Planned Caesarean Section Versus Planned Vaginal Birth for Breech Presentation at Term: A Randomised Multicentre Trial
| Autor: | Walter J. Hannah, Saroj Saigal, Ellen Hodnett, Andrew R. Willan, Mary E. Hannah, Sheila A. Hewson |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Fetus Intention-to-treat analysis Obstetrics business.industry Vaginal birth medicine.medical_treatment Obstetrics and Gynecology Maternal morbidity General Medicine female genital diseases and pregnancy complications Breech presentation Relative risk medicine Caesarean section business reproductive and urinary physiology Post partum |
| Zdroj: | Obstetric and Gynecologic Survey. 56:132-134 |
| ISSN: | 0029-7828 |
| DOI: | 10.1097/00006254-200103000-00007 |
| Popis: | Summary Background For 3–4% of pregnancies, the fetus will be in the breech presentation at term. For most of these women, the approach to delivery is controversial. We did a randomised trial to compare a policy of planned caesarean section with a policy of planned vaginal birth for selected breech-presentation pregnancies. Methods At 121 centres in 26 countries, 2088 women with a singleton fetus in a frank or complete breech presentation were randomly assigned planned caesarean section or planned vaginal birth. Women having a vaginal breech delivery had an experienced clinician at the birth. Mothers and infants were followed-up to 6 weeks post partum. The primary outcomes were perinatal mortality, neonatal mortality, or serious neonatal morbidity; and maternal mortality or serious maternal morbidity. Analysis was by intention to treat. Findings Data were received for 2083 women. Of the 1041 women assigned planned caesarean section, 941 (90·4%) were delivered by caesarean section. Of the 1042 women assigned planned vaginal birth, 591 (56·7%) delivered vaginally. Perinatal mortality, neonatal mortality, or serious neonatal morbidity was significantly lower for the planned caesarean section group than for the planned vaginal birth group (17 of 1039 [1·6%] vs 52 of 1039 [5·0%]; relative risk 0·33 [95% CI 0·19–0·56]; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|