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PLoS Med 2019 Apr 16;16(4):e1002778. Epub 2019 Apr 16.

Department of Obstetrics and Gynaecology, University of Cambridge, NIHR Cambridge Comprehensive Biomedical Research Centre, Cambridge, United Kingdom.

Background: Despite the relative ease with which breech presentation can be identified through ultrasound screening, the assessment of foetal presentation at term is often based on clinical examination only. Due to limitations in this approach, many women present in labour with an undiagnosed breech presentation, with increased risk of foetal morbidity and mortality. This study sought to determine the cost effectiveness of universal ultrasound scanning for breech presentation near term (36 weeks of gestational age [wkGA]) in nulliparous women. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Apr 3;236:193-197. Epub 2019 Apr 3.

Department of Obstetrics and Gynaecology, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.

Objective: To investigate the influence of a dedicated team on the success rate of external cephalic version and mode of delivery.

Study Design: This prospective cohort study included 673 women with a singleton fetus in breech presentation who underwent external cephalic version between January 2013 and December 2017 at Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. In January 2014, a dedicated team consisting of six gynaecologists and six midwives was introduced at the study clinic. Read More

Emerg Med Clin North Am 2019 May;37(2):265-276

Department of Emergency Medicine, MedStar Georgetown University, MedStar Washington Hospital Center, 3800 Reservoir Road, Washington, DC 20007, USA.

A precipitous delivery can be among the most stressful events an emergency physician encounters. The physician must assess 2 patients (mother and fetus) and be prepared to manage a variety of complications that may arise during delivery. A majority of precipitous deliveries result in good outcomes for both mother and baby, but emergency physicians must be prepared to manage feared complications, such as tight nuchal cords, shoulder dystocia, and breech presentation. Read More

BMC Pregnancy Childbirth 2019 Mar 27;19(1):98. Epub 2019 Mar 27.

Division of Obstetrics, University Hospital Zurich, Zurich, Switzerland.

Background: Caesarean section with extraction of a deeply impacted fetal head is technically challenging and is associated with serious maternal and neonatal complications. The purpose of the study was to identify risks and evaluate selected outcome parameters associated with difficult fetal head extraction during caesarean section in advanced labour comparing two different extraction techniques (head pushing vs. reverse breech). Read More

J Matern Fetal Neonatal Med 2019 Mar 21:1-5. Epub 2019 Mar 21.

i Department of Maternal-Fetal Medicine , l'Hôpital de la Pitié Salpêtrière , Paris , France.

In accordance with women's preferences guidelines, referring to population-based and randomized trials, which recommends counseling women with vertex-first twins to attempt a vaginal delivery. Yet, the rising rates of twin caesareans are associated with the decline in skills of senior and junior obstetricians. Although noncephalic second twins have been in the focus of interest, prompt delivery of cephalic second twins can be trickier when the head does not engage. Read More

Trop Med Int Health 2019 Mar 19. Epub 2019 Mar 19.

Institute of Global Health, University of Geneva, Geneva, Switzerland.

Objective: To assess the association between timing of maternal combination ART (cART) initiation and stillbirth among HIV-infected pregnant women in Malawi's Option B+ programme.

Methods: Cohort study of HIV-infected pregnant women delivering singleton live or stillborn babies at ≥28 weeks of gestation using routine data from maternity registers between 1 January 2012 and 30 June 2015. We defined stillbirth as death of a foetus at ≥28 weeks of gestation. Read More

J Pediatr Orthop B 2019 Mar 4. Epub 2019 Mar 4.

Department of Paediatric Orthopaedics, Addenbrookes Hospital, Cambridge, UK.

Breech, family history, first born and female sex are the main risk factors described for developmental dysplasia of the hip (DDH). Foot abnormalities and oligohydramnios have also been listed. Recent studies have discredited torticollis, multiple gestation pregnancy, mode of delivery and prematurity as risk factors. Read More

Am J Obstet Gynecol 2019 Feb 22. Epub 2019 Feb 22.

Department of Obstetrics and Gynecology, NYU Winthrop Hospital, NYU Long Island School of Medicine, Mineola.

Background: Prior studies have reported an increased risk for preterm delivery following a term cesarean delivery. However, these studies did not adjust for high-risk conditions related to the first cesarean delivery and are known to recur.

Objective: The objective of the study was to determine whether there is an association between term cesarean delivery in the first pregnancy and subsequent spontaneous or indicated preterm delivery. Read More

Vopr Kurortol Fizioter Lech Fiz Kult 2019;96(1):30-36

Research Centre of Balneotherapy and Rehabilitation - the branch of the North-Caucasian Federal Research and Clinical Centre, Russian Federal Medico-Biological Agency, Sochi, Russia; Sochi State University, Sochi, Russia.

Background: The delivery of the fetus in breech presentation remains one of the most serious challenge for obstetricians. In the cases of pregnancy of more than 29 weeks, it is recommended to carry out the activities aimed at translating breech presentation into cephalic presentation by means of the external preventive rotation of the fetus to the head with the use various complexes of gymnastic exercises as well as other methods applied for the correction of the abnormal fetal presentation including water aerobics.

Aim: The objective of the present study was to evaluate the effectiveness of the method for the prenatal correction of the pathological presentation of the fetus based on the use of the water aerobics procedures. Read More

Acta Obstet Gynecol Scand 2019 Feb 5. Epub 2019 Feb 5.

Port Royal Maternity Unit, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

Introduction: Whereas spontaneous onset of labor and vaginal delivery for breech presentation is considered to be a safe and effective option in selected cases, the safety of induction of labor is not established yet. The objectives of this study were to describe the outcomes of pregnancy in women induced with a fetus in breech presentation and compare the outcomes with those undergoing planned cesarean delivery.

Material And Methods: We performed a secondary analysis of the observational prospective multicenter PREMODA study, including all singleton breech deliveries after 37 weeks in 174 centers in France and Belgium. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Mar 24;234:195-199. Epub 2019 Jan 24.

Hôpital Bichat, Maternité Aline de Crepy, APHP, 75018, Paris, France; Université Paris Diderot, Paris 7, Paris, France; Ilumens Paris Diderot, Centre de simulation, Paris, France; DHU Risk and Pregnancy (Paris V and Paris VII University), France. Electronic address:

Background: Although most societies of obstetrics advocate vaginal delivery of twins, there has been a steady rise in the rate of twin cesarean sections. We risk perhaps losing in a single generation our obstetrical learning and skills because of medicolegal and emotionally charged issues.

Methods: We have therefore designed a realistic as possible simulation model of second twin delivery and tested it on residents in obstetrics. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Mar 11;234:96-102. Epub 2019 Jan 11.

Department of Obstetrics, Hvidovre University Hospital, Hvidovre, Denmark.

Objective: Caesarean section (CS) may reduce mortality and morbidity for very preterm breech infants, but evidence is inconclusive. We evaluated neonatal outcomes for singleton breech infants by mode of delivery in a European cohort.

Study Design: Data come from the EPICE population-based cohort of very preterm births in 19 regions in 11 European countries (7770 live births). Read More

J Matern Fetal Neonatal Med 2019 Jan 22:1-5. Epub 2019 Jan 22.

a Service de Réanimation néonatale , Centre Hospitalier Universitaire Sud-Réunion , Saint-Pierre , France.

Objectives: To identify if there is a specific neonatal morbidity/mortality among second twins relative to first twins.

Study Design: A 17-year (2001-2017) population-based observational cohort of all twin newborns born in the South of Reunion island after 21 weeks.

Results: Among 1062 dichorionic (DTP) and 281 monochorionic twin pregnancies (2686 newborns), twin 2 have a doubled risk to be in breech presentation and a bad Apgar at 1 mn (≤6) in vaginal deliveries. Read More

J Obstet Gynaecol Res 2019 Mar 17;45(3):634-639. Epub 2019 Jan 17.

Department of Obstetrics and Gynecology, Nippon Medical School Hospital, Tokyo, Japan.

Aim: This study aimed to assess whether hysteroscopic metroplasty using the incision method for septate uterus is a risk factor for adverse obstetric outcomes during pregnancy or delivery.

Methods: This retrospective, single-center cohort study of obstetric complications included 41 patients with recurrent pregnancy loss or unexplained infertility who underwent hysteroscopic metroplasty using the incision method for septate uterus. As controls, we recruited 1139 women who delivered at our hospital during the same period. Read More

BJOG 2019 04 21;126(5):675. Epub 2018 Dec 21.

Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

BJOG 2019 04 21;126(5):675-676. Epub 2018 Dec 21.

Level 6, Women's Centre, Oxford University Hospitals NHS Trust, Oxford, UK.

BMC Pregnancy Childbirth 2018 Dec 17;18(1):498. Epub 2018 Dec 17.

Department of Woman's and Child's Health, Obstetrics and Gynecological Unit, San Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00152, Rome, Italy.

Background: Herlyn-Werner-Wunderlich syndrome (HWWS) is an uncommon congenital anomaly of the female urogenital tract, characterised by uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. We reported the difficult pregnancy course complicated by an extremely rare and unique case of this syndrome associated with ectrodactyly, a clinical combination never described in literature.

Case Presentation: A 28- year-old nulliparous woman previously diagnosed for HWWS associated with ectrodactyly of the right foot and with a history of abdominal left hemi-hysterectomy, ipsilateral salpingectomy, vaginal reconstruction when she was an adolescent. Read More

Ginekol Pol 2018;89(11):644-657

1st Chair and Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland.

BJOG 2019 03 19;126(4):500. Epub 2018 Dec 19.

Royal Hospital for Women, Randwick, Sydney, New South Wales, Australia.

Eur J Obstet Gynecol Reprod Biol 2019 Jan 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

Acta Obstet Gynecol Scand 2019 Mar 20;98(3):300-308. Epub 2018 Dec 20.

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 to 2016, we studied outcomes in 436 112 singleton pregnancies. Read More

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

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

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

Gynecol Obstet Fertil Senol 2018 12 28;46(12):937-947. Epub 2018 Oct 28.

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

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

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

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

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

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

BJOG 2019 01 24;126(1):82. Epub 2018 Oct 24.

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

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

BJOG 2019 Mar 23;126(4):493-499. Epub 2018 Oct 23.

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

BJOG 2019 Jan 9;126(1):73-82. Epub 2018 Oct 9.

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

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

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

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

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

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

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

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

J Paediatr Child Health 2019 Feb 1;55(2):168-174. 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

Osteoporos Int 2018 Oct 12;29(10):2275-2281. Epub 2018 Jul 12.

MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.

We compared bone outcomes in children with breech and cephalic presentation at delivery. Neonatal whole-body bone mineral content (BMC) and area were lower in children with breech presentation. At 4 years, no differences in whole-body or spine measures were found, but hip BMC and area were lower after breech presentation. Read More

Thyroid Res 2018 6;11. Epub 2018 Jul 6.

5Department of Endocrinology, Royal Devon and Exeter Hospital NHS Foundation Trust, Exeter, UK.

Background: Iodine is important for thyroid hormone synthesis, and iodine deficiency in pregnancy may impair fetal neurological development. As perchlorate and thiocyanate inhibit sodium-iodide symporter reducing the transport of iodine from circulation into the thyroid follicular cells, environmental exposure to these substances in pregnancy may impair maternal thyroid hormone synthesis. We aimed to explore the impact of perchlorate and thiocyanate exposure on thyroid status in a cohort of pregnant mothers from South West England. Read More

Afr Health Sci 2018 Mar;18(1):157-165

Edward Francis Small Teaching Hospital, Banjul The Gambia.

Background: Caesarean section is a very important procedure to decrease maternal and perinatal morbidity and mortality. Anecdotal evidence suggests that more than half of all caesarean sections done in The Gambia are done at the Edward Francis Small Teaching Hospital.

Objective: The aim of the study was to determine the caesarean section rate at the Edward Francis Small teaching Hospital. Read More

Eur J Obstet Gynecol Reprod Biol 2018 Sep 18;228:137-142. Epub 2018 Jun 18.

Department of Obstetrics and Gynaecology, Academic Medical Center, Amsterdam, The Netherlands.

Objective: To develop a prediction model for the chance of successful external cephalic version (ECV).

Study Design: This is a secondary analysis of a multicenter, open-label randomized controlled trial that assessed the effectiveness of atosiban compared to fenoterol as uterine relaxant during ECV in women with a singleton fetus in breech presentation with a gestational age of 36 weeks or more. Potential predictors included maternal, pregnancy, fetal, and treatment characteristics and were recorded in all participants. Read More

BMC Pregnancy Childbirth 2018 Jun 4;18(1):208. Epub 2018 Jun 4.

Biostatistics and Bioinformatics (DIM), University Hospital, Dijon, France; Bourgogne Franche-Comté University, Dijon, France.

Background: Since the 2000s, selective episiotomy has been systematically recommended worldwide. In France, the recommended episiotomy rate in vaginal deliveries is less than 30%. The aims of this study were to describe the evolution of episiotomy rates between 2007 and 2014, especially for vaginal deliveries without instrumental assistance and to assess individual characteristics and birth environment factors associated with episiotomy. Read More

Ginekol Pol 2018 ;89(4):195-9

Shandong Provincial Hospital Affiliated to Shandong University, China.

Objectives: To explore the possible risk factors for cesarean scar pregnancy (CSP), the incidence of which is increasing rapidly in China.

Material And Methods: 79 patients with CSP and 69 non-CSP expectant mothers with at least 1 previous cesarean section were employed in the study. The obstetric histories of the participants were collected and analyzed using Chi square test. Read More

BMC Pregnancy Childbirth 2018 May 18;18(1):176. Epub 2018 May 18.

Department of Obstetrics and Gynecology (OB/GYN), Paracelsus Medical University, Muellner Hauptstr. 48, A-5020, Salzburg, Austria.

Background: Spontaneous vaginal twin delivery after 32nd week of gestation is safe when first twin presenting cephalic. Aim of this study is to identify obstetric factors influencing the condition of second twin and to verify whether non-cephalic presentation and vaginal breech delivery of the second twin is safe.

Methods: This is a retrospective case controlled cohort study of 717 uncomplicated twin deliveries ≥32 + 0 weeks of gestation from 2005 to 2014 in two tertiary perinatal centers. Read More

BJOG 2018 May;125(6):664

Chelsea and Westminster and West Middlesex Hospitals NHS Foundation Trust, London, UK.