Delivery type and neonatal mortality among 10,749 breeches. | Zendy

J.A. Fortney | Zendy; JAMES HIGGINS | Zendy; Kathy I. Kennedy | Zendy; Leonard E. Laufe | Zendy; Lynne R. Wilkens | Zendy

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Delivery type and neonatal mortality among 10,749 breeches.

Author(s) -

J.A. Fortney,

JAMES HIGGINS,

Kathy I. Kennedy,

Leonard E. Laufe,

Lynne R. Wilkens

Publication year - 1986

Publication title -

american journal of public health

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.284

H-Index - 264

eISSN - 1541-0048

pISSN - 0090-0036

DOI - 10.2105/ajph.76.8.980

Subject(s) - medicine , parity (physics) , maternity care , perinatal mortality , developing country , obstetrics , pediatrics , infant mortality , demography , neonatal mortality , breech presentation , pregnancy , environmental health , population , fetus , physics , particle physics , sociology , biology , economics , genetics , economic growth

Data on 10,749 breech presentations were analyzed for the effect of delivery type on neonatal mortality. Most of the data are from developing countries, and most of the hospitals have higher mortality than is found in Europe or the United States. The simultaneous effect of type of hospital where the delivery occurred, type of breech, birthweight, and parity were examined. The benefit of cesarean delivery was greater for nulliparae than multiparae, greater for footlings than for frank or complete breeches, and greater for larger babies than smaller ones. This last finding probably reflects the quality of neonatal care in developing country hospitals rather than the value of cesarean section. Maternal mortality and morbidity was higher among women delivered abdominally than among those delivered vaginally.

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