| Autor: |
Elisa Bevilacqua, MD, PhD, Jacques C. Jani, MD, PhD, Federica Meli, MD, Andrew Carlin, MD, Giulia Bonanni, Margot Rimbault, MD, Ilaria Ruggiano, MD, Céline Quenon, MD, Federica Romanzi, MD, Antonio Lanzone, MD, PhD, Dominique A. Badr, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
AJOG Global Reports, Vol 2, Iss 4, Pp 100086- (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2666-5778 |
| DOI: |
10.1016/j.xagr.2022.100086 |
| Popis: |
BACKGROUND: Medical literature supports planned cesarean delivery for breech presentation at term because of observed reductions in neonatal morbidity and mortality compared with vaginal breech delivery. OBJECTIVE: This study aimed to compare perinatal outcomes of singleton pregnancies with breech presentation at term according to the different delivery protocols of 2 teaching hospitals, where vaginal breech delivery (protocol 1) or cesarean delivery (protocol 2) is routinely offered, respectively. STUDY DESIGN: A retrospective matched cohort study was conducted between January 2015 and May 2021. A total of 1079 women were eligible for analysis. After matching for possible confounding factors, the final analysis was performed on 257 patients in each group. The primary outcomes were a composite of adverse obstetrical outcomes and a composite of neonatal adverse outcomes. RESULTS: Overall, 1079 women were eligible for analysis. After matching for possible confounding factors, the final analysis was performed on 257 patients in each group. The composite of adverse obstetrical outcomes was similar in the 2 groups (24.1% vs 24.5%; P=1.000); however, the composite of neonatal adverse outcomes was significantly higher for protocol 1 (17.9% vs 1.2%; P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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