5,205 results match your criteria Breech Presentation


Association between the Degree of Twin Birthweight Discordance and Perinatal Outcomes.

Am J Perinatol 2018 Nov 26. Epub 2018 Nov 26.

Division of Maternal-Fetal Medicine, California Pacific Medical Center, San Francisco, California.

Background:  Twin birthweight discordance is associated with adverse outcomes.

Objective:  To determine what degree of twin birthweight discordance is associated with adverse outcomes.

Study Design:  This is a retrospective cohort study of twins with vertex twin A delivered vaginally at 36 to 40 weeks (U. Read More

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November 2018
5 Reads

Modified ex utero intrapartum treatment procedure in a bicornuate uterus breech presentation Pierre Robin fetus with severe micrognathia and cleft palate.

Clin Case Rep 2018 Nov 12;6(11):2040-2044. Epub 2018 Sep 12.

Department of Gynecology and Obstetrics Rambam Health Care Campus Haifa Israel.

Thorough prenatal evaluation allows for identification of fetuses with compromised airway. The ex utero intrapartum treatment procedure enables maintaining uteroplacental circulation during cesarean section while securing a potentially obstructed fetal airway, converting a potentially catastrophic situation into a controlled one. An expert multidisciplinary team is the key to success. Read More

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November 2018
2 Reads

MRI-based pelvimetric measurements as predictors for a successful vaginal breech delivery in the Frankfurt Breech at term cohort (FRABAT).

Eur J Obstet Gynecol Reprod Biol 2018 Oct 22;232:10-17. Epub 2018 Oct 22.

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

Objectives: The purpose of this study was to investigate the role of the maternal pelvis, assessed by MRI pelvimetry in nulliparous women expecting a term fetus in breech presentation, to predict a successful and safe vaginal birth.

Study Design: In this monocentric and anonymized cohort study, we enrolled 367 nulliparous women with breech presentation at 39 to 41 weeks of gestation during a period of 8 years at the University Women's Hospital in Frankfurt/Main. Pelvic measurements were obtained by standard MRI imaging. Read More

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October 2018

External Cephalic Version: A Dying Art Worth Reviving.

J Obstet Gynaecol India 2018 Dec 8;68(6):493-497. Epub 2018 Feb 8.

Department of Obstetrics and Gynaecology, Christian Fellowship Hospital, Oddanchatram, Tamil Nadu 624619 India.

Purpose: Breech presentation is the most common abnormal presentation occurring in 3-4% of all deliveries. Incidence of caesarean section for breech presentation has increased markedly in the last few decades. Attempting external cephalic version (ECV) reduces the chance of non-cephalic presentation at term, thus reducing the rate of caesarean sections. Read More

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December 2018

Increased rate of acute caesarean sections in women with epilepsy: Results from Oppland Perinatal Database in Norway.

Eur J Neurol 2018 Nov 10. Epub 2018 Nov 10.

National Centre for Epilepsy, Oslo University Hospital, Norway.

Background: Studies in women with epilepsy (WWE) regarding pregnancy and labour-complications have disclosed contradictory results. Our purpose was to investigate whether WWE have a higher risk of acute caesarean section (CS) or pregnancy complications than women without epilepsy or women with other chronic diseases, and if we found a higher risk, explore potential explanations.

Methods: The study used prospectively registered obstetric data from Oppland Perinatal Database in the period 2001 - 2011, containing information on 18 244 births, including 110 singleton pregnancies in mothers with validated epilepsy. Read More

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November 2018
4 Reads

Malpresentation in low- and middle-income countries: associations with perinatal and maternal outcomes in the Global Network.

Acta Obstet Gynecol Scand 2018 Nov 10. Epub 2018 Nov 10.

Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.

Introduction: Uncertainty exists regarding the impact of malpresentation on pregnancy outcomes and the optimal mode of delivery in low- and middle-income countries. We sought to compare outcomes between cephalic and non-cephalic pregnancies.

Material And Methods: Using the NICHD Global Network's prospective, population-based registry of pregnancy outcomes from 2010-2016, we studied outcomes in 436,112 singleton pregnancies. Read More

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November 2018
6 Reads
1.990 Impact Factor

Stillbirth among women in nine states in India: rate and risk factors in study of 886,505 women from the annual health survey.

BMJ Open 2018 Nov 8;8(11):e022583. Epub 2018 Nov 8.

National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Objectives: To assess the rate of stillbirth and associated risk factors across nine states in India.

Design: Secondary analysis of cross-sectional data from the Indian Annual Health Survey (2010-2013).

Setting: Nine states in India: Madhya Pradesh, Chhattisgarh, Rajasthan, Uttarakhand, Jharkhand, Odisha, Bihar, Assam and Uttar Pradesh. Read More

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November 2018
6 Reads

Rare case of a newborn baby with left-sided Erb's palsy and a contralateral/right-sided paralysis of the diaphragm.

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Department of Pediatrics, Division of Neonatology, Regina General Hospital, Regina, Saskatchewan, Canada.

Brachial plexus birth injury (BPBI) and phrenic nerve injury can sometimes occur concurrently in neonates following difficult deliveries like breech presentation, shoulder dystocia, forceps or vacuum extraction. Phrenic nerve palsy should be suspected in a newborn with respiratory distress and an elevated hemidiaphragm on the imaging studies in presence of the associated risk factors. The right side is affected more often than the left side and most of it is associated with BPBI. Read More

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November 2018
2 Reads

External cephalic version after previous cesarean section: A cohort study of 100 consecutive attempts.

Eur J Obstet Gynecol Reprod Biol 2018 Dec 22;231:210-213. Epub 2018 Oct 22.

Oxford Fetal Medicine Unit, Level 6, Women's Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, United Kingdom. Electronic address:

Objective: External cephalic version is commonly not performed in women with a previous cesarean section. Fear of uterine rupture and cesarean section in labor are prominent. The risks, however, of these are unclear. Read More

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December 2018
7 Reads

Alpha-Methylacetoacetic Aciduria in an Rh-Negative Pregnant Omani Woman With Breech Presentation Delivered With Favourable Outcome.

J Obstet Gynaecol Can 2018 Nov 5. Epub 2018 Nov 5.

Department of Obstetrics and Gynecology, Sohar Hospital, Sohar, Oman.

Background: Alpha-methylacetoacetic aciduria, an autosomal recessive disorder of isoleucine and ketone body metabolism, is caused by a mutation in the acetyl coenzyme A acetyltransferase-1 gene (ACAT1; 607809) on chromosome 11q22. Ketoacidotic episodes in such patients are triggered by stress situations with increased energy demands. Pregnancy, surgical procedures, and prolonged fasting are potential triggers for metabolic crisis in such cases. Read More

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November 2018
4 Reads

Neonatal Morbidity After Management of Vaginal Noncephalic Second-Twin Delivery by Residents.

Obstet Gynecol 2018 Dec;132(6):1377-1385

Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Service de Gynécologie Obstétrique, Université Paris Diderot, INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cité Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team, Maternité Notre Dame de Bon Secours, Groupe Hospitalier Saint-Joseph, and Université René Descartes, Paris, 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, and; Université Paris Sud, 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, CHU de Nantes, Service de Gynécologie Obstétrique, CIC Mère enfant, INRA, UMR 1280 Physiologie des adaptations nutritionnelles; Université de Nantes, Nantes, and Assistance Publique-Hôpitaux de Paris, Maternité Port-Royal, and DHU risques et grossesse, Paris, France.

Objective: To assess neonatal mortality and morbidity according to whether a resident or senior obstetrician initially managed vaginal delivery of noncephalic second twins.

Methods: The JUmeaux MODe d'Accouchement study was a national, prospective, population-based, cohort study of twin deliveries in 176 maternity units in France, where active management of second-twin delivery is recommended. The primary outcome of our study was a composite of neonatal mortality and morbidity. Read More

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December 2018
1 Read

Perinatal Outcome of Vaginal Breech Delivery versus Caesarean Breech Delivery in a Tertiary Care Center.

JNMA J Nepal Med Assoc 2018 Jul-Aug;56(212):796-799

Department of Obstetrics and Gynecology, Pokhara Academy of Health Sciences, Kaski, Nepal.

Introduction: Breech delivery has always been matter of interest in obstetrics. Cesarean breech delivery has been preferred method of delivery. We aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup. Read More

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November 2018
4 Reads

Fetal closed head injuries following maternal motor vehicle accident: A clinicopathologic case report.

Medicine (Baltimore) 2018 Nov;97(44):e13133

Department of Pediatrics.

Rationale: The clinicopathologic appearance of fetal closed head injury (FCHI) due to a maternal motor vehicle accident has not been fully investigated because of its extreme rarity.

Patients Concern: A 22-year-old woman at 31 weeks of gestation was riding in the front passenger seat of a car, and another rightward-turning car struck the right side of her vehicle.

Diagnosis: Uterine injury with placental abruption was strongly suspected. Read More

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November 2018
1 Read

Predisposing Factors and Outcome of Malpresentations in an Institute.

JNMA J Nepal Med Assoc 2018 Mar-Apr;56(211):674-677

Department of Obstetrics and Gynaecology, KIST Medical College and Teaching Hospital, Lalitpur, Nepal.

Introduction: This study was done to find out the incidence of malpresentation among all deliveries with various types of Malpresentations, its mode of delivery , maternal and fetal predisposing factors with outcome.

Methods: This was a cross sectional descriptive study done at KIST Medical College and Teaching Hospital. Review cases of women admitted in labor after 22 weeks with malpresentation was done. Read More

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November 2018
2 Reads

[Fetal expulsion: Which interventions for perineal prevention? CNGOF Perineal Prevention and Protection in Obstetrics Guidelines].

Gynecol Obstet Fertil Senol 2018 Oct 27. Epub 2018 Oct 27.

Pôle Mère-Femme, CHRU Besançon, 3, boulevard Fleming, 25000 Besançon, France.

Objective: The objective for all obstetricians and midwifes who intervene during the release of the fetal presentation is to prevent at best the perineal lesions. This work consisted in analyzing the literature, researching and evaluating interventions that reduce this perineal risk during the release.

Methods: A keyword search for each medical intervention during the expulsion phase was conducted by selecting studies assessing perineal risk. Read More

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October 2018
1 Read

Giant Ovarian Mucinous Cystadenoma Complicating Term Pregnancy.

JNMA J Nepal Med Assoc 2018 Mar-Apr;56(210):629-632

Department of Pathology, Birat Medical College and teaching Hospital, Nepal.

Huge ovarian cyst are found in less than 1% of all ovarian cyst in pregnancy and are associated with poor feto-maternal outcome. A 28 years old G2P1 with history of normal vaginal delivery 3 years back was referred from local health post with complains of intermittent pain abdomen at 29 weeks. Her scan showed huge ovarian cyst of 18. Read More

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October 2018
1 Read

[The breech comeback : implementation of a vaginal delivery protocol in the CHUV].

Rev Med Suisse 2018 Oct;14(624):1888-1892

Département femme-mère-enfant, CHUV, 1011 Lausanne.

Choosing between vaginal delivery and caesarean section in cases of breech presentation is still a matter of controversy. In this article, we present the Lausanne University Hospital's protocol following the introduction of an institutional vaginal breech delivery policy. Vaginal breech delivery is a viable alternative to caesarean section in the presence of an experienced obstetrician and rigorous patient-selection criteria. Read More

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October 2018
1 Read

Caesarean section in Palestine using the Robson Ten Group Classification System: a population-based birth cohort study.

BMJ Open 2018 Oct 24;8(10):e022875. Epub 2018 Oct 24.

Intervention Centre, Oslo University Hospital Rikshospitalet, Oslo, Norway.

Objective: To analyse the current situation of caesarean section in Palestine using the Robson Ten Group Classification System (TGCS).

Design: A population-based birth cohort study.

Setting: Obstetrical departments in three governmental hospitals in Gaza. Read More

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October 2018
7 Reads

Characterization of Perinatal Risk Factors and Complications Associated with Nonsyndromic Craniosynostosis.

J Craniofac Surg 2018 Oct 24. Epub 2018 Oct 24.

Department of Neurosurgery, Duke University Medical Center, Durham, NC.

Background: Certain intrauterine risk factors are known to increase the risk of premature cranial suture fusion and may cause complications during birth. Some of these risk factors may be modifiable. Therefore, the authors sought to characterize the institutional patterns of prenatal risk factors and perinatal complications in nonsyndromic craniosynostosis patients compared to normal births from the surrounding area to identify areas for possible intervention or prevention. Read More

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October 2018
4 Reads

[IS FEAR FROM MALPRACTICE CLAIMS AGAINST OBSTETRICIANS POSSIBLY RESPONSIBLE FOR THE RISE IN THE RATE OF CESAREAN SECTIONS?]

Harefuah 2018 Oct;157(10):664-667

Helen Schneider's Hospital for Women, Rabin Medical Center, Petach Tikva.

Introduction: In recent years there is a growing local, as well as global, tendency among obstetricians to end labor by cesarean section in various circumstances. Current literature suggests that the leading factor for this preference is closely related to the amount of malpractice allegations submitted against obstetricians. The extensive use of cesarean sections has its toll in reducing the skills of future obstetricians in handling breech, instrumental and vaginal delivery after cesarean section and vaginal delivery of twins, and other types of deliveries. Read More

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October 2018

Interventions to reduce unnecessary caesarean sections in healthy women and babies.

Lancet 2018 10;392(10155):1358-1368

School of Community Health and Midwifery, Faculty of Health and Wellbeing, University of Central Lancashire, Preston, UK.

Optimising the use of caesarean section (CS) is of global concern. Underuse leads to maternal and perinatal mortality and morbidity. Conversely, overuse of CS has not shown benefits and can create harm. Read More

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October 2018
8 Reads

The role of bladder volume in the success of external cephalic version.

Eur J Obstet Gynecol Reprod Biol 2018 Nov 2;230:178-181. Epub 2018 Oct 2.

Department of Obstetrics and Gynecology, Meuhedet HMO, Jerusalem, Israel.

Objective: Numerous studies have evaluated the factors associated with ECV success. Yet, bladder volume has never been examined. We hypothesize that maternal bladder volume may affect ECV success rate. Read More

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November 2018
1 Read

Breech birth at home: outcomes of 60 breech and 109 cephalic planned home and birth center births.

BMC Pregnancy Childbirth 2018 Oct 11;18(1):397. Epub 2018 Oct 11.

Wabash College, 211 Center Hall, Crawfordsville, IN, 47933, USA.

Background: Research on outcomes of out-of-hospital breech birth is scarce. This study evaluates the outcomes of singleton term breech and cephalic births in a home or birth center setting.

Methods: This is a retrospective observational cohort study of 60 breech and 109 cephalic planned out-of-hospital term singleton births during a 6 year period with a single obstetrician. Read More

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October 2018
2 Reads

Unilateral leg swelling in an infant.

Arch Dis Child Educ Pract Ed 2018 Oct 8. Epub 2018 Oct 8.

Department of Clinical Genetics, Belfast Health and Social Care Trust, Belfast, UK.

An 8-month-old boy presented with a week's history of left lower limb swelling. He was apyrexic, well and developmentally age appropriate. He was born at 35+5 via by C-section for breech presentation, weighing 3. Read More

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October 2018
7 Reads

Successful Pregnancy Outcome in Recurrent Ovarian Cancer in a 26 Year Old: A Case Report.

J Family Reprod Health 2017 Dec;11(4):225-227

Department of Obstetrics and Gynecology, PGIMS, Rohtak, India.

To report a case of Successful Pregnancy Outcome in Recurrent Ovarian Cancer in a 26 year Old. A 26 years old primigravida presented in antenatal clinic at 23 weeks of pregnancy with recurrence of ovarian cancer of mucinous type. Following refusal of surgical management, two courses of single dose carboplatin was administered. Read More

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December 2017
2 Reads

Is the art of assisted breech delivery still fading in the Kingdom of Saudi Arabia?

Saudi Med J 2018 Oct;39(10):1054-1056

Department of Obstetrics and Gynecology, College of Medicine, King Khalid University Hospital, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.

[No Abstract Available]. Read More

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October 2018
2 Reads

Choose preterm breech delivery mode individually, case by case.

Authors:
P J Steer

BJOG 2018 Oct 1. Epub 2018 Oct 1.

Academic Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, Imperial College London, London, UK.

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October 2018
1 Read

Early preterm preeclampsia outcomes by intended mode of delivery.

Am J Obstet Gynecol 2018 Sep 28. Epub 2018 Sep 28.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, MedStar Washington Hospital Center, Washington, DC.

Background: The optimal route of delivery in early-onset preeclampsia before 34 weeks is debated because many clinicians are reluctant to proceed with induction for perceived high risk of failure.

Objective: Our objective was to investigate labor induction success rates and compare maternal and neonatal outcomes by intended mode of delivery in women with early preterm preeclampsia.

Study Design: We identified 914 singleton pregnancies with preeclampsia in the Consortium on Safe Labor study for analysis who delivered between 24 0/7 and 33 6/7 weeks. Read More

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September 2018
2 Reads

Association analysis between four vitamin D receptor gene polymorphisms and developmental dysplasia of the hip.

J Genet 2018 Sep;97(4):925-930

Pediatric Orthopedic Surgery Department, King Abdullah Specialized Children Hospital (KASCH), P.O. Box 22490, Riyadh 11426, Saudi Arabia.

Developmental dysplasia of the hip (DDH) is a congenital condition characterized by abnormality in acetabulum size and/or shape. The incidence rate of DDH differs between different populations with risk factors including positive family history, breech presentation, sex, firstborn status, side of the hip, mode of delivery and oligohydramnios. It is recognized that DDH has a genetic component that exhibit autosomal dominant patterns. Read More

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September 2018
1 Read
1.090 Impact Factor

Implementation of a perineal support programme for reduction of the incidence of obstetric anal sphincter injuries and the effect of non-compliance.

Eur J Obstet Gynecol Reprod Biol 2018 Nov 13;230:119-123. Epub 2018 Sep 13.

Ikazia Ziekenhuis, Dept. of Obstetrics and Gynaecology, Rotterdam, the Netherlands.

Objective: Obstetric anal sphincter injury (OASI) is a serious complication of a vaginal delivery. In 2005, a Norwegian nation-wide training programme to reduce the OASI rate was successfully implemented. The aim of the present study was to assess the impact of a perineal support programme, inspired by the Norwegian programme, on the incidence of OASIs in a Dutch hospital with a low a priori rate. Read More

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November 2018
9 Reads

MR Pelvimetry for Breech Presentation at Term- Interobserver Reliability, Incidental Findings and Reference Values.

Rofo 2018 Sep 19. Epub 2018 Sep 19.

Gynecology and Obstetrics, University Hospital, LMU Munich, Germany.

Purpose:  Antepartal MR pelvimetry is used to assess the viability of vaginal breech delivery. We evaluated the reliability of MR pelvimetric measurements as well as incidental findings noted by different clinicians and assessed potential reference values.

Methods:  In this monocentric study, the radiologic database was searched for obstetric MR pelvimetries with singleton breech pregnancies between 1999 and 2016. Read More

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September 2018
1 Read

External cephalic version at term: a cohort study of 18 years' experience.

BJOG 2018 Sep 17. Epub 2018 Sep 17.

Fetal Medicine Unit, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.

Objective: To analyse the outcome of referrals for external cephalic version (ECV).

Design: Retrospective cohort study of prospectively collected data.

Setting: Major university hospital, UK. Read More

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September 2018
7 Reads

Planned delivery route of preterm breech singletons, and neonatal and 2-year outcomes: a population-based cohort study.

BJOG 2018 Sep 14. Epub 2018 Sep 14.

Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in pregnancy, Paris Descartes University, Paris, France.

Objective: To assess whether planned route of delivery is associated with perinatal and 2-year outcomes for preterm breech singletons.

Design: Prospective nationwide population-based EPIPAGE-2 cohort study.

Setting: France, 2011. Read More

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September 2018
1 Read

Delivery outcomes in subsequent pregnancy following primary breech cesarean delivery: a retrospective cohort study.

J Matern Fetal Neonatal Med 2018 Nov 4:1-7. Epub 2018 Nov 4.

b Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center , Jerusalem , Israel.

Background: Women may be unaware of the potential impact on subsequent deliveries of the decision to undergo primary breech cesarean (PBC) delivery rather than attempt external cephalic version (ECV). We investigated cesarean delivery rates and adverse maternal outcomes in the subsequent delivery following management of breech presentation by ECV versus PBC.

Methods: This retrospective study identified women who delivered subsequent to breech presentation managed by attempted ECV or PBC. Read More

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November 2018
5 Reads

Does vaginal breech delivery have a future despite low volumes for training? Results of a questionnaire.

Eur J Obstet Gynecol Reprod Biol 2018 Oct 19;229:123-126. Epub 2018 Aug 19.

Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis Location West, Amsterdam, The Netherlands.

Objective: Since publication of the Term Breech Trial in 2000 only 15% of term breech presentations is delivered vaginally in the Netherlands. This declined exposure to vaginal breech deliveries (VBD) is a problem for those who still need to be trained. The aim of this study was to evaluate the level of training of the Dutch gynecological residents, and their intentions on guiding VBDs during their careers. Read More

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October 2018

[Comparison of obstetric prognosis of attempts of breech delivery: Spontaneous labor versus induced labor].

Gynecol Obstet Fertil Senol 2018 09 28;46(9):632-638. Epub 2018 Aug 28.

Service de gynécologie-obstétrique, hôpital mère-enfant-maternité, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France. Electronic address:

Objectives: Delivery mode in breech presentation (BP) is often controversial. Spontaneous labor, when vaginal birth seems safe, allows to better estimate uterus contractility, fetus' accommodation to maternal pelvis and optimize monitoring with a partograph. Induced labor in BP was usually contra-indicated. Read More

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September 2018
2 Reads

Predictors of a successful external cephalic version: A population-based study of Washington state births.

Women Birth 2018 Aug 24. Epub 2018 Aug 24.

Department of Epidemiology, University of Washington, Seattle, WA, United States.

Background: Breech presentation affects approximately 3% of women with singleton pregnancies. External cephalic version is a manual procedure that reorients a foetus to cephalic position in preparation for birth, reducing indications for caesarean birth. However, unsuccessful attempts are associated with some adverse health outcomes. Read More

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August 2018
3 Reads

Primary cesarean delivery rate: Potential impact of a checklist.

J Gynecol Obstet Hum Reprod 2018 Nov 24;47(9):419-424. Epub 2018 Aug 24.

University Hospital centers Nord and Conception in Marseille, France; Department of Gynaecology and Obstetrics, Gynepole, AP-HM, Assistance Publique-Hôpitaux de Marseille, AMU, Aix-Marseille Université, France; Réseau Méditerranée (PACA Corse Monaco), France; Unité de Recherche sur les Maladies Infectieuses Tropicales et Emergentes, UM63, CNRS 7278, IRD 198, INSERM 1095, Marseille, France. Electronic address:

Background: Cesarean section is the most common surgical procedure performed in developed countries. Its incidence is increasing to a worrisome extent. The 2003 French National Perinatal Survey showed that the inflation in the overall cesarean rate was mainly due to an increase in the first cesarean delivery rate. Read More

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November 2018
4 Reads

Conducting Elevated Temperature Normal and Combined Pressure-Shear Plate Impact Experiments Via a Breech-end Sabot Heater System.

J Vis Exp 2018 08 7(138). Epub 2018 Aug 7.

Department of Mechanical and Aerospace Engineering, Case Western Reserve University;

A novel approach for conducting normal and/or combined pressure-shear plate impact experiments at test temperatures up to 1000 °C is presented. The method enables elevated temperature plate-impact experiments aimed towards probing dynamic behavior of materials under thermomechanical extremes, while mitigating several special experimental challenges faced while performing similar experiments using the conventional plate impact approach. Custom adaptations are made to the breech-end of a single-stage gas-gun at Case Western Reserve University; these adaptations include a precision-machined extension piece made from SAE 4340 steel, which is strategically designed to mate the existing gun-barrel while providing a high tolerance match to the bore and keyway. Read More

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August 2018
7 Reads

Congenital complete heart block in pregnancy.

Horm Mol Biol Clin Investig 2018 Aug 25;35(2). Epub 2018 Aug 25.

Department of Obstetrics and Gynaecology, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). Read More

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August 2018
3 Reads

Maternal and neonatal outcome after vaginal breech delivery at term of children weighing more or less than 3.8 kg: A FRABAT prospective cohort study.

PLoS One 2018 23;13(8):e0202760. Epub 2018 Aug 23.

FRABAT FRAnkfurt Breech At Term Study Group; Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, Frankfurt, Germany.

Introduction: The clinical management of breech presentations at term is still a controversially discussed issue among clinicians. Clear predictive criteria for planned vaginal breech deliveries are desperately needed to prevent adverse fetal and maternal outcomes and to reduce elective cesarean section rates. The green-top guideline considers an estimated birth weight of 3. Read More

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August 2018
4 Reads

Screening program for neonates at risk for developmental dysplasia of the hip: comparing first radiographic evaluation at five months with the standard twelve week ultrasound. A prospective cross-sectional cohort study.

Int Orthop 2018 Aug 18. Epub 2018 Aug 18.

Department of Orthopaedics, Leiden University Medical Center, Albinusdreef 2, Postzone J11, PO Box 9600, 2300 RC, Leiden, The Netherlands.

Purpose: To assess whether delayed radiological hip screening at five months (versus ultrasound at 3 months) results in a higher incidence of persistent developmental dysplasia of the hip (DDH) at 18 months.

Methods: We analyzed 3536 screened neonates (2009-2013) at age two to three weeks. In the case of risk factors for DDH, 460 infants were assigned to a pelvic radiograph at five months between 2009 and 2010 and 651 infants were assigned to an ultrasound at three months (2011-2013). Read More

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August 2018
2 Reads

Delayed Birth-Related Femur Fracture after Cesarean Section: A Case Report.

AJP Rep 2018 Jul 7;8(3):e158-e160. Epub 2018 Aug 7.

Department of Obstetrics and Gynecology, Iwaki Kyouritsu Hospital, Iwaki, Japan.

 Birth-related femur fractures are rare. They have been reported following difficult delivery and are commonly diagnosed immediately after birth or on the following day. However, some birth-related femur fractures are diagnosed several days after birth. Read More

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July 2018
14 Reads

Inter-twin delivery interval, short-term perinatal outcomes and risk of caesarean for the second twin.

Aust N Z J Obstet Gynaecol 2018 Aug 8. Epub 2018 Aug 8.

Department of Obstetrics & Gynaecology, Monash Health, Monash Medical Centre, Melbourne, Victoria, Australia.

Objective: To examine the association between inter-twin delivery interval and short-term perinatal outcomes of the second twin after vaginal delivery of the first twin.

Methods: Retrospective cohort study including twin pregnancies with a vaginal delivery of the first twin between January 2011 and September 2017 in a tertiary hospital in Melbourne, Australia. The main outcome measure was a composite of adverse neonatal outcome (at least one of perinatal death, admission to neonatal intensive care unit (NICU), endotracheal intubation, Apgar <7 at five minutes and cord lactate >4. Read More

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August 2018
1 Read

In which groups of pregnant women can the caesarean delivery rate likely be reduced safely in the USA? A multicentre cross-sectional study.

BMJ Open 2018 Aug 5;8(8):e021670. Epub 2018 Aug 5.

School of Public Health, Shanghai Jiao Tong University, Shanghai, China.

Objectives: To identify obstetrical subgroups in which (1) the caesarean delivery (CD) rate may be reduced without compromising safety and (2) CD may be associated with better perinatal outcomes.

Design: A multicentre cross-sectional study.

Setting: 19 hospitals in the USA that participated in the Consortium on Safe Labor. Read More

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August 2018
2 Reads

Do the risk factors for developmental dysplasia of the hip differ according to gender? A look from another perspective.

J Paediatr Child Health 2018 Aug 1. Epub 2018 Aug 1.

Department of Orthopaedics and Traumatology, Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.

Aim: The aim of the present study was to examine if there were gender differences in risk factors in 4415 infants who were evaluated through a physical examination and hip ultrasonography (USG).

Methods: Physical examination of the hip and hip USG were performed on 4415 infants by the same paediatric orthopaedics specialist. Barlow and Ortolani tests were performed together with the evaluation for the limitation of abduction. Read More

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August 2018
7 Reads

The Prevalence, the Fetal and Maternal Outcomes in Grand Multiparas Women.

Mater Sociomed 2018 Jun;30(2):118-120

Obstetrics and Gynecology Department, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia.

Introduction: The incidence of grand multiparty in Saudi Arabia is high; there are no adequate studies about the grand multiparty.

Aim: The aim to determine the prevalence, fetal and maternal outcomes in grand multipara women in comparison to primipara's women.

Methods: A retrospective study, the data was collected from our hospital records of labour and delivery unit started from January 2016 to December 2016. Read More

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June 2018
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ACOG Committee Opinion No. 745: Mode of Term Singleton Breech Delivery.

Authors:

Obstet Gynecol 2018 Aug;132(2):e60-e63

There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. The number of practitioners with the skills and experience to perform vaginal breech delivery has decreased. The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider. Read More

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ACOG Committee Opinion No. 745 Summary: Mode of Term Singleton Breech Delivery.

Authors:

Obstet Gynecol 2018 Aug;132(2):531-532

There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. The number of practitioners with the skills and experience to perform vaginal breech delivery has decreased. The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider. Read More

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