Vaginal versus cesarean section oriented approaches in the management of breech delivery

Edmond Confino*, Bernardo Ismajovich, Anat Sherzer, Reuben M. Peyser, Menachem P. David

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

In a 5-year retrospective study, 543 singleton breech presented infants weighing more than 1000 g were reviewed in two obstetric departments. Department "A" actively conducted the labor with lower cesarean section rate (26%). Department "B" attempted a trial of labor with less invasive procedures and performed more cesarean sections (38% P < 0.05 S). The management of labor, fetal and maternal outcome were compared between the two departments. Both vaginal and abdominal routes of delivery in fetuses weighing more than 1500 g resulted in the same fetal and maternal outcome. For fetuses weighing 1000-1500 g cesarean section is probably the recommended delivery route.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalInternational Journal of Gynecology and Obstetrics
Volume23
Issue number1
DOIs
StatePublished - Jan 1 1985

Keywords

  • Cesarean section
  • Fetal and maternal outcome comparison
  • Management of labor
  • Singleton breech
  • Vaginal breech delivery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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