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Pan Afr Med J 2022 7;41:180. Epub 2022 Mar 7.

Westcare Hospital, Ejigbo, Lagos State, Nigeria.

Pyomyoma is a rare complication of uterine fibroid occurring most commonly in pregnancy, post-partum, post-abortion, and post-menopausal periods. It results from infarction, necrosis and secondary infection of leiomyoma. We report a case of 29-year-old primigravida with breech at term co-existing with cystic degenerative uterine fibroid, who presented with recurrent fever and abdominal pain. Read More

BMC Pediatr 2022 May 13;22(1):280. Epub 2022 May 13.

School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

Background: Birth asphyxia is the inability of a newborn to start and conserve breathing immediately after birth. Globally, 2.5 million infants die within their first month of life every year, contributing nearly 47% of all deaths of children. Read More

J Gynecol Obstet Hum Reprod 2022 May 6;51(6):102404. Epub 2022 May 6.

CHU Lille, Department of Obstetrics, F-59000, Lille, France; University of Lille, EA 2694 - METRICS, F-59000, Lille, France.

Objective: Breech presentation at term accounts for around 5% of births. Few studies have evaluated the effectiveness of different induction methods for breech presentations. We aim to compare the mode of delivery after induction by intra cervical dilatation balloon compared to prostaglandin (PGE2) in breech presentation. Read More

Arch Gynecol Obstet 2022 Apr 27. Epub 2022 Apr 27.

Service de Gynécologie Obstétrique, Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Paris, France.

Purpose: To assess severe neonatal morbidity and mortality in induced labor in preterm breech deliveries, compared to spontaneous labor.

Methods: This is a retrospective study conducted in a tertiary university center in France. Women with single live breech pregnancy between 28 + 0 and 36 + 6 weeks gestation were included. Read More

SAGE Open Med Case Rep 2022 14;10:2050313X221092560. Epub 2022 Apr 14.

Department of Gynecology and Obstetrics, Addis Alem Hospital, Bahir Dar, Ethiopia.

Sirenomelia also known as mermaid syndrome is a partial or complete fusion of lower extremities associated with visceral anomalies. It is a rare anomaly with a poor prognosis. Maternal age less than 20 years, maternal diabetes mellitus, and monozygotic twinning are some of the known risk factors. Read More

Sex Reprod Healthc 2022 Apr 1;32:100724. Epub 2022 Apr 1.

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway; Center for Fetal Medicine, Trondheim University Hospital (St. Olav's Hospital), Trondheim, Norway; Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway.

Objective: To investigate outcomes in spontaneous and induced twin deliveries. Secondary aims were to study impact of delivery interval and breech presentation of the first twin.

Methods: This retrospective cohort study comprised 354 twin deliveries at a tertiary Norwegian hospital. Read More

J Gynecol Obstet Hum Reprod 2022 May 9;51(5):102377. Epub 2022 Apr 9.

Univ. Lille, CHU Lille, ULR 2694, METRICS-Evaluation des technologies de santé et des pratiques médicales, F-59000 Lille, France; CHU Lille, Department of Obstetrics, F-59000 Lille, France.

Background: Breech presentation of the first twin occurs in 20% of twin pregnancies. However, the impact of delivery mode on morbimortality in breech fetuses remains controversial in the literature generally, and has been infrequently studied in twin pregnancies specifically. The aim herein was to evaluate neonatal and maternal outcomes according to delivery mode when the first twin was in breech presentation, and to compare these results with those in the current literature. Read More

Trials 2022 Apr 4;23(1):249. Epub 2022 Apr 4.

, London, UK.

Background: Women pregnant with a breech-presenting foetus at term are at increased risk of adverse pregnancy outcomes. The most common intervention used to improve neonatal outcomes is planned delivery by caesarean section. But this is not always possible, and some women prefer to plan a vaginal birth. Read More

Orthop Clin North Am 2022 Apr 5;53(2):167-177. Epub 2022 Mar 5.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, 700 Children's Drive, T2E- A2700, Columbus, OH 43205, USA; Department of Orthopedic Surgery, Nationwide Children's Hopsital, Columbus, OH, USA. Electronic address:

Brachial plexus birth injuries (BPBIs) are typically traction type injuries to the newborn that occur during the delivery process. Although the incidence of these injuries has overall decreased from 1.5 to around 0. Read More

BMC Pediatr 2022 03 30;22(1):165. Epub 2022 Mar 30.

Asrat Woldeyus Health Science Campus, School of Medicine, Debre Berhan University, Debre Berhan, Ethiopia.

Background: Birth asphyxia is the major public health problem in the world. It is estimated that around 23% of all newborn deaths are caused by birth asphyxia worldwide. Birth asphyxia is the top three causes of newborn deaths in sub-Saharan Africa and more than one-third of deaths in Ethiopia. Read More

Eur J Obstet Gynecol Reprod Biol 2022 May 8;272:166-172. Epub 2022 Mar 8.

Department of Clinical Sciences, Division of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital, S-182 88 Stockholm, Sweden; The Institute for Evaluation of Labor Market and Education Policy (IFAU), S-751 20 Uppsala, Sweden. Electronic address:

Objective: The aim of this study was to examine the association between delivery mode and severe maternal and neonatal morbidity in singleton term breech births.

Study Design: This nationwide population-based cohort study includes 41 319 singleton term and post-term breech births (37 + 0-42 + 6 gestational weeks) in Sweden from 1998 to 2016. Data was retrieved from the Swedish Medical Birth Register. Read More

Eur J Obstet Gynecol Reprod Biol 2022 May 11;272:156-159. Epub 2022 Mar 11.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, United States.

Background: External cephalic version (ECV) is a technique used to reduce the incidence of cesarean deliveries due to malpresentation. Nitrous oxide is an inhaled analgesic that may be used for pain relief for women undergoing external cephalic version.

Objective: To compare the conversion rate of non-cephalic to cephalic presentation in ECV with and without nitrous oxide. Read More

BMC Pregnancy Childbirth 2022 Mar 16;22(1):211. Epub 2022 Mar 16.

Department of Obstetrics and Gynecology, University Hospital (HUS), University of Helsinki, Haartmaninkatu 2, 00290, Helsinki, Finland.

Background: In many countries, vaginal breech labor at term is an option in selected cases. However, the safety of vaginal breech labor in preterm is still unclear. Therefore our study aimed to evaluate the safety of vaginal breech labor in late preterm deliveries. Read More

Acta Obstet Gynecol Scand 2022 Mar 16. Epub 2022 Mar 16.

Department of Obstetrics and Gynecology, Danderyd Hospital, Stockholm, Sweden.

Introduction: The Robson Ten Group Classification System is widely used for the audit of cesarean section (CS) rates. However, CS rate alone is a poor quality indicator and should be balanced with other obstetric endpoints. The aim of this study was to evaluate whether Swedish national data on obstetric outcomes other than CS, stratified by the Robson classification, could be analyzed in a useful way. Read More

PLoS One 2022 14;17(3):e0262002. Epub 2022 Mar 14.

Department of Obstetrics and Gynecology, Jean Minjoz Hospital, Besançon University Medical Center-Alexander Fleming Boulevard, Besançon, France.

Background: Cervical dilatation curves are widely used to describe normal and abnormal labor progression for cephalic presentation. Labor curves for breech presentations have never been described.

Objectives: The aims of this study were to examine the pattern of labor progression in women with a breech presentation and to determine whether the type of breech or parity can influence the speed of cervical dilatation. Read More

J Matern Fetal Neonatal Med 2022 Mar 2:1-8. Epub 2022 Mar 2.

Longgang District Maternal & Child Healthcare Hospital of Shenzhen City, Shenzhen, China.

Aims: To address the rate of spontaneous version in breech presentation until term and explore the risk factors for persistent breech presentation diagnosed by the second-trimester ultrasound examination.

Methods: This is a retrospective cohort study of pregnant women with a singleton pregnancy who had their ultrasound examination conducted at the time of 22-26 weeks of gestation in the Guangzhou Women and Children's Medical Center. Cox regressions were applied to determine the strength of association between selected risk factors and persistent breech presentation. Read More

Med Arch 2021 Oct;75(5):386-389

Academy of Medical Sciences of Bosnia and Herzegovina, Sarajvo, Bosnia and Herzegovina.

Background: The peculiar reigning and private life of Maria Theresa in the tumultuous time of continuous wars in the then Europe was interwoven with her predominant maternal/obstetric history, as presented below.

Objective: All the sixteen pregnancies of Empress Maria Theresa ended in spontaneous vaginal deliveries at term, with no information on pregnancies ended in spontaneous abortion or preterm delivery.

Methods: Medicohystorical review of the obstetrical anamnesis of Empress Maria Theresia. Read More

BMJ Case Rep 2022 Feb 2;15(2). Epub 2022 Feb 2.

Obstetrics and Gynecology, University of Michigan Health-West, Wyoming, Michigan, USA.

Nuchal cord accidents comprise a third of stillbirths in the third trimester. These are often due to higher order nuchal cords, with more than three loops. In this report, we discuss a case of a gestation complicated by a nuchal cord with eight loops and severe fetal growth restriction, requiring expedited delivery due to non-reassuring fetal heart tones. Read More

Eur J Obstet Gynecol Reprod Biol 2022 Mar 13;270:156-163. Epub 2022 Jan 13.

Port-Royal Maternity Unit, Department of Obstetrics, Cochin Broca Hôtel-Dieu Hospital, Assistance Publique - Hôpitaux de Paris, FHU PREMA, Paris, France; INSERM UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics, FHU PREMA, Université de Paris, Paris, France.

Introduction: Success rates of external cephalic version (ECV) are heterogenous in the published literature. Some individual factors are already known to be associated with ECV success but probably do not fully explain the differences. The objective of this review is to assess the association between hospitals' cesarean delivery rates for breech presentations after ECV failure and their ECV success rates. Read More

Medicine (Baltimore) 2022 Jan;101(2):e28320

Department of Ultrasound, The Shenzhen Children's Hospital, Shenzhen, Guangdong, China.

Abstract: Developmental dysplasia of the hip (DDH) is common among Chinese infants, but a lack of large-scale, multi-center epidemiological studies has made it difficult to characterize the risk factors associated with this disease.This multi-center cohort study included 19,833 Chinese infants aged 14 days to 6 months. A multi-center ultrasound protocol was used to diagnose hip abnormalities, and epidemiological data of the infants were collected through questionnaires. Read More

J Gynecol Obstet Hum Reprod 2022 Mar 5;51(3):102310. Epub 2022 Jan 5.

University Grenoble-Alpes, Grenoble, France; Department of Gynecology-Obstetrics and Reproductive Medicine, Grenoble Alpes University Hospital, Grenoble, France. Electronic address:

Femoral fracture is a rare but significant foetal injury, more frequent and likely to happen when the foetus is malpositioned or in a breech presentation. Cesarian section does not appear to be protective and all recent publications report cases occurring during cesarian section. We report a case that occurred in a vaginal delivery of a single footling breech presentation. Read More

J Obstet Gynaecol Res 2022 Mar 6;48(3):703-708. Epub 2022 Jan 6.

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

Aim: This study aimed to determine the efficacy of postural management in the lateral position for primiparous breech presentation.

Methods: A retrospective cohort study was conducted at a single institution from January 2020 through December 2020. Participants were singleton primiparous pregnant women diagnosed with breech presentation between 28 + 0 and 29 + 6 weeks of gestation. Read More

Eur J Obstet Gynecol Reprod Biol 2022 Feb 13;269:84-89. Epub 2021 Dec 13.

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

Objective: The number of cesarean deliveries on maternal request (CDMR) is unknown in France. We aimed to evaluate the rate of obstetricians willing to perform a CDMR in 2020 in Paris and to compare OB/GYN seniors' and residents' points of view about CDMR using six hypothetical clinical scenarios.

Study Design: A survey was conducted between January to March 2020 with an anonymous self-administrated questionnaire sent by email to OB/GYN seniors working in 16 public and private maternity units and residents of Paris. Read More

J Gynecol Obstet Hum Reprod 2022 Mar 31;51(3):102306. Epub 2021 Dec 31.

Gynecologic and Obstetric unit, CHU d'Amiens-Picardie, 1 Bd du Pr Christian Cabrol, F-80054 Amiens, France. Electronic address:

Background: Simulation now has an important role in theoretical and practical aspects of medical education and training.

Methods: We performed an epidemiological, observational, multicenter study based on nationwide data collection. French obstetrics and gynecologic residents were invited to complete an anonymous survey. Read More

Am J Obstet Gynecol MFM 2022 03 29;4(2):100555. Epub 2021 Dec 29.

School of Public Health, University of Sydney, Sydney, Australia.

Background: Cesarean delivery rates continue to rise globally, the reasons for which are incompletely understood.

Objective: We aimed to characterize the attributable factors for the increasing cesarean delivery rates over a 30-year period within our health network.

Study Design: This was a planned observational cohort study across 2 hospitals (a large tertiary referral hospital and a metropolitan hospital) in Sydney, Australia using data from a previously published study. Read More

Rev Peru Med Exp Salud Publica 2021 Jul-Sep;38(3):476-478. Epub 2021 Dec 20.

Unidad Generadora de Evidencias y Vigilancia Epidemiológica. Scientia Clinical and Epidemiological Research Institute. Trujillo, Perú.

Front Pediatr 2021 30;9:749707. Epub 2021 Nov 30.

School of Mathematics, Statistics, and Computer Science, University of KwaZulu-Natal, Pietermaritzburg, South Africa.

Understanding independent and joint predictors of adverse pregnancy outcomes is essential to inform interventions toward achieving sustainable development goals. We aimed to determine the joint predictors of preterm birth and perinatal death among singleton births in northern Tanzania based on cohort data from the Kilimanjaro Christian Medical Center (KCMC) zonal referral hospital birth registry between 2000 and 2017. We determined the joint predictors of preterm birth and perinatal death using the random-effects models to account for the correlation between these outcomes. Read More

J Vasc Interv Radiol 2022 04 13;33(4):427-435.e4. Epub 2021 Dec 13.

Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia. Electronic address: https://twitter.com/nimakokabiMD.

Purpose: To identify differences in mortality or length of hospital stay for mothers treated with uterine artery embolization (UAE) or hysterectomy for severe postpartum hemorrhage (PPH), as well as to analyze whether geographic or clinical determinants affected the type of therapy received.

Materials And Methods: This National Inpatient Sample study from 2005 to 2017 included all patients with live-birth deliveries. Severe PPH was defined as PPH that required transfusion, hysterectomy, or UAE. Read More

J Gynecol Obstet Hum Reprod 2022 Feb 11;51(2):102284. Epub 2021 Dec 11.

INSERM UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics, FHU PREMA, Université de Paris, 123 boulevard de Port Royal, Paris 75014, France; Hôpital Cochin Port Royal, Maternité Port Royal, Assistance Publique-Hôpitaux de Paris, Université de Paris, Paris, France.

Introduction: The "en caul" technique, i.e. delivery with intact membranes, may reduce the risk of obstetric trauma in vaginal breech delivery of extreme preterm infants. Read More

Eur J Obstet Gynecol Reprod Biol 2022 Jan 24;268:62-67. Epub 2021 Nov 24.

Dept. of Obstetrics, Charité Hospital, Humboldt University, Berlin, Germany.

Objectives: To assess the feasibility of external cephalic version (ECV) for the leading twin (twin A) in breech presentation in dichorionic and diamniotic twin pregnancies without the use of regional anesthetics and tocolysis and to characterize the sonographic parameters, maternal and neonatal outcomes.

Study Design: Prospective study performed in the Charité University Hospital outpatient obstetric department in Berlin, Germany. A total of 23 women from the 35th completed week of pregnancy with confirmed dichorionic-diamniotic twin pregnancy were recruited. Read More