Comparison of maternal and fetal complications in pregnant women with breech presentation undergoing spontaneous or induced vaginal delivery, or cesarean delivery
Autor: | Meryem Hocaoglu, Ergül Demirçivi Bör, Taner Günay, Abdulkadir Turgut |
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Rok vydání: | 2020 |
Předmět: |
Adult
medicine.medical_specialty Adolescent medicine.medical_treatment Infant Newborn Diseases law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Breech presentation law Humans Medicine Induced vaginal delivery Labor Induced Breech Presentation reproductive and urinary physiology Retrospective Studies Femur fracture 030219 obstetrics & reproductive medicine Cesarean Section Vaginal delivery business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Delivery Obstetric medicine.disease Intensive care unit female genital diseases and pregnancy complications Obstetric Labor Complications Perinatal asphyxia Prenatal Injuries Labor induction Apgar Score Female Complication business |
Zdroj: | Taiwanese Journal of Obstetrics and Gynecology. 59:392-397 |
ISSN: | 1028-4559 |
Popis: | Breech presentation is the most common form of malpresentation, and associated with perinatal asphyxia and mortality, and maternal morbidity. Data associated with labor induction in breech presentation are limited. The aim of this study was to compare maternal and fetal complication rates in induced and spontaneous vaginal, and cesarean delivery with breech presentation.Pregnant women with breech presentation were grouped: spontaneous vaginal delivery (Group 1, n = 72) induced or augmented vaginal delivery (Group 2, n = 32), and cesarean delivery (Group 3, n = 253). Fetal complications were as follows: clavicle fracture, femur fracture, humerus fracture, brachial plexus injury, cephalic hematoma, pneumothorax, need for intensive care unit (ICU), and 5th minute APGAR7. Maternal complications were as follows: vaginal hematoma, deep vaginal laceration, perineal injury (≥3rd degree), decline in hemoglobin level (2 g/dL), and postpartum endometritis. Data were collected and analyzed retrospectively.The highest fetal complication rate was in Group 2, and the lowest in Group 3 (p = 0.001). Clavicle fracture was significantly less in Group 3 compared with the other groups (p = 0.024). The rate of lower APGAR scores at the 5th minute was similar in all groups. Maternal complications were significantly higher in Group 2 compared with the other groups (p = 0.001). Fetal complications were 5.66-fold higher in Group 1 than in Group 3 (p = 0.002). Fetal and maternal complications were 9.48-fold and 7.48-fold higher, respectively, in Group 2 than in Group 3 (p 0.001).This study is the first in literature to have investigated and analyzed neonatal complications in breech delivery according to different delivery modes including induced vaginal delivery. Due to possible complications, the risks and benefits of a specific type of delivery should be considered in breech presentation. |
Databáze: | OpenAIRE |
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