Planned caesarean section decreases the risk of adverse perinatal outcome due to both labour and delivery complications in the Term Breech Trial

@article{Su2004PlannedCS,
  title={Planned caesarean section decreases the risk of adverse perinatal outcome due to both labour and delivery complications in the Term Breech Trial},
  author={Min Su and Walter J. Hannah and Andrew R. Willan and Susan Ross and Mary Elizabeth Hannah},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
  year={2004},
  volume={111}
}
  • M. Su, W. Hannah, +2 authors M. Hannah
  • Published 2004
  • Medicine
  • BJOG: An International Journal of Obstetrics & Gynaecology
Objective  To determine if the decreased risk of adverse perinatal outcome, with a policy of planned caesarean, in the Term Breech Trial, was due to a reduction of problems of labour, problems of delivery or unrelated problems. 
Comparison of maternal and perinatal morbidity between elective and emergency caesarean section in singleton-term breech presentation
TLDR
In singleton-term breech presentation, EmCS in tertiary care setting was not associated with an increase in serious maternal and neonatal morbidity compared with EICS, and further prospective study in planned caesarean section scheduled for 38–39 weeks in patients with term breech Presentation is suggested. Expand
Term incomplete breech delivery in an ambulance: a case report.
TLDR
Emergency physicians should be prepared for the complications that are associated with breech delivery and recognize the different maneuvers required to successfully deliver a breech infant. Expand
Planned caesarean section for term breech delivery.
TLDR
The numbers studied were too small to satisfactorily address reductions in birth trauma and brachial plexus injury with planned caesarean section, and there were no differences in the combined outcome 'death or neurodevelopmental delay' at two years. Expand
The term breech trial ten years on: primum non nocere?
In 2000, the Term Breech Trial was published, and its authors recommended cesarean section as the safest mode of delivery for breech-presenting babies. Criticisms of the trial were raised at theExpand
Perinatal death in twins
  • P. Steer
  • Medicine
  • BMJ : British Medical Journal
  • 2007
Should all term multiple pregnancies be delivered by elective caesarean section?
Factors associated with fall in neonatal intubation rates in the United Kingdom – prospective study
TLDR
The trend of neonatal resuscitation by intubation or mask ventilation over time is investigated and its association with changes in prevalence of caesarean section and use of general anaesthesia in labour is assessed. Expand
Singleton Vaginal Breech Delivery at Term: Maternal and Perinatal Outcome
TLDR
Proper selection of cases with proper antenatal and intrapartum care can result in successful breech vaginal delivery without compromising feto maternal wellbeing and curtailing the percentage of caesarean being done for this malpresentation. Expand
[Breech presentation at term: caesarean section or vaginal delivery?].
TLDR
A difference was detected in newborn's body mass and head circumference, delivery duration, maternal level of education and parity between pregnancies terminated surgically in comparison to vaginal delivery, while perinatal morbidity did not show any difference regardless of the method of delivery for term breech presentation. Expand
Is planned vaginal delivery for breech presentation at term still an option? Results of an observational prospective survey in France and Belgium.
TLDR
In places where planned vaginal delivery is a common practice and when strict criteria are met before and during labor,planned vaginal delivery of singleton fetuses in breech presentation at term remains a safe option that can be offered to women. Expand
SHORT TERM NEONATAL OUTCOMES OF SINGLETON TERM BREECH DELIVERY: TWO YEAR EXPERIENCES IN A MALAYSIAN TERTIARY HOSPITAL.
TLDR
Pre or in- labour c aesarean section and vaginal delivery in terms of singleton breech presentation contains a similar risk of adverse neonatal outcome. Expand
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References

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Perinatal mortality and route of delivery in term breech presentations
Objective To compare intrapartum related infant mortality in term (> 34 weeks) breech presentations in relation to vaginal delivery or delivery by caesarean section.
Breech at termmode of delivery?
TLDR
Neonatal mortality and morbidity in non‐malformed singleton term infants delivered in breech presentation is determined and a possible correlation between outcome and mode of delivery, parity and birth weight is identified. Expand
Perinatal outcome of singleton term breech deliveries.
TLDR
The results of this retrospective study of 306 singleton term breech deliveries imply that vaginal delivery is associated with increased neonatal morbidity in comparison to elective cesarean section. Expand
Planned caesarean section for term breech delivery.
TLDR
Planned caesarean section compared with planned vaginal birth reduced perinatal or neonatal death or serious neonatal morbidity for the singleton breech baby at term, at the expense of somewhat increased maternal morbidity. Expand
Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial
TLDR
Planned caesarean section is better than planned vaginal birth for the term fetus in the breech presentation; serious maternal complications are similar between the groups. Expand
Pregnancy Outcomes by Mode of Delivery Among Term Breech Births: Swedish Experience 1987–1993
TLDR
It is concluded that term singleton infants presented in breech would benefit from an elective cesarean delivery, as vaginal delivery is associated with higher risks of neonatal mortality and morbidity compared with delivery by electiveCESarean. Expand
Breech at term--mode of delivery? A register-based study.
BACKGROUND The present study was designed to determine neonatal mortality and morbidity in non-malformed singleton term infants delivered in breech presentation and identify a possible correlationExpand
Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery
  • A. Kotaska
  • Medicine
  • BMJ : British Medical Journal
  • 2004
As randomised trials continue to ascend in the evolution of evidence based medicine, we must recognise and respect their limitations when examining complex phenomena in heterogeneous populations
HYPEREXTENSION OF THE FETAL HEAD IN BREECH PRESENTATION: RADIOLOGICAL EVALUATION AND SIGNIFICANCE
TLDR
It is recommended that elective Caesarean section be performed when the angle of extension exceeds 90° and cases of damage to the cervical cord are included. Expand
Fetal risk in hyperextension of the fetal head in breech presentation.
TLDR
It is concluded that hyperextension of the aftercoming head is a dangerous malpresentation that should not be underestimated and an x-ray of all breech presentations in early labor is strongly suggested to evaluate pelvic adequacy. Expand
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