Maternal outcomes of term breech presentation delivery: impact of successful external cephalic version in a nationwide sample of delivery admissions in the United States

@article{Weiniger2016MaternalOO,
  title={Maternal outcomes of term breech presentation delivery: impact of successful external cephalic version in a nationwide sample of delivery admissions in the United States},
  author={C. Weiniger and D. Lyell and L. Tsen and A. Butwick and B. Shachar and W. Callaghan and A. Creanga and B. Bateman},
  journal={BMC Pregnancy and Childbirth},
  year={2016},
  volume={16}
}
BackgroundWe aimed to define the frequency and predictors of successful external cephalic version in a nationally-representative cohort of women with breech presentations and to compare maternal outcomes associated with successful external cephalic version versus persistent breech presentation.MethodsUsing the Nationwide Inpatient Sample, a United States healthcare utilization database, we identified delivery admissions between 1998 and 2011 for women who had successful external cephalic… Expand

Paper Mentions

Observational Patient Registry Clinical Trial
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ConditionsCesarean Section; Dehiscence
InterventionDevice
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TLDR
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TLDR
Attempting cephalic version at term appears to reduce the chance of non-cephalic births and caesarean section, and there is not enough evidence to assess any risks of external cep Halic version in women with breech presentation. Expand
Significance of success rate of external cephalic versions and vaginal breech deliveries in counseling women with breech presentation at term.
TLDR
When counseling women with breech presentation at term, complete information is needed for consent, and should take into account the success rate of ECVs and of vaginal breech deliveries in the specific center. Expand
Mode of Delivery After Successful External Cephalic Version: A Systematic Review and Meta-analysis
TLDR
Women who have had a successful external cephalic version for breech presentation are at increased risk for cesarean delivery and instrumental vaginal delivery as compared with women with a spontaneous cep Halic presentation. Expand
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TLDR
Women with a breech-presenting fetus at term and previous CD, who desire a trial of labor, should be counseled regarding the accumulating evidence about the efficacy and apparently safety of this procedure and may be offered an ECV attempt. Expand
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  • Medicine
  • The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
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Abstract Objective: Though on average one out of every two external cephalic versions (ECV) fails to rotate the breech fetus, little is known about the outcomes of pregnancies in which ECV isExpand
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TLDR
Uterine tone may be the most important predictor of success when selecting candidates for external cephalic version and in women with high uterine tone, the combination of anterior or lateral fetal spine, noncornual placental location, and breech location out of the pelvis predicted success. Expand
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TLDR
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Cesarean delivery and operative vaginal delivery rates following successful ECV are not increased in the data set compared with matched controls, even in patients with a prior cesareans, which may be useful when counseling patients who are contemplating an ECV attempt. Expand
Cost-effectiveness of external cephalic version for term breech presentation
TLDR
From society's perspective, ECV trial is cost-effective when compared to a scheduled cesarean for breech presentation provided the probability of successful ECV is > 32%. Expand
Is there a place for selective vaginal breech delivery in Malaysian hospitals: experiences from the Ipoh hospital
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TLDR
The mode of delivery did not impact on better PNMR in breech cases in this hospital and the need for selective vaginal births for breech, increased use of external cephalic version and the long implications of a uterine scar in future pregnancies in the ‘shared antenatal care in the local context in a developing country is discussed. Expand
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