Open AccessPregnancy outcomes in breech presentation analyzed according to intended mode of delivery
Author(s) -
Mattila Mirjami,
Rautkorpi Jatta,
Heikkinen Tuija
Publication year - 2015
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.12703
Subject(s) - medicine , breech presentation , obstetrics , vaginal delivery , apgar score , pregnancy , retrospective cohort study , medical record , external cephalic version , gynecology , gestational age , surgery , genetics , biology
Optimal mode of delivery in breech presentation has been widely examined and debated. The aim of this study was to compare perinatal and maternal outcomes with either a policy of planned vaginal delivery or planned cesarean section in breech presentation. Material and methods This was a registry‐based retrospective cohort study from Turku University Hospital, Finland with 1418 singleton breech deliveries at term over a period of 11 years (January 2002 to December 2012). Data were collected from the mothers' medical records. Results Apgar scores at 5 min as well as umbilical artery pH values were significantly lower in the planned vaginal breech delivery group compared with the planned cesarean section group, suggesting a short‐lasting delayed recovery after birth. There were more puerperal infections in planned cesarean section group compared with the planned vaginal delivery group. Conclusions The results confirm that planned vaginal breech delivery results in short‐lasting delayed recovery after birth compared with planned cesarean section.