Breech presentation at delivery: a marker for congenital anomaly?

  title={Breech presentation at delivery: a marker for congenital anomaly?},
  author={Dorothea J. Mostello and J J Chang and F. Bai and J. Wang and Camelia Guild and Kathryn Stamps and Terry L. Leet},
  journal={Journal of Perinatology},
Objective:To determine whether congenital anomalies are associated with breech presentation at the time of birth.Study Design:A population-based, retrospective cohort study was conducted among 460 147 women with singleton live births using the Missouri Birth Defects Registry, which includes all defects diagnosed during the first year of life. Maternal and obstetric characteristics and outcomes between breech and cephalic presentation groups were compared using χ2-square statistic and Student’s… 

Congenital anomalies in breech presentation: A nationwide record linkage study

Breech presentation was associated with nearly all types of examined congenital anomalies, and supports the theory that breech presentation is, in many cases, a symptom of a fundamental problem in fetal morphogenesis or function.

Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study

The study showed that breech presentation at term on its own was significantly associated with antenatal stillbirth and a number of individual obstetric risk factors for adverse perinatal outcomes.


Breech delivery is a high-risk pregnancy, associated with adverse fetal and maternal outcomes during pregnancy and labor and the mode of delivery should be based on parity, gestational age, birth weight, sonographic ndings, stage of labor and confounding factors affecting health of mother and fetus.

Breech delivery in the all fours position: a prospective observational comparative study with classic assistance

It is shown that vaginal delivery in all fours position is feasible and safe for mother and child compared with vaginal breech and classic support, and seems to be safe for the fetus with reduced maternal morbidity.

A comparison of risk factors for breech presentation in preterm and term labor: a nationwide, population-based case–control study

Breech presentation in preterm labor is associated with obstetric risk factors compared to cephalic presentation, and these risks decrease linearly with the gestational age.

Outcome of small for gestational age-fetuses in breech presentation at term according to mode of delivery: a nationwide, population-based record linkage study

A trial of vaginal breech labor in SGA fetuses is associated with adverse perinatal outcome and should be avoided.

Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery

The results suggest better outcomes for cesarean than vaginal delivery in BPs, and a significant association between Apgar scores in B Ps and mode of delivery.

Association of Persistent Breech Presentation With External Cephalic Version Success.

Women with persistent breech presentation experienced a high rate of ECV failure and a low rate of spontaneous vaginal delivery, as well as the mode of delivery after a successful ECV.

Study of the obstetric outcome of breech presentation in pregnancy in a tertiary hospital in a rural area in Telangana, India

Though caesarean section for breech presentation is not universally recommended, caesar section can reduce the perinatal mortality and morbidity compared to vaginal birth for term breech pregnancy and mode of delivery should be decided based on the case and obstetrician's skill.



A population-based case-control study of risk factors for breech presentation.

Fetal malformations associated with breech delivery. Implications for obstetric management.

The frequency distribution indicated that most of the fetuses with congenital abnormalities weighed 2,000 gm or more and it seems desirable to consider ultrasonographic assessment and chromosomal analysis during the last trimester of pregnancy.

Singleton breech presentation in labor: experience in 1980.

Maternal and Fetal Factors in Breech Presentation

No difference between the two groups (breech and vertex) was found regarding the frequency of extended fetal legs and cornualfundal placental implantation, however, the neonates born in breech presentation had a shorter gestational age by ten days at delivery, and preterm delivery was more common.

The characteristics and perils of breech presentation.

To delineate the differences between breech and nonbreech deliveries, the characteristics of 30,359 consecutive, singleton deliveries at one institution were analyzed. Although many of the

Sensitivity of Routine Ultrasound Screening of Pregnancies in the Eurofetus Database

Within each severity group, the accuracy of detection varied across systems, and for the major abnormalities, it was higher for the central nervous system and urinary tract but lower for heart and great vessels and the musculoskeletal system.

Twenty-year trends in diagnosis of life-threatening neonatal cardiovascular malformations

One in three infants with a potentially life-threatening cardiovascular malformation left hospital undiagnosed and better early diagnosis is likely to be achieved by further improvements in antenatal diagnosis and more widespread use of routine pulse oximetry.

A Comparison of Two Surveillance Strategies for Selected Birth Defects in Florida

Florida's suveillance of birth defects (e.g., neural tube defects, orofacial clefts, gastroschisis/omphalocele, and chromosomal defects), focusing on sensitivity and completeness of ascertainment measures, was assessed to assess the FBDR's ability to identify specific defects.

Age at diagnosis of birth defects.

It is considered that the additional work required to include cases diagnosed up to 6 years of age in Western Australia is outweighed by the benefit of more complete ascertainment.

Routine screening for fetal anomalies: expectations.

  • J. Goldberg
  • Medicine
    Obstetrics and gynecology clinics of North America
  • 2004