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Arch Gynecol Obstet 2021 Jun 14. Epub 2021 Jun 14.

Department of Obstetrics Women's Hospital, Zhejiang University School of Medicine, 1st Xueshi Road, Hangzhou, 310006, Zhejiang, China.

Objective: To develop prediction models for the chance of successful external cephalic version (ECV) and delivery outcome.

Study Design: This is a single-center retrospective study including 350 pregnant women with a singleton non-cephalic pregnancy at or after 36 weeks of gestational age. We selected 22 factors for ECV prediction and 21 for delivery outcome after successful ECV prediction as candidate predictors. Read More

J Vet Med Sci 2021 Jun 7. Epub 2021 Jun 7.

Enoshima Aquarium.

From 2012 to 2017, serial ultrasonographic evaluation of 5 healthy bottlenose dolphins, Tursiops truncatus, were performed over the course of 6 pregnancies in Enoshima Aquarium. A total of 98 ultrasonographic examinations were included in the study. In three out of six cases, two embryos were observed between umbilicus and genital slit, and side of umbilicus in the dam's body. Read More

Am J Obstet Gynecol MFM 2021 Jun 3:100405. Epub 2021 Jun 3.

Department of Obstetrics and Gynecology, Lenox Hill Hospital - Zucker School of Medicine at Hofstra/Northwell, New York, NY.

Objective: Fetal malpresentation complicates approximately 3% to 4% of all term births. It requires special considerations for delivery and exposes the mother and neonate to obstetrical interventions and potential adverse outcomes, such as umbilical cord prolapse, head entrapment and birth trauma, hypoxic ischemic encephalopathy, cesarean delivery and cesarean related complications. We set out to explore maternal and fetal factors associated with non-cephalic malpresentation at term, with specific interest on the impact of maternal race and ethnicity on fetal malpresentation. Read More

Anticancer Res 2021 Jun;41(6):3001-3010

Department of Obstetrics and Gynecology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.

Background/aim: During pregnancy, uterine leiomyomas may cause problems and treatment typically entails uterine conservation. However, for cases of leiomyomas larger than a particular size with some clinical symptoms, enucleation should be performed. In clinical practice, the importance of postpartum follow-up of pregnancies with uterine fibroids must be established. Read More

J Clin Med 2021 May 14;10(10). Epub 2021 May 14.

Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.

Background: Vaginal breech delivery is becoming an extinct art although national guidelines underline its safety and vaginal breech delivery in an upright position has been shown to be a safe birth mode option. In order to spread clinical knowledge and be able to implement vaginal breech delivery into obstetricians' daily practice, we need to gather knowledge from facilities who teach specialized obstetrical management.

Methods: We performed a prospective cohort study on 140 vaginal deliveries out of breech presentation solely-managed by seven newly-trained physicians and compared fetal outcome as well as rates of manual assistance in respect to preexisting experience. Read More

Healthcare (Basel) 2021 May 22;9(6). Epub 2021 May 22.

Center of Evidence-Based Medicine, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan.

Acupuncture-type interventions (such as moxibustion and acupuncture) at Bladder 67 (BL67, Zhiyin point) have been proposed to have positive effects on breech presentation. The aim of this systematic review and meta-analysis was to evaluate the effectiveness and safety of moxibustion and acupuncture in correcting breech presentation. We searched PubMed, MEDLINE, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), the Chinese Electronic Periodical Services (CEPS), and databases at ClinicalTrials. Read More

Am J Obstet Gynecol MFM 2021 May 28:100411. Epub 2021 May 28.

Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago IL, USA.

Background: Patient characteristics associated with external cephalic version success are well documented; however, the association between patient characteristics and the chance of external cephalic version complications is poorly understood.

Objective: To assess frequency of and patient characteristics associated with complications leading to unanticipated delivery during external cephalic version.

Study Design: This retrospective study included pregnant individuals at least 18 years of age with singleton gestations who underwent an external cephalic version between 2006-2016 at a single quaternary care center. Read More

J Clin Gastroenterol 2021 May 28. Epub 2021 May 28.

The Obstetrics and Gynecology Division Department of Neonatology, Soroka University Medical Center The Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Background And Goals: While evidence suggests short-term benefits in neonatal morbidity and mortality from cesarean delivery of the fetus in breech presentation, the long-term implications for the offspring are less clear. To assess the implications of the mode of delivery on offspring's health, we have evaluated the long-term gastrointestinal (GI) morbidity of offspring with a breech presentation delivered in either way.

Materials And Methods: A population-based retrospective cohort study including singleton deliveries in breech presentation occurring between 1991 and 2014 at a tertiary referral hospital. Read More

Med J Malaysia 2021 May;76(3):390-394

MAHSA University, Saujana Putra Campus, Jenjarom, Selangor, Malaysia.

Introduction: The debate surrounding the management of term breech presentation (BP) has resulted in the presence of a multitude of guidelines, reviews, and directives. The vaginal delivery of a breech baby requires sound obstetric skills since approximately 3-4% of babies at term are breech presentations. BP is the commonest of all malpresentations. Read More

Transl Pediatr 2021 Apr;10(4):973-983

Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.

Background: The aim of the present study was to compare the outcomes of pregnancies complicated by preterm premature rupture of membranes (PPROM) in China.

Methods: The present study was a single-center retrospective study of women admitted to Beijing Obstetrics and Gynecology Hospital in 2012, 2014, and 2017. Deliveries at <24 and >37 weeks, fatal deformities, stillbirths, and multiple pregnancies were excluded. Read More

J Gynecol Obstet Hum Reprod 2021 May 15;50(9):102165. Epub 2021 May 15.

Department of Obstetrics & Gynecology, University Hospital of Angers, Angers, France. Electronic address:

Objectives: The objective of this study was to identify the factors predictive of the success of external cephalic version (ECV).

Methods: A single-centre retrospective observational study was performed in the maternity ward of the Angers University Hospital, France, between January 2010 and May 2020. The study included all patients (n = 613) for whom an ECV was performed for a breech or transverse foetus. Read More

Kobe J Med Sci 2021 Mar 25;66(5):E166-E169. Epub 2021 Mar 25.

Department of Obstetrics and Gynecology, Palmore Hospital, Hyogo, Japan.

Objective: Acute pulmonary edema associated with ritodrine hydrochloride is a rare, life-threatening complication, and dose and duration of ritodrine use are closely associated with this pathology. We report a case of acute pulmonary edema associated with short-duration infusion of ritodrine hydrochloride in a patient with pectus excavatum as an underlying factor.

Case Report: A 30-year-old healthy pregnant woman was treated with oral ritodrine for tocolysis between 31 and 35 weeks of pregnancy. Read More

Jpn J Nurs Sci 2021 May 17:e12426. Epub 2021 May 17.

Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.

Aims: We conducted a pilot trial to compare the effects of smoke and smokeless moxibustion with a control as a possible supplement to external cephalic version (ECV) for converting breech to cephalic presentation and increasing adherence to cephalic position, and to assess their effects on the well-being of the mother and child.

Methods: We used a quasi-experimental design with 3 arms: a smoke moxibustion (SM) (n = 20) and smokeless moxibustion (SLM) (n = 20) groups (20-min acupoint BL67 stimulation once or twice daily for 10-14 days), and a control group (n = 20). The participants had singleton breech presentations between 33 and 35 gestation weeks. Read More

Braz J Anesthesiol 2021 May 11. Epub 2021 May 11.

Hospital Universitario 12 de Octubre, Madrid, Spain.

This report describes the case of a pregnant woman who arrived for preanesthetic assessment of External Cephalic Version (ECV) for fetus in breech presentation and cesarean section in case of ECV failure. Although the technique seems simple, attempts to rotate the fetus can result in elevated intracranial pressure, which might cause malformation bleeding. The most appropriate anesthetic technique in cases of arteriovenous malformations during C-sections has not been determined. Read More

Hum Reprod Open 2021 1;2021(2):hoab019. Epub 2021 May 1.

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.

Study Question: What are the important risk factors for having a caesarean scar pregnancy (CSP)?

Summary Answer: Independent risk factors were smoking in the first trimester, higher parity, and previous caesarean section (CS) before the index caesarean delivery.

What Is Known Already: A spectrum of risk factors for CSP has been suggested but not proven: parity, number of previous caesarean section, elective as opposed to emergency CS, IVF-pregnancy, breech presentation, previous gynaecological surgery as well as suture technique.

Study Design Size Duration: This retrospective case-control study included 31 women with a CSP during the period 2003-2018 treated at a tertiary care centre for gynaecology and reproduction. Read More

BMJ Case Rep 2021 May 5;14(5). Epub 2021 May 5.

Department of Obstetrics, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK.

A 32-year old primigravida woman presented for antenatal care giving a history that her mother had platelet storage pool disorder (PSPD). The patient was subsequently diagnosed with PSPD during her pregnancy and had a caesarean delivery for breech presentation at 39 weeks. In this paper, we discuss the basic science, inheritance pattern, symptoms and management of this condition, alongside the antenatal and intrapartum and postnatal management specific to it, highlighting the need for a multidisciplinary approach to care. Read More

Am J Obstet Gynecol 2021 Apr 21. Epub 2021 Apr 21.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA. Electronic address:

Background: Although an infrequent occurrence, the placenta can adhere abnormally to the gravid uterus leading to significantly high maternal morbidity and mortality during cesarean delivery. Contemporary national statistics related to a morbidly adherent placenta, referred to as placenta accreta spectrum, are needed.

Objective: This study aimed to examine national trends, characteristics, and perioperative outcomes of women who underwent cesarean delivery for placenta accreta spectrum in the United States. Read More

PLoS Med 2021 Apr 22;18(4):e1003613. Epub 2021 Apr 22.

[This corrects the article DOI: 10.1371/journal.pmed. Read More

Ultrasound Obstet Gynecol 2021 Apr 13. Epub 2021 Apr 13.

Department of Obstetrics and Gynecology, Goethe University Frankfurt, Frankfurt, Germany.

Objectives: The aim of the present study was to assess the feasibility and reliability of transperineal ultrasound in the assessment of breech descent in the birth canal, by measuring the "breech progression angle".

Methods: We recruited pregnant women with singleton pregnancies and fetuses in breech presentation between 34 and 41 weeks' gestation. We acquired transperineal ultrasound images in the midsagittal view for each woman twice by an operator and once by another. Read More

Int J Environ Res Public Health 2021 03 29;18(7). Epub 2021 Mar 29.

Centre for Research in Epidemiology and Statistics (CRESS), INSERM, INRAE, Université de Paris, F-75004 Paris, France.

The goal of the study was to investigate some of the factors suspected to be related to children's handedness: presentation during the last weeks of gestation and at birth (cephalic or breech), side of presentation (right or left), number of weeks of gestation, season of birth, parents' handedness and sex. We analyzed the relationships between these factors and the child's handedness at five years. Children ( = 1897) from the EDEN cohort participated in the study, among which 1129 were tested for handedness at five. Read More

J Clin Med 2021 Mar 8;10(5). Epub 2021 Mar 8.

3rd Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens Medical School, Attikon Hospital, 12462 Athens, Greece.

Approximately 3-5% of all women at term have a breech baby [... Read More

Arch Gynecol Obstet 2021 Mar 31. Epub 2021 Mar 31.

Department of Obstetrics and Gynecology, Besancon University Medical Centre, University of Franche-Comté, 3 Alexander Fleming Boulevard, 25000, Besançon, France.

Purpose: To evaluate the obstetrical prognosis of term breech delivery in case of asymmetric pelvis.

Methods: An observational, comparative, retrospective, bi-centric study of 559 patients who had a computer tomography pelvimetry prior to delivery of a term breech presentation was conducted between August 2013 and August 2019. Patients with an attempted vaginal delivery were divided into two groups: a group of asymmetric pelvis (AP) when the difference between the lengths of both oblique diameters was ≥ 1 cm and a group of symmetric pelvis (SP) when the two oblique diameters differed by < 1 cm. Read More

J Adv Nurs 2021 Jul 23;77(7):3116-3131. Epub 2021 Mar 23.

Edith Cowan University, Joondalup, Western Australia.

Aims: To explore women's experiences of breech pregnancy and birth to identify areas in practice for improvement.

Design: A descriptive exploratory study was conducted involving 20 women who had experienced a breech birth between 2013 and 2018.

Methods: Semi-structured interviews were audio recorded and transcribed. Read More

Ginekol Pol 2021 Mar 10. Epub 2021 Mar 10.

University Hospital Brno, Department of Obstetrics and Gynecology, Medical Faculty, Masaryk University, Czech Republic.

Objectives: External cephalic version (ECV) is a useful method helping to reduce the incidence of planned caesarean deliveries for fetal malpresentation. There is an effort to look for the best predictors for a successful ECV, the effect of maternal weight is still unclear. The aim of our study is to determine maternal body mass index (BMI) in association with the ECV success rate and the risk of complications. Read More

JB JS Open Access 2021 Jan-Mar;6(1). Epub 2021 Jan 19.

Department of Orthopaedic Surgery, Great Ormond Street Hospital for Children, London, United Kingdom.

While perinatal risk factors are widely used to help identify those at risk for developmental dysplasia of the hip (DDH) within the first 6 to 8 weeks of life, limited data exist about their association with radiographic evidence of dysplasia in childhood. The purpose of this study was to determine which perinatal risk factors are associated with acetabular dysplasia in children who are ≥2 years of age.

Methods: Pelvic radiographs were made in 1,053 children (mean age, 4. Read More

J Med Case Rep 2021 Mar 21;15(1):126. Epub 2021 Mar 21.

Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan.

Background: We report a case of pulmonary edema induced by tocolytic agents that was successfully managed with noninvasive positive-pressure ventilation (NPPV) and resulted in extended gestation.

Case Presentation: A 36-year-old Japanese pregnant woman received tocolytic therapy with ritodrine hydrochloride, magnesium sulfate, nifedipine, and betamethasone from 28 weeks of gestation. She developed respiratory failure. Read More

PLoS One 2021 16;16(3):e0248504. Epub 2021 Mar 16.

Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.

Birth asphyxia is one of the leading causes of death in low and middle-income countries and the prominent cause of neonatal mortality in Ethiopia. Early detection and managing its determinants would change the burden of birth asphyxia. Thus, this study identified determinants of birth asphyxia among newborns delivered in public hospitals of West Shoa Zone, central Ethiopia. Read More

J Med Case Rep 2021 Mar 12;15(1):115. Epub 2021 Mar 12.

Department of Obstetrics and Gynecology, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Background: Locked twins is a rare and hazardous obstetric complication, which occurs in approximately 1:100 twin pregnancies. One of the known etiologic factors for locked twins is size of the twins. We report a case of chin-to-chin locked twins that occurred at gestational age of 30 weeks pus 6 days. Read More

Health Technol Assess 2021 Feb;25(15):1-190

The Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Background: Currently, pregnant women are screened using ultrasound to perform gestational aging, typically at around 12 weeks' gestation, and around the middle of pregnancy. Ultrasound scans thereafter are performed for clinical indications only.

Objectives: We sought to assess the case for offering universal late pregnancy ultrasound to all nulliparous women in the UK. Read More