Breech presentation at delivery: a marker for congenital anomaly?

@article{Mostello2014BreechPA,
  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},
  year={2014},
  volume={34},
  pages={11-15}
}
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… 

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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.

STUDY ON FETO-MATERNAL OUTCOME OF BREECH PRESENTATION IN A TERTIARY CARE HOSPITAL

TLDR
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.

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TLDR
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

TLDR
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

TLDR
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

TLDR
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.

TLDR
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

TLDR
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.

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