background: Recent population-wide changes in perinatal risk factors may affect rates of breech presentation at birth, and have implications for the provision of breech services and clinical training in breech management. Aims:To determine the trend in breech presentation at term and investigate whether changes in maternal and pregnancy characteristics explain the observed trend. Annual rates of breech presentation were determined. Logistic regression modelling was used to predict expected rates of breech presentation over time and these were compared with observed rates. A priori predictors included maternal age, country of birth, parity, smoking during pregnancy, diabetes, pregnancy hypertension, placenta praevia, previous singleton term breech, previous caesarean section, infant sex, gestational age, birthweight, and congenital anomalies. Hospital and Medicare data were used to assess trends in external cephalic version.Results: Among 914,147 singleton term births, 3.1% were breech at delivery. Rates declined from 3.6% in 2002 to 2.7% in 2012 (test for trend p<0.001). Breech presentation was predicted to increase from 3.6% in 2002 to 4.3% in 2012 because of increased maternal age, nulliparity, maternal diabetes, history of breech presentation and previous caesarean section. Use of external cephalic version appears to have increased over time.Conclusions: Breech presentation at delivery has decreased in New South Wales.Increased use of external cephalic version likely accounts for this decline, as changes in risk factors do not.

show abstract

“…In general, there exists approximately 15% risk of repetitive breech delivery after the previous one, and this risk is higher for cesarean sections [20]. The relative risk of breech recurrence in a second pregnancy is 3.2 and in a third consecutive breech pregnancy 13.9 [21]. Any other breeches are extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Repetitive Breech Presentations at Term

Žúbor

Zigo

Sivakova

et al. 2013

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

The authors present a case of 38-year-old laboring woman with four-time repetitive breech presentation of the fetus at term. This rare condition affects the mode of delivery and represents serious obstetrical problem as it is associated with increased perinatal morbidity or mortality. The authors give details on risk factors for breech presentation, its diagnosis, and the discussion points on possible causes leading to repetitive breeches in laboring women.

show abstract

Recurrence of breech presentation in consecutive pregnancies

Cited by 33 publications

References 33 publications

Occurrence and recurrence of diabetes in pregnancy

Occurrence and recurrence of diabetes in pregnancy

Contribution of changing risk factors to the trend in breech presentation at term

Repetitive Breech Presentations at Term

Contact Info

Product

Resources

About