Open AccessResults of a Five‐Year Prospective Study Using a Feto‐Pelvic Scoring System For Term Singleton Breech Delivery After Uncomplicated Pregnancy
Author(s) -
Barlöv Kjell,
Larsson Göran
Publication year - 1986
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 - 10.3109/00016348609157351
Subject(s) - medicine , obstetrics , apgar score , asphyxia , vaginal delivery , pregnancy , scoring system , singleton , pelvimetry , prospective cohort study , breech delivery , birth weight , gynecology , pelvis , surgery , genetics , biology
Two hundred and twenty‐six term singleton breech deliveries were managed prospectively during a 5‐year period according to Westin's feto‐pelvic scoring system based on X‐ray pelvimetry, estimated fetal weight, type of breech, and outcome of previous vaginal deliveries. the vaginal delivery rate was 45.1% and cesarean section rate 54.9%. 81.5% of cesarean sections could be planned in advance, based on the scoring system. Corrected neonatal mortality was nil and persistent morbidity was 0.4% for the whole material. Asphyxia, defined as 5 min Apgar score <7, occurred in only 1% of cases, evenly distributed among vaginal and planned cesarean deliveries. It was possible by means of the scoring system to identify a group of women who could give birth vaginally, without any mortality or persistent morbidity.