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Arch Gynecol Obstet 2020 Aug 4. Epub 2020 Aug 4.

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, 52621, Ramat Gan, Israel.

Purpose: The risk of cesarean delivery after a successful external cephalic version for breech presentation is higher as compared with fetuses in cephalic presentation. However, the role of the time interval between version attempt to delivery on the risk for cesarean delivery is unclear. We aimed to study the effect of the time interval from a successful external cephalic version to delivery on the risk for cesarean delivery and assess factors associated with cesarean delivery after a successful version. Read More

Arch Gynecol Obstet 2020 Aug 3. Epub 2020 Aug 3.

Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel.

Purpose: To allocate parameters associated with significant deviations in sonographic estimated fetal weight (EFW) and evaluate labor outcomes in such circumstances.

Methods: Retrospective case-control study of women with a singleton gestation who underwent sonographic EFW within a week prior to delivery in a single tertiary university-affiliated medical center (2012-2018). The study group was comprised of 177 pregnancies in which sonographic EFW was at least ± 20% of actual birth weight, matched to 354 pregnancies with an accuracy of ± 1% of sonographic EFW to actual birth weight. Read More

J Am Podiatr Med Assoc 2020 May;110(3)

Background: The foot of a newborn is a structure that is under formation and is susceptible to presenting pathologic disorders from the moment of birth. Evidence of the prevalence of clinodactyly in newborns is scarce. Therefore, the objective of this study was to determine that prevalence and its interrelationship with gestational and neonatal factors. Read More

BMC Pregnancy Childbirth 2020 Jul 29;20(1):435. Epub 2020 Jul 29.

Department of Obstetrics and Gynecology, Cliniques Universitaires de Bruxelles, Hôpital Erasme, Université Libre de Bruxelles (ULB), 808 route de Lennik, B-1070, Bruxelles, Belgium.

Background: The incidence of breech presentation in single pregnancies at term is between three to 5 %. In order to support eligible women in their choice of mode of delivery, a dedicated breech clinic with a care pathway was developed in December 2015 in a tertiary referral centre in Brussels. The primary objective of this study was to evaluate the vaginal birth rate before and after the introduction of a dedicated breech clinic. Read More

J Bras Nefrol 2020 Jul 15. Epub 2020 Jul 15.

Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Clínica Médica, Divisão de Nefrologia, Unidade de Transplante Renal, Laboratório de Investigação em Transplante, Campinas, SP, Brasil.

Background: Kidney transplantation is associated with fertility restoration in more than 50% of women with chronic kidney disease. Pregnancy after transplantation may affect women's health and fetal development, with higher rates of abortion, fetal growth restriction, and neonatal deaths. Twin pregnancy is a condition of high-risk for adverse maternal and perinatal outcomes, and its occurrence in women with previous kidney transplantation is rare. Read More

J Obstet Gynaecol 2020 Aug 5;40(6):767-771. Epub 2019 Sep 5.

Obstetrics and Gynecology Department, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, Bizkaia, Spain.

To assess the opinion and the level of satisfaction of patients concerning analgesia during external cephalic version (ECV), we present the results of a survey of 120 women undergoing ECV at term during a randomised controlled trial (July 2012 to February 2013) comparing remifentanil and nitrous oxide. Overall, 110 (91.7%) women said they would repeat the procedure and 111 (92. Read More

J Clin Med 2020 Jun 30;9(7). Epub 2020 Jun 30.

Department of Obstetrics and Gynecology, Centre Hospitalier Departemental Vendée, 85000 La Roche sur Yon, France.

The incidence of fetomaternal hemorrhage (FMH) after external cephalic version (ECV) has been poorly reported. In this study, we evaluated the frequency of FMH, diagnosed by positive Kleihauer-Betke test (KBT), after ECV attempt and then evaluate the relevance of its routine use after procedure. A total of 282 women with a term breech presentation and who had ECV attempt were recruited from January 2014 and December 2018. Read More

Int J Environ Res Public Health 2020 Jun 29;17(13). Epub 2020 Jun 29.

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

In recent years, the rate of caesarean sections has risen all over the world. Accordingly, efforts are being made worldwide to understand this trend and to counteract it effectively. Several factors have been identified as contributing to the selection of caesarean section (CS), especially an obstetricians' beliefs, attitudes and clinical practices. Read More

Rev Epidemiol Sante Publique 2020 Aug 24;68(4):253-259. Epub 2020 Jun 24.

Public Health and Epidemiology Unit (EpiDcliC), Teaching hospital of Tours, 37044 Tours, France; University of Tours, 37044 Tours, France.

Background: To study the cesarean section (c-section) practices in the French Centre-Val de Loire region: incidence of planned c-section and rate variations between maternities, incidence of potentially avoidable cesarean sections.

Methods: The data were extracted from the 2016 regional birth register, which permitted classification of each planned c-section according to the pre-existing risk of c-section (high or low) as defined by the Robson classification. To enhance the data, especially the indications for c-section, which are not included in the register, a survey was conducted from September 2016 to February 2017 in all of the 20 maternities in the region. Read More

Colorectal Dis 2020 Jun 24. Epub 2020 Jun 24.

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

Objective: To evaluate the influence of a half day, hands-on, workshop on detection and repair of Obstetric Anal Sphincter Injuries (OASI).

Study Design: Starting in February 2011, hands-on workshops, for the diagnosis and repair of OASI, were delivered by trained urogynecologists in departments of tertiary medical centers in Israel. The structure of the hands-on workshop resembles the workshop organized at the International Urogynecological Association (IUGA) annual conferences. Read More

J Gynecol Obstet Hum Reprod 2020 Jun 20:101832. Epub 2020 Jun 20.

Pôle Femme Mère Nouveau-né, clinique d'obstétrique, Hôpital Jeanne de Flandre, Université Nord de France, Lille, France; EA 2694, Université Lille Nord de France, F-59000, Lille, France.

Background: Although its role in the prognosis for delivery remains controversial, the type of breech is sometimes taken into account in the decision about mode of delivery. Objective of our study was to compare maternal and neonatal morbidity for trial of vaginal delivery according to the type of breech (complete or frank).

Material And Method: Single-center retrospective study of women with trials of vaginal delivery of a singleton fetus in breech presentation at of after 37 weeks of gestation. Read More

Medicine (Baltimore) 2020 Jun;99(25):e20786

Department of Emergency, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.

Background: The objective of this study is to appraise the efficacy and safety of bupivacaine in pregnant participants with breech presentation (BP) receiving external cephalic version (ECV).

Methods: The following electronic databases will be searched from the origin to the January 31, 2020: PUBMED, EMBASE, Cochrane Library, CINAHL, ACMD, PsycINFO, Scopus, OpenGrey, and China National Knowledge Infrastructure. No language and publication time limitations will be applied to all of them. Read More

Am J Obstet Gynecol 2020 Jun 18. Epub 2020 Jun 18.

Atlantic Maternal-Fetal Medicine, Atlantic Health System, Morristown, NJ. Electronic address:

Obstet Gynecol 2020 Jul;136(1):8-18

Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, Oregon; and the Department of Obstetrics & Gynecology, University of Michigan, Ann Arbor, Michigan.

Objective: To compare hospitalization costs of pregnancies managed by elective induction of labor to those with spontaneous labor in a large cohort of pregnant women.

Methods: We conducted a retrospective cohort study of women with singleton, nonanomalous births in California from 2007 to 2011. We excluded women with placenta previa, breech presentation, prior cesarean delivery, planned cesarean delivery, medically indicated induction of labor, gestational age less than 37 weeks or at or greater than 41 weeks, and stillbirths. Read More

J Med Imaging Radiat Oncol 2020 Jun 12. Epub 2020 Jun 12.

Australian Craniofacial Unit, Women's and Children's Hospital, Adelaide, South Australia, Australia.

Introduction: The antenatal diagnosis of sagittal craniosynostosis can be challenging, but there are several published papers describing a traumatic outcome to both the affected fetus and the mother during delivery of a scaphocephalic child. The antenatal imaging from affected children was collected along with the mother's obstetric history. The aim of this study was to identify antenatal ultrasound features that may assist the diagnosis of sagittal synostosis before birth, to enable appropriate delivery planning and avoid both maternal and fetal trauma during birth. Read More

Eur J Obstet Gynecol Reprod Biol 2020 Apr 15. Epub 2020 Apr 15.

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

Objective: To compare the neonatal and maternal outcomes as well as the mode of delivery of intended vaginal breech deliveries in women with a prior cesarean section to primiparous patients.

Study Design: The prospective monocenter cohort study was conducted among 604 women who presented for an intended vaginal singleton breech delivery at term between January 2007 and December 2016.

Results: Out of 37 women with a prior cesarean 19 had a successful vaginal delivery. Read More

BMC Pediatr 2020 Jun 5;20(1):280. Epub 2020 Jun 5.

Department of Orthopedics, Kunming Children's Hospital, 288 Qianxing Road, Xishan District, Kunming, 650034, Yunnan, China.

Background: Developmental dysplasia of the hip (DDH) is a common disorder in infants. The present study aimed to evaluate the efficacy and safety of the Tübingen hip flexion splints in treating DDH in infants aged 0-6 months.

Methods: This is a retrospective study analyzing 259 hips in 195 infants with DDH of Graf type IIc or worse classifications treated between January 2015 and December 2017. Read More

Eur J Obstet Gynecol Reprod Biol 2020 May 22. Epub 2020 May 22.

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

Objective: Although breech presentations occur in 3-5% of term deliveries, the mode of delivery still remains a topic of debate. Hence, this study aimed to analyze the worldwide research output on breech presentation. All relevant publications issued in the Web of Science from 1900 to 2014 were assessed by an objective, standardized bibliometric procedure. Read More

Eur J Obstet Gynecol Reprod Biol 2020 Aug 25;251:89-97. Epub 2020 May 25.

Department of Obstetrics and Gynaecology, Máxima MC, P.O. Box 7777, 5500 MB Veldhoven, The Netherlands; Eindhoven MedTech Innovation Centre (e/MTIC), Eindhoven, The Netherlands; Department of Electrical Engineering, Eindhoven University of Technology, P.O. Box 513, 5600 MB, Eindhoven, The Netherlands.

Objective: It is important to train clinicians to maintain and optimise maternal and neonatal outcomes after vaginal twin delivery. Simulation-based training provides opportunities for training in a realistic way without harming patients. The aim of this study is to evaluate the effect of simulation-based training concerning twin vaginal delivery on knowledge and comfort of obstetrician-gynaecologists. Read More

Obstet Gynecol 2020 Jun;135(6):1435-1443

Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Service de Gynécologie Obstétrique, Université de Paris, INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cité Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team, Assistance Publique-Hôpitaux de Paris, Maternité Port-Royal, DHU risques et grossesse, Clinical Research Unit of Paris Descartes Necker Cochin, APHP, Maternité Notre Dame de Bon Secours, Groupe Hospitalier Saint-Joseph, and Assistance Publique-Hôpitaux de Paris, Hôpital Antoine Béclère, Service de Gynécologie Obstétrique, Paris, Université Paris Sud, Le Kremlin Bicêtre, CHRU de Lille, Maternité Jeanne de Flandre, and Université de Lille 2, Lille, Assistance Publique-Hôpitaux de Paris, Hôpital Trousseau, Service de Gynécologie Obstétrique, and Université Pierre et Marie Curie, Paris, Centre Hospitalier Intercommunal de Poissy, Service de Gynécologie Obstétrique, Poissy, Université de Versailles Saint-Quentin-en-Yvelines, Versailles, CHU de Strasbourg, Hôpital Hautepierre, and Université de Strasbourg, Strasbourg, Assistance Publique-Hôpitaux de Paris, Hôpital Bicêtre, Service de Gynécologie Obstétrique, Le Kremlin Bicêtre, CHU de Bordeaux, Service de Gynécologie Obstétrique, and Université de Bordeaux, Bordeaux, CHU de Toulouse, Service de Gynécologie Obstétrique, and Université Toulouse III Paul Sabatier, Toulouse, and CHU de Nantes, Service de Gynécologie Obstétrique, CIC Mère enfant, INRA, UMR 1280 Physiologie des adaptations nutritionnelles, and Université de Nantes, Nantes, France.

Objective: To assess neonatal morbidity and mortality according to whether cephalic second twins were born after internal version followed by total breech extraction or after instructions to push. We hypothesized that interval version would result in shorter intertwin delivery intervals and lower cesarean delivery rates for the second twin and therefore better neonatal outcomes.

Methods: These planned analyses of the JUMODA (JUmeaux MODe d'Accouchement) cohort, a national prospective population-based study of twin deliveries, examined births of cephalic second twins after vaginal birth of the first twin at or after 32 weeks of gestation. Read More

J Matern Fetal Neonatal Med 2020 May 20:1-7. Epub 2020 May 20.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.

Decreasing the primary cesarean delivery rate and associated maternal and fetal complications is a priority for obstetric care providers. External cephalic version (ECV) is a procedure recommended for women with singleton pregnancies where the fetus is malpresenting to avoid vaginal breech delivery, which is inherently riskier than cesarean delivery. However, little is known about this procedure in the context of twin gestations. Read More

Reprod Sci 2020 08;27(8):1665-1672

Department of Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, 9 Jinsui Road, Guangzhou, China.

Objective: The purpose of this study was to analyze the autophagy of the human uterine myometrium during the labor.

Methods: We collected uterine myometrium strips from term, singleton, nulliparous healthy women undergoing cesarean delivery before labor (nonlabor group, n = 10) or during normal labor (in-labor group, n = 10) without rupturing of membrane. The indications for cesarean delivery were breech presentation or maternal request. Read More

Taiwan J Obstet Gynecol 2020 May;59(3):392-397

Department of Obstetrics and Gynecology, Istanbul Medeniyet University Goztepe Education and Research Hospital, Doktor Erkin caddesi, Kadıkoy/Istanbul, Turkey. Electronic address:

Objective: 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. Read More

Arch Gynecol Obstet 2020 Jul 14;302(1):85-91. Epub 2020 May 14.

Department of Obstetrics and Gynecology, University Hospital Marburg, Marburg, Germany.

Purpose: To determine whether there is an association between term cesarean breech delivery in the first pregnancy and maternal and neonatal morbidities in the subsequent pregnancy and delivery.

Methods: We conducted a retrospective, nationwide Finnish population-based cohort study, including all deliveries from January 2000 to December 2017. We included all women with the first two consecutive singleton deliveries of which the first one was a breech delivery regardless of mode of delivery (n = 11,953), and constructed a data set in which the first two deliveries for these women were connected. Read More

BJOG 2020 May 13. Epub 2020 May 13.

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel.

Objective: Our primary objective was to compare maternal and neonatal outcomes based on the attempted mode of extraction. Our secondary objective was to compare the outcomes based on the actual mode of extraction.

Design: A retrospective cohort study at a single tertiary centre between the years 2011 and 2019. Read More

Clin Orthop Relat Res 2020 May 6. Epub 2020 May 6.

S. Hindiskere, S. Doddarangappa, P. S. Chinder, Department of Musculoskeletal Oncology, HCG Hospital, Bangalore, Karnataka, India C. Errani, Orthopaedic Service, Department of Musculoskeletal Oncology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy V. Ramaswamy, Department of Pathology, HCG Hospital, Bangalore, Karnataka, India M. Rai, Department of Orthopaedic Surgery, A. J. Shetty Medical College and Hospital, Mangalore, Karnataka, India.

Background: Denosumab is an inhibitor of monoclonal receptor activator of nuclear factor-ĸB ligand, approved to treat giant cell tumors of bone (GCTB). It is commonly used for unresectable tumors and for downstaging the tumor to perform less-morbid procedures. Although denosumab has been used extensively for GCTBs, there are no recommendations regarding the duration of therapy. Read More

J Matern Fetal Neonatal Med 2020 May 13:1-7. Epub 2020 May 13.

Department of Obstetrics, Gynecology & Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.

The objectives of this study were (1) to estimate the association between marginal placental cord insertion (PCI) and small for gestational age (SGA) and other adverse perinatal outcomes and (2) to determine if pregnancy-associated plasma protein A (PAPP-A) levels was altered in these patients. It was a retrospective cohort study of singleton pregnancies undergoing ultrasound between 2016 and 2018. Marginal PCI was defined as a distance of ≤2 cm from placental edge to PCI site, visualized in both sagittal and transverse planes, and diagnosed between 16 and 32 weeks. Read More

Eur J Obstet Gynecol Reprod Biol 2020 Jul 8;250:41-47. Epub 2020 Apr 8.

School of Health Care and Social Service, Tampere University of Applied Sciences, 33520 Tampere, Finland.

Objective: To assess intrapartum epidural use during vaginal delivery among immigrant women giving birth in Norway, compared with Norwegian born women, and to explore associations between epidural use and other maternal characteristics, fetal and obstetrical variables.

Study Design: Population-based cohort study. Data were obtained from Norwegian Medical Birth Registry and Statistics Norway, including 602 095 deliveries in 1999-2014. Read More

Wiad Lek 2020 ;73(5):1028-1031

Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.

Objective: The aim: Taking into consideration the increase in the frequency of urgent C-sections in the second stage of labor and significant technical difficulties in the extraction of deeply impacted fetal head during this operation, the aim of our work was to analyze the current published biomedical data to identify the optimal technical strategies for conducting this type of surgical interventions.

Patients And Methods: Materials and methods: The search and analysis of current clinical data available in PubMed was performed. We analyzed 9 retrospective and randomized prospective studies with collected data from a total of 974 women (2002-2019). Read More

Eur J Obstet Gynecol Reprod Biol 2020 Apr 21. Epub 2020 Apr 21.

Fetal Medicine Unit, St George's Hospital, St George's University of London, UK; Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George's University of London, UK. Electronic address:

BMC Pregnancy Childbirth 2020 May 3;20(1):263. Epub 2020 May 3.

Department of Obstetrics and Gynecology, Assistance Publique - Hôpitaux de Paris, Hôpital Jean Verdier, Bondy, France.

Background: The debate surrounding the management of term breech presentation has excessively focused on the mode of delivery. Indeed, a steady decline in the rate of vaginal breech delivery has been observed over the last three decades, and the soundness of the vaginal route was seriously challenged at the beginning of the 2000s. However, associations between adverse perinatal outcomes and antenatal risk factors have been observed in foetuses that remain in the breech presentation in late gestation, confirming older data and raising the question of the role of these antenatal risk factors in adverse perinatal outcomes. Read More

J Ultrasound 2020 Apr 30. Epub 2020 Apr 30.

Spina Bifida Center, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Aims: Developmental dysplasia of the hip is an important cause of disability in children and young adult and it also has a significant socio-economic impact in our society. The main objective of our study is to evaluate, in our hospital, the effectiveness of a universal ultrasound screening protocol and to assess the general knowledge about the theme of pediatricians and neonatologists.

Methods: Retrospective study of infants born from January 2016 to April 2019, evaluated with hip ultrasound (Graf method). Read More

Eur J Obstet Gynecol Reprod Biol 2020 Apr 9. Epub 2020 Apr 9.

Department of Obstetrics and Gynaecology, Victoria Hospital, Kirkcaldy, Scotland, United Kingdom; Chair Standards of Care and Position Statements Working Group of the EBCOG, Brussels, Belgium. Electronic address:

Mol Genet Genomic Med 2020 Jul 30;8(7):e1229. Epub 2020 Apr 30.

Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China.

Background: Autosomal recessive or compound heterozygous mutations in KLHL40 cause nemaline myopathy 8, which is one of the most severe forms of nemaline myopathy. The KLHL40 c.1516A>C variant has recently been reported as a founder mutation in southern Chinese. Read More

Gynecol Obstet Fertil Senol 2020 Apr 23. Epub 2020 Apr 23.

EA 4489, University Lille, 59000 Lille, France; Department of obstetrics, CHU de Lille, 59000 Lille, France.

Objectives: Delivery mode of term breech presentation is still being discussed. The aim of this study was to compare the labor management of a breech presentation to a vertex presentation during a vaginal delivery attempt.

Methods: It was a single-center, comparative, descriptive retrospective study from 2014 to 2017. Read More

Trials 2020 Apr 23;21(1):358. Epub 2020 Apr 23.

Department of Obstetrics and Gynecology, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.

Background: Prolonged latent phase of labour often results in a traumatic birth experience. Prolonged labour is associated with more operative deliveries, haemorrhage, fetal asphyxia and poor birth experience. Women with prolonged labour in a former pregnancy more often demand caesarean section in the next, due to their negative birth experience. Read More

PLoS One 2020 16;15(4):e0231631. Epub 2020 Apr 16.

Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Objective: The study aimed to assess and compare the prevalence of caesarean birth and associated factors among women gave birth at public and private health facilities in Bahir Dar city, Amhara region, Ethiopia.

Methods: An institution-based comparative cross-sectional study design was conducted from March1-April 15, 2019 at health facility provide emergency obstetrics service in Bahir Dar city. Study participants 724(362 for each public and private facility) were recruited using a systematic random sampling technique. Read More

Obstet Gynecol 2020 May;135(5):1015-1023

Université de Paris, Epidemiology and Statistics Research Center/CRESS, INSERM, INRA, the Department of Obstetrics and Gynecology, Robert Debré Hospital, APHP, and Port-Royal maternity unit, Cochin Hospital, APHP, Paris, the Department of Gynecology-Obstetric and Reproductive Medicine, Hôpital La Conception/Hôpital Nord, AP-HM, and Aix Marseille Univ, UM 63, CNRS 7278, IRD 198, INSERM 1095, Marseille, Inserm, UMR1027, Equipe SPHERE, the Université de Toulouse III, UMR1027, and CHU Toulouse, Pôle de gynécologie obstétrique, Hôpital Paule de Viguier, Toulouse, the Obstetrical Care Unit, Hôpital Couple Enfant, Grenoble University Hospital, CS 10217, 38043, Grenoble, the Department of Obstetrics and Gynecology, Bordeaux University Hospital, Bordeaux, and the Department of Obstetrics and Gynecology, CHU de Rouen, Université de Rouen, Rouen, France.

Objective: To compare neonatal mortality and morbidity of first twins according to the planned mode of delivery when the first twin is in breech presentation, in a country where planned vaginal delivery is an option.

Methods: This is a planned secondary analysis of the JUMODA (JUmeaux MODe d'Accouchement) cohort, a national prospective population-based study of twin deliveries conducted in 176 French hospitals. We analyzed pregnancies with first twins in breech presentation and applied the inclusion criteria of the Twin Birth Study (except the criterion for first-twin presentation): both fetuses alive, with a birth weight between 1,500 g and 4,000 g, at or after 32 0/7 weeks of gestation. Read More

Anesth Analg 2020 Apr 10. Epub 2020 Apr 10.

From the Division of Anesthesiology, Geisinger Medical Center, Danville, Pennsylvania.

Background: External cephalic version (ECV) is a frequently performed obstetric procedure for fetal breech presentation to avoid cesarean delivery. Neuraxial, intravenous, and inhalational anesthetic techniques have been studied to reduce maternal discomfort caused by the forceful manipulation. This study compares the effects of these anesthetic techniques on ECV and incidence of cesarean delivery. Read More

Eur J Obstet Gynecol Reprod Biol 2020 Mar 25. Epub 2020 Mar 25.

Service de gynécologie-obstétrique, CHU de Rouen, Université de Rouen, France.

Objective: To determine the optimal management of singleton fetuses in breech presentation.

Materials And Methods: Consultation of the PubMed database, the Cochrane Library and guidelines issued by the French and foreign obstetrical societies or colleges.

Results: In France, 5% of women have breech deliveries (level of evidence [LE] 3). Read More

PLoS One 2020 2;15(4):e0230478. Epub 2020 Apr 2.

Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.

Background: Approximately one-third of the global stillbirth burden occurs during intrapartum period. The ability to assess obstetric parameters including effacement, dilatation, uterine contraction, decent, rupture of the uterus, and moulding of the foetal head are among the essential competencies required by obstetric service providers admitting women for labour in health facilities. Misdiagnosis of these conditions could result in unnecessary obstetric interventions and unfavourable obstetric outcomes including intrapartum stillbirth. Read More

Turk J Obstet Gynecol 2019 Dec 28;16(4):219-223. Epub 2020 Feb 28.

Afyonkarahisar University of Health Sciences Faculty of Medicine, Department of Child Health and Diseases, Afyonkarahisar, Turkey.

Objective: To determine the incidence of long bone fractures and the clinical features related with these fractures diagnosed in neonatal intensive care units (ICUs) within the province of Afyonkarahisar in Turkey.

Materials And Methods: The incidence of clavicular fractures was 2.4 in 1000 live births, and the incidence of femoral fractures was 0. Read More

Eur J Obstet Gynecol Reprod Biol 2020 May 22;248:37-43. Epub 2020 Feb 22.

Department of Obstetrics and Gynaecology, OLVG, Amsterdam, the Netherlands. Electronic address:

Background: The clinical dilemma on the preferred mode of delivery for breech position still exists. Elective caesarean delivery (CD) could be safer for neonates, whereas vaginal breech delivery (VBD) remains a safe option when conducted by an experienced person. Besides successful VBD is beneficial for mothers and subsequent pregnancies. Read More

J Obstet Gynaecol 2020 Mar 16:1-7. Epub 2020 Mar 16.

Obstetrics and Gynecology Department, Alicante University General Hospital, Alicante, Spain.

The aim of this study was to implement the Robson Ten Groups Classification System (RTGCS) to identify the main contributors to the caesarean section (CS) rate and to evaluate whether the introduction of a plan of obstetrical interventions reduced this rate. An observational retrospective cross-sectional study was conducted during two time periods at Alicante University General Hospital. In the pre-implementation period (2009-2012), RTGCS was applied to identify the main groups contributing to the overall CS rate. Read More

Fetal Pediatr Pathol 2020 Mar 11:1-11. Epub 2020 Mar 11.

Faculty of Medicine Novi Sad, University of Novi Sad, Novi Sad, Serbia.

There is speculation that an immature vestibular system may be associated with breech presentation at delivery. Our aim was to determine whether syndromes with congenital inner ear malformations were accompanied by a higher frequency of breech presentation/malpresentations than in the general population (2%-3%). A review was conducted for published literature using PubMed/MEDLINE (1936-2016), to determine frequency of breech presentation and transverse lie in cases with congenital deafness (Michel aplasia, Wildervanck syndrome, Mondini-Alexander dysplasia, Waardenburg syndrome, CHARGE syndrome, Large vestibular aqueductal syndrome, Pendred syndrome, Oculo-aurico-vertebral spectrum, Jervel and Lange-Nielsen syndrome, Usher syndrome, and Scheibe dysplasia) and vestibular nerve aplasia. Read More

Rev Colomb Obstet Ginecol 2019 12;70(4):253-265

Residente de tercer año de Obstetricia y Ginecología, Facultad de Medicina, Universidad Nacional de Colombia.

Objective: To review the concepts underlying breech presentation delivery as well as the semiology and the obstetric maneuvers contributing to a successful perinatal maternal outcome.

Methods: Based on a hypothetical scenario to set the stage for a practical approach to the topic, an explanatory paper built on a narrative review is created in order to examine the principles related to diagnosis, mechanism of delivery and maternal care, emphasizing maneuvers to ease fetal extraction.

Results: Breech presentation delivery must be managed through the vaginal canal when already in the expulsion phase with fetal engagement. Read More

Birth 2020 Jun 3;47(2):246-252. Epub 2020 Mar 3.

Birth Centre Lead and Breech Specialist Midwife, Maternity Services, St George's University Hospitals NHS Foundation Trust, London, UK.

Background: A physiological breech birth is one in which the woman is encouraged to remain active throughout her labor and able to assume the position of her choice for the birth. Use of this strategy within the United Kingdom National Health Service has led to the use of innovative maneuvers to relieve obstruction when women give birth in upright positions, for example, kneeling or standing. This includes use of the face-to-pubes rotational maneuver to relieve extended nuchal arm(s). Read More

Cureus 2020 Jan 26;12(1):e6776. Epub 2020 Jan 26.

Emergency Medicine, Stanford University Hospital, Palo Alto, USA.

Precipitous delivery in the emergency department is a high-acuity, low-occurrence event that requires rapid recognition and interdepartment cooperation to prevent fetal and maternal morbidity and mortality. Prompt recognition of the peripartum state can be delayed by reported usage of long-acting contraception and concurrent distracting complaints. In this case report, a young female presented to the emergency department with epigastric abdominal pain in the setting of recent workup for biliary colic and multiple doses of long-acting, depot contraceptive agents. Read More

Case Rep Obstet Gynecol 2020 5;2020:5281792. Epub 2020 Feb 5.

Department of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV. 26506, USA.

A 20 year-old female at 27-week gestation was admitted for threatened preterm delivery. Following an initially unremarkable hospital course for 12 days, the patient developed fever, chills, generalized malaise, abdominal pain, and diffuse myalgias on day 13 of hospitalization. species was isolated from blood cultures on day 16 of hospitalization. Read More