3,462 results match your criteria Pregnancy Breech Delivery


[Water aerobics as a means for the prenatal correction in the case of breech presentation of the fetus].

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

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http://dx.doi.org/10.17116/kurort20199601130DOI Listing
January 2019
1 Read

Is induction of labor a reasonable option for breech presentation?

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

Port Royal Maternity Unit, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France, DHU Risks in Pregnancy, Paris, France; Sorbonne Medical Faculty Paris Descartes UniversityParis, France.

Introduction: Whilst 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 with those undergoing planned caesarean 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

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https://onlinelibrary.wiley.com/doi/abs/10.1111/aogs.13557
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http://dx.doi.org/10.1111/aogs.13557DOI Listing
February 2019
5 Reads

Twin vaginal delivery: To maintain skill - simulation is required.

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

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http://dx.doi.org/10.1016/j.ejogrb.2018.12.038DOI Listing
March 2019
1 Read

Mode of delivery and mortality and morbidity for very preterm singleton infants in a breech position: A European cohort study.

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

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https://linkinghub.elsevier.com/retrieve/pii/S03012115193002
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http://dx.doi.org/10.1016/j.ejogrb.2019.01.003DOI Listing
March 2019
4 Reads
1.627 Impact Factor

The burden to be second twin: a population-based study of 2686 twins: (2124 dichorionic). Proposal of the concept of mobility.

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

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http://dx.doi.org/10.1080/14767058.2019.1566308DOI Listing
January 2019
2 Reads

Is hysteroscopic metroplasty using the incision method for septate uterus a risk factor for adverse obstetric outcomes?

J Obstet Gynaecol Res 2019 Jan 17. 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

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http://dx.doi.org/10.1111/jog.13884DOI Listing
January 2019
2 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 to 2016, we studied outcomes in 436 112 singleton pregnancies. Read More

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http://doi.wiley.com/10.1111/aogs.13502
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http://dx.doi.org/10.1111/aogs.13502DOI Listing
November 2018
10 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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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02258
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http://dx.doi.org/10.1136/bmjopen-2018-022583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231551PMC
November 2018
11 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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http://dx.doi.org/10.1097/MD.0000000000013133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221710PMC
November 2018
2 Reads

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

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

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http://dx.doi.org/10.1016/j.gofs.2018.10.029DOI Listing
December 2018
2 Reads

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
2 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S01406736183192
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http://dx.doi.org/10.1016/S0140-6736(18)31927-5DOI Listing
October 2018
18 Reads

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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http://dx.doi.org/10.1186/s12884-018-2033-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180643PMC
October 2018
3 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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https://www.smj.org.sa/index.php/smj/article/view/smj.2018.1
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http://dx.doi.org/10.15537/smj.2018.10.23152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201025PMC
October 2018
3 Reads

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

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

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http://dx.doi.org/10.1111/1471-0528.15466DOI Listing
January 2019
2 Reads

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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https://www.tandfonline.com/doi/full/10.1080/14767058.2018.1
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http://dx.doi.org/10.1080/14767058.2018.1523388DOI Listing
November 2018
9 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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http://dx.doi.org/10.1016/j.ejogrb.2018.08.020DOI Listing
October 2018
2 Reads

[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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http://dx.doi.org/10.1016/j.gofs.2018.07.003DOI Listing
September 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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http://dx.doi.org/10.1016/j.jogoh.2018.08.006DOI Listing
November 2018
5 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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http://dx.doi.org/10.1515/hmbci-2018-0042DOI Listing
August 2018
4 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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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0202760PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107207PMC
February 2019
5 Reads

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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http://dx.doi.org/10.1136/bmjopen-2018-021670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078266PMC
August 2018
5 Reads

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

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

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http://dx.doi.org/10.1111/jpc.14143DOI Listing
February 2019
8 Reads

Breech presentation is associated with lower bone mass and area: findings from the Southampton Women's Survey.

Osteoporos Int 2018 Jul 12. 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

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http://dx.doi.org/10.1007/s00198-018-4626-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173302PMC
July 2018
2 Reads

Effect of perchlorate and thiocyanate exposure on thyroid function of pregnant women from South-West England: a cohort study.

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

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http://dx.doi.org/10.1186/s13044-018-0053-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035476PMC
July 2018
27 Reads

Outcome of caesarean section at the Edward Francis Small Teaching Hospital, Banjul The Gambia.

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

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http://dx.doi.org/10.4314/ahs.v18i1.20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016991PMC
March 2018
2 Reads

Development and internal validation of a clinical prediction model for external cephalic version.

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

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https://linkinghub.elsevier.com/retrieve/pii/S03012115183029
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http://dx.doi.org/10.1016/j.ejogrb.2018.06.019DOI Listing
September 2018
21 Reads

How did episiotomy rates change from 2007 to 2014? Population-based study in France.

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

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http://dx.doi.org/10.1186/s12884-018-1747-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987447PMC
June 2018
4 Reads

Identifying risk factors for cesarean scar pregnancy: a retrospective study of 79 cases.

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

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http://dx.doi.org/10.5603/GP.a2018.0033DOI Listing
July 2018
4 Reads

Delivery of the second twin: influence of presentation on neonatal outcome, a case controlled study.

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

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http://dx.doi.org/10.1186/s12884-018-1815-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960113PMC
May 2018
7 Reads

Uterus didelphys: two pregnancies, two term breech caesarean deliveries.

BMJ Case Rep 2018 Apr 18;2018. Epub 2018 Apr 18.

Fetal Medicine Department, Imperial College NHS Trust, London, UK.

We report the case of a woman with uterus didelphys who spontaneously conceived two singleton pregnancies, one in each uterus, and was delivered in both instances of a healthy breech infant at term by elective caesarean section. Read More

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http://dx.doi.org/10.1136/bcr-2017-221815DOI Listing
April 2018
7 Reads

Patterns of caesarean section in HIV infected and non-infected women in Malawi: is caesarean section used for PMTCT?

BMC Pregnancy Childbirth 2018 04 12;18(1):95. Epub 2018 Apr 12.

Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.

Background: Caesarean section (CS) is not recommended for PMTCT in Malawi HIV Guidelines, contrary to most high-income countries where CS is indicated if viral suppression is sub-optimal pre-delivery. We describe patterns of CS in HIV-infected and uninfected women in Malawi and explored if insight into the use of Elective CS (ECS) for PMTCT could be obtained.

Methods: We used routinely collected data from individual medical records from 17 large health facilities in the central and southern regions of Malawi, from January 2010 to December 2013. Read More

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https://bmcpregnancychildbirth.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12884-018-1722-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5897999PMC
April 2018
8 Reads

Trends in characteristics of women choosing contraindicated home births.

J Perinat Med 2018 Aug;46(6):573-577

Icahn School of Medicine at Mount Sinai, Department of Obstetrics, Gynecology, and Reproductive Science, Division of Maternal-Fetal Medicine, New York, NY, USA.

Objective: To characterize the American College of Obstetricians and Gynecologists (ACOG) contraindicated home births and the women who are receiving these births in hopes of identifying venues for intervention.

Methods: The National Center for Health Statistics (NCHS) birth certificate records from 1990 to 2015 were used. "Planned home births" were defined as those births in which birthplace was coded as "residence" and birth attendant was coded as "certified nurse midwife (CNM)" or "other midwife". Read More

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http://dx.doi.org/10.1515/jpm-2018-0029DOI Listing
August 2018
11 Reads

Impact of the mode of delivery on maternal and neonatal outcome in spontaneous-onset breech labor at 32-36 weeks of gestation: A retrospective cohort study.

Eur J Obstet Gynecol Reprod Biol 2018 Jun 30;225:13-18. Epub 2018 Mar 30.

Department of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland.

Objective: To compare neonatal and maternal outcomes in spontaneously onset preterm breech deliveries after trial of labor (BTOL) and intended cesarean section (BCS), and between BTOL and vertex control deliveries, in singleton fetuses at 32-36 weeks of gestation.

Study Design: Retrospective single center cohort study in a Finnish University Hospital including all spontaneous-onset preterm breech deliveries with 32 completed gestational weeks in 2003-2015. The study population comprised a total of 176 preterm breech and 103 vertex control deliveries, matched by gestational age and whether the mother had given birth vaginally before or not. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.03.054DOI Listing
June 2018
5 Reads

Findings and methodological quality of systematic reviews focusing on acupuncture for pregnancy-related acute conditions.

Acupunct Med 2018 Jun 20;36(3):146-152. Epub 2018 Mar 20.

Evidence-Based Healthcare Post-Graduation Program, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil.

Introduction: Major concerns regarding the use of medication during pregnancy justify the need for safer interventions. Acupuncture is an emerging alternative for several clinical conditions during this period. The objective of this study is to summarise evidence derived from systematic reviews (SRs) focusing on acupuncture for pregnancy-related acute conditions. Read More

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http://dx.doi.org/10.1136/acupmed-2017-011436DOI Listing
June 2018
9 Reads

Neonatal hypoxia of the second twin after vaginal delivery of the first twin: what matters?

J Matern Fetal Neonatal Med 2018 Apr 1:1-8. Epub 2018 Apr 1.

a Department of Maternal Fetal Medicine , Fondazione MBBM, San Gerardo Hospital, Università degli Studi di Milano-Bicocca , Monza , Italy.

Objective: Optimal management of twin deliveries is controversial. We aimed to assess potential risk factors correlated to the development of hypoxia in the second twin after vaginal delivery of the first twin.

Study Design: This is a retrospective observational study including diamniotic twin pregnancies delivering at our Institution at 35 weeks of gestational age or more, weighing ≥1800 g. Read More

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http://dx.doi.org/10.1080/14767058.2018.1451510DOI Listing
April 2018
5 Reads

Management of breech and twin labor during registrarship: A two-year prospective, observational study.

J Gynecol Obstet Hum Reprod 2018 May 3;47(5):191-196. Epub 2018 Mar 3.

Department of Obstetrics and Gynecology, University Hospital of Amiens, CHU Amiens Sud, Amiens cedex 1, France; Inserm UMR 1105, GRAMFC (Groupe de Recherches sur l'Analyse Multimodale de la Fonction Cérébrale), Picardie Jules Verne University, CHU Amiens, avenue Laennec, 80054 Amiens, France.

Introduction: Breech presentation and twin pregnancy are regarded as stressful situations for medical staff. This stress is often associated with an increased likelihood of intervention during labor - especially when the on-shift obstetrician lacks experience.

Material And Methods: We performed a 2-year prospective, observational study of cesarean section (CSDs) and assisted vaginal (AVDs) deliveries in a tertiary maternity unit for attempted vaginal deliveries of breech presentations and twin pregnancies. Read More

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http://dx.doi.org/10.1016/j.jogoh.2018.03.001DOI Listing
May 2018
1 Read

Impact of epidural analgesia on cesarean and operative vaginal delivery rates classified by the Ten Groups Classification System.

Int J Obstet Anesth 2018 May 2;34:37-41. Epub 2018 Mar 2.

Department of Anesthesiology and Intensive Therapy, University Medical Centre Ljubljana, Zaloska 7, 1000 Ljubljana, Slovenia; Institute of Anatomy, Medical Faculty Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia.

Background: The Ten Group Classification System (TGCS) allows critical analysis according to the obstetric characteristics of women in labor: singleton or multiple pregnancy, nulliparous, multiparous, or multiparous with a previous cesarean delivery, cephalic, breech presentation or other malpresentation, spontaneous or induced labor, and term or preterm births. Labor outcomes associated with epidural analgesia may be different among the different labor classification groups. The aim of this study was to explore associations between epidural analgesia and cesarean delivery, and epidural analgesia and assisted vaginal delivery, in women classified using the TGCS. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.01.003DOI Listing
May 2018
9 Reads

Temporal trends in severe maternal and neonatal trauma during childbirth: a population-based observational study.

BMJ Open 2018 03 2;8(3):e020578. Epub 2018 Mar 2.

Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.

Objective: Instrumental vaginal delivery is associated with birth trauma to infant and obstetric trauma to mother. As caesarean delivery rates increased during the past decades, the rate of instrumental vaginal delivery declined. We examined concomitant temporal changes in the rates of severe birth trauma and maternal obstetric trauma. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-020578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855201PMC
March 2018
6 Reads

Risk factors and between-hospital variation of caesarean section in Denmark: a cohort study.

BMJ Open 2018 02 10;8(2):e019120. Epub 2018 Feb 10.

Center for Clinical Epidemiology, Odense University Hospital, Odense, Denmark.

Objectives: The aim of this study was to estimate the effects of risk factors on elective and emergency caesarean section (CS) and to estimate the between-hospital variation of risk-adjusted CS proportions.

Design: Historical registry-based cohort study.

Settings And Participants: The study was based on all singleton deliveries in hospital units in Denmark from January 2009 to December 2012. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-019120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829888PMC
February 2018
14 Reads

Neonatal morbidity associated with vaginal delivery of noncephalic second twins.

Am J Obstet Gynecol 2018 04 5;218(4):449.e1-449.e13. Epub 2018 Feb 5.

INSERM (Institut National de la Santé Et de la Recherche Médicale), U1153, Epidemiology and Biostatistics Sorbonne Paris Cité Research Center, Obstetrical, Perinatal, and Pediatric Epidemiology Team, Paris, France; Assistance Publique-Hôpitaux de Paris, Maternité Port-Royal, Paris, France; Université René Descartes, Paris, France; DHU Risques et Grossesse, Paris, France.

Background: Management of noncephalic second twin delivery rests on the results of population-based retrospective studies of twin births that have shown higher neonatal mortality and morbidity for second twins with noncephalic, compared with cephalic, presentations after vaginal delivery of the first twin. Because these studies are flawed by data of questionable validity, do not report the obstetrical practices at delivery, and do not allow collection of potential confounding variables, we performed a national prospective study specially designed to evaluate the management of twins' delivery.

Objective: We sought to assess neonatal mortality and morbidity according to second twin presentation after vaginal birth of the first twin. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378183003
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http://dx.doi.org/10.1016/j.ajog.2018.01.023DOI Listing
April 2018
6 Reads

Comparison of outcomes between induction of labor and spontaneous labor for term breech - A systemic review and meta analysis.

Eur J Obstet Gynecol Reprod Biol 2018 Mar 16;222:155-160. Epub 2017 Dec 16.

Department of Obstetrics and Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical Centre for Critical Pregnant Women, Key Laboratory for Major Obstetric Diseases of Guangdong Province, Guangzhou, China. Electronic address:

Objectives: Few studies have assessed the impact of induction of labor on breech presentation. This study aims to summarize the effect of induction of labor of breech presentation on perinatal morbidity.

Methods: Literature review was done in Medline, Embase, Web of science and Cochrane Library up to 20 October 2017. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2017.12.031DOI Listing
March 2018
6 Reads

Training in Emergency Obstetrics: A Needs Assessment of U.S. Emergency Medicine Program Directors.

West J Emerg Med 2018 Jan 5;19(1):87-92. Epub 2017 Dec 5.

University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.

Introduction: Obstetrical emergencies are a high-risk yet infrequent occurrence in the emergency department. While U.S. Read More

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http://dx.doi.org/10.5811/westjem.2017.10.35273DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5785207PMC
January 2018
7 Reads

[E.G. Simon in reply to the article by L. Hejl et al.: Vaginal delivery in case of breech presentation: impact of a service's incentive. Gynecol Obstet Fertil Senol 2017;45(11):596-603].

Authors:
E G Simon

Gynecol Obstet Fertil Senol 2018 02 19;46(2):133-134. Epub 2018 Jan 19.

Pôle de gynécologie obstétrique, médecine fœtale, reproduction et génétique, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France; UMR Inserm U930, université de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France. Electronic address:

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http://dx.doi.org/10.1016/j.gofs.2017.12.007DOI Listing
February 2018
5 Reads

Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study.

J Environ Public Health 2017 23;2017:9413717. Epub 2017 Nov 23.

Homecho Hospital, SNNPRS, Homecho, Ethiopia.

Background: Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.

Objective: To determine prevalence and perinatal outcomes of singleton term breech delivery. Read More

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http://dx.doi.org/10.1155/2017/9413717DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733229PMC
September 2018
24 Reads

Internal Podalic Version and Breech Extraction: Enhancing Realistic Sensations in a Simulation Model.

Obstet Gynecol 2018 02;131(2):360-363

Departments of Obstetrics and Gynaecology, Pediatrics, and Epidemiology, Erasmus Medical Center, Rotterdam, and Managing Obstetrical Emergencies and Trauma (MOET), Stichting MOET, Tilburg, the Netherlands.

Background: Experience with internal podalic version and breech extraction is diminishing, especially in the younger generation of obstetricians. Simulation training is essential to teach and maintain these skills.

Instrument: We present a mannequin-based simulation method that enhances realistic sensations during training. Read More

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http://dx.doi.org/10.1097/AOG.0000000000002424DOI Listing
February 2018
4 Reads

[External cephalic version of breech fetus after 36 weeks of gestation - evaluation of efectiveness and complications].

Ceska Gynekol 2017 ;82(6):443-449

Objective: Evaluation of success rate and the safety of external cephalic version after 36 weeks of gestation.

Design: Retrospective analysis.

Setting: Department of Obstetrics and Gynecology, Masaryk University, University Hospital Brno. Read More

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January 2017
13 Reads

Rates, indications, and outcomes of caesarean section deliveries: A comparison of tribal and non-tribal women in Gujarat, India.

PLoS One 2017 27;12(12):e0189260. Epub 2017 Dec 27.

Kasturba Maternity Hospital (KMH), SEWA Rural, Bharuch, Gujarat, India.

Background: Even though the caesarean section is an essential component of comprehensive obstetric and newborn care for reducing maternal and neonatal mortality, there is a lack of data regarding caesarean section rates, its determinants and health outcomes among tribal communities in India.

Objective: The aim of this study is to estimate and compare rates, determinants, indications and outcomes of caesarean section. The article provides an assessment on how the inequitable utilization can be addressed in a community-based hospital in tribal areas of Gujarat, India. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0189260PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5744934PMC
January 2018
5 Reads

What If?: A Story of an Unwanted Medicalized Birth.

Narrat Inq Bioeth 2017 ;7(3):190-192

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http://dx.doi.org/10.1353/nib.2017.0059DOI Listing
December 2018
1 Read

Labour induction practices in France: A population-based declarative survey in 94 maternity units.

J Gynecol Obstet Hum Reprod 2018 Feb 28;47(2):57-62. Epub 2017 Nov 28.

Inserm UMR 1153, obstetrical, perinatal and pediatric epidemiology research team (EPOPé), centre for epidemiology and statistics Sorbonne Paris Cité (CRESS), DHU risks in pregnancy, Paris Descartes university, 75014 Paris, France; Assistance Publique-Hôpitaux de Paris, Cochin hospital, Port-Royal maternity unit, Cochin hospital, hôpitaux universitaires Paris Centre, AP-HP, DHU risks in pregnancy, Paris Descartes university, 75014 Paris, France.

Introduction: In 2016, 22.0% of deliveries in France were induced. The current lack of high level of evidence data about the methods and indications for induction of labour has promoted heterogeneous and non-recommended practices. Read More

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http://dx.doi.org/10.1016/j.jogoh.2017.11.006DOI Listing
February 2018
2 Reads