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Breech delivery of infants weighing more than 2000 grams: a case controlled retrospective analysis of 751 patients
Author(s) -
Mahomed K.,
Seeras R.,
Coulson R.
Publication year - 1990
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(90)90474-y
Subject(s) - medicine , breech presentation , external cephalic version , presentation (obstetrics) , vaginal delivery , pediatrics , retrospective cohort study , outcome (game theory) , obstetrics , protocol (science) , developing country , pregnancy , surgery , alternative medicine , genetics , mathematics , mathematical economics , biology , pathology , economics , economic growth
This is a case controlled study of 385 women with breech presentation and 357 with cephalic presentation. Unlike many recent studies, vaginal breech delivery was associated with a significantly worse outcome for the infant. The reasons for these are discussed particularly in relation to developing countries and a protocol for management of these women is suggested to attempt to reduce the unacceptably poor outcome. Selective external cephalic version is advocated.