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

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

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

Taiwan J Obstet Gynecol 2020 May;59(3):361-365

Department of Obstetrics, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350001, PR China.

Objective: To investigate the treatment methods used for the delayed interval delivery of twins and to evaluate the maternal and infant outcomes.

Materials And Methods: The clinical data of 5 patients that underwent delayed interval delivery of twins at Fujian Maternal and Child Health Hospital from 2014 to 2018 were analyzed. The gestational ages at delivery, obstetrical management, the interval between deliveries, and the maternal and child outcomes were analyzed. Read More

Arch Gynecol Obstet 2020 May 14. Epub 2020 May 14.

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

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

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

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

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

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

Eur J Obstet Gynecol Reprod Biol 2020 Apr 24. Epub 2020 Apr 24.

FRABAT Frankfurt Breech at Term Study Group, Department of Obstetrics and Gynaecology, Goethe-University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

Introduction: 3-4% of pregnant women present with a fetal breech position at term. National societies regard vaginal breech delivery as a safe option, but only for a specific and thoroughly counseled group of patients. To avoid adverse outcome, many practitioners recommend elective cesarean section once their patients go past the estimated due date. Read More

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

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

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

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

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

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

BMC Pregnancy Childbirth 2020 Mar 30;20(1):192. Epub 2020 Mar 30.

Department of Orthopedics, Norrköping, Sweden.

Background: To ascertain or disprove a correlation between suboptimal birth characteristics, breech position at delivery and development of Perthes' disease.

Methods: Study material was collected from nationwide registers regarding diagnoses, birth statistics and delivery data. As study population were included children with a diagnosis code for Perthes' disease who were alive and living in Sweden at age 13. Read More

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

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

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

J Matern Fetal Neonatal Med 2020 Jan 27:1-5. Epub 2020 Jan 27.

Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel.

We aimed to assess trial of labor rates in patients in their second pregnancy following a cesarean delivery (CD), and asses the correlation to delivery and postpartum characteristics of their primary delivery. This was a retrospective cohort of deliveries at our institution between 2009 and 2016. Files of patients with one past CD and a subsequent second delivery were reviewed. Read More

Acta Obstet Gynecol Scand 2020 Jan 24. Epub 2020 Jan 24.

RPA Women and Babies, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

Introduction: The cesarean delivery rate has been increasing globally in recent decades. The reasons for this are complex and subject to ongoing debate. Investigation of the indications for cesarean delivery and how these have changed over an extended period of time could provide insight into the reasons for changing obstetric practice. Read More

BMC Pregnancy Childbirth 2020 Jan 20;20(1):45. Epub 2020 Jan 20.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, 550 16th St, Box 0132, San Francisco, CA, 94143, USA.

Background: Sub-Saharan Africa faces a disproportionate burden of perinatal deaths globally. However, data to inform targeted interventions on an institutional level is lacking, especially in rural settings. The objective of this study is to identify risk factors for perinatal death at a resource-limited hospital in Uganda. Read More

Sci Rep 2020 Jan 15;10(1):380. Epub 2020 Jan 15.

Institute for Maternal & Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.

Although there is no evidence that elevated rates of cesarean sections (CS) translate into reduced maternal/child perinatal morbidity or mortality, CS have been increasingly overused almost everywhere, both in high and low-income countries. The primary cesarean section (PCS) has become a major driver of the overall CS (OCS) rate, since it carries intrinsic risk of repeat CS (RCS) in future pregnancies. In our study we examined patterns of PCS, pl compared with planned TOLAC anned PCS (PPCS), vaginal birth after 1 previous CS (VBAC-1) and associated factors in Friuli Venezia Giulia (FVG), a region of North-Eastern Italy, collecting data from its 11 maternity centres (coded from A to K) during 2005-2015. Read More

Evid Based Complement Alternat Med 2019 3;2019:7036914. Epub 2019 Dec 3.

Department of Public Health, Mental Health and Perinatal Nursing, Faculty of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain.

Background: Breech presentation at the time of delivery is 3.8-4%. Fetuses that maintain a noncephalic presentation beyond 32 weeks will have a lower probability of spontaneous version before labor. Read More

J Epidemiol Glob Health 2019 12;9(4):252-258

Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.

We sought to identify factors associated with mode of delivery in a peri-urban Indian population with a high cesarean section rate. Poisson regression with robust error variance was applied to model factors associated with cesarean compared to vaginal delivery in a prospective, preconception pregnancy cohort study in Telangana State, India. Adjusted relative risks and 95% confidence intervals from multivariable models are presented. Read More

Saudi Med J 2019 Dec;40(12):1251-1255

College of Medicine, Sulaiman Al Rajhi Colleges, Bukayriah, Al-Qassim, Kingdom of Saudi Arabia. E-mail.

Objectives: To investigate the indications of first (non-repeated) cesarean deliveries, to categorize those indications into absolute and relative according to established guidelines of cesarean deliveries, and to compare the women with absolute and relative indications by demography and pregnancy-related attributes.  Methods: A cross-sectional analysis of delivery data between September and October 2018, at the Maternity and Children Hospital, Buraidah, Al-Qassim, Saudi Arabia. Indications for cesarean deliveries of 200 primary cases were abstracted and were categorized into 'absolute' and 'relative' according to the Association of the Scientific Medical Societies in Germany guidelines. Read More

PLoS One 2019 2;14(12):e0225546. Epub 2019 Dec 2.

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

Introduction: Vaginal delivery out of a breech presentation in pregnancies at term are being re-implemented into clinical practice. Still, recommendations regarding exclusion criteria leading to caesarean sections are based on expert opinions, not on evidence-based guidelines. The difference in perinatal outcome and course of delivery in births with babies in frank breech position and babies in incomplete or complete breech presentation never has been investigated in a large patient cohort. Read More

J Matern Fetal Neonatal Med 2019 Nov 21:1-6. Epub 2019 Nov 21.

Faculty of Medicine, University of Iceland, Reykjavik, Iceland.

To minimize the risk of neonatal respiratory morbidity it is recommended that elective cesarean sections should not be done before 39-week gestation unless medically indicated. However, elective cesarean sections are still being performed at early term (at 37-38 weeks gestation) without sound medical indications. In this study, we evaluated the indications for elective cesarean sections performed at early term to assess the proportion of procedures that could possibly have been postponed until ≥39 weeks to avoid neonatal respiratory morbidity. Read More

BMJ Case Rep 2019 Nov 19;12(11). Epub 2019 Nov 19.

The Virtual Nephrologist, Inc, Lynn Haven, Florida, USA.

Müllerian anomalies are congenital malformations of the female reproductive organs that occur when the müllerian ducts develop abnormally. Different types of müllerian anomalies have different pregnancy outcomes. Breech presentation is a common occurrence in pregnant women with uterus didelphys, and caesarean section is the traditional mode of delivery under such circumstances. Read More

Arch Gynecol Obstet 2020 02 18;301(2):393-403. Epub 2019 Nov 18.

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

Purpose: To determine if the common risks for breech presentation at term labor are also eligible in preterm labor.

Methods: A Finnish cross-sectional study included 737,788 singleton births (24-42 gestational weeks) during 2004-2014. A multivariable logistic regression analysis was used to calculate the risks of breech presentation. Read More

J Matern Fetal Neonatal Med 2019 Nov 11:1-4. Epub 2019 Nov 11.

Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan.

In Japan, the lack of obstetricians has made it impossible for a strict 24-h delivery monitoring system for high risk deliveries such as vaginal breech delivery at many obstetric facilities. The outcomes in the trial of vaginal breech delivery of singleton pregnancy limited one day at 37-38 weeks' gestation were examined. A planned induction of vaginal breech delivery at 37-38 weeks' gestation was performed in 72 women who got consent form April 2006 to March 2016 as follows: (1) insertion of a balloon catheter into the uterine cervix filled with a sterile saline fluid of 400-500 mL, (2) intravenous administration of oxytocin after confirming of the natural falling out by itself of the balloon catheter, and (3) selection of cesarean delivery when vaginal delivery cannot be expected by evening. Read More

Comput Biol Med 2019 12 31;115:103525. Epub 2019 Oct 31.

Univ. Lille, EA 2694, Santé Publique, épidémiologie et Qualité des Soins, F-59000, Lille, France.

Objective: To identify clinical parameters and intrapartum fetal heart rate parameters associated with a risk of umbilical cord acidosis at birth, using an automated analysis method based on empirical mode decomposition.

Methods: Our single-center study included 381 cases (arterial cord blood pH at birth pHa ≤7.15) and 1860 controls (pHa ≥7. Read More

Case Rep Obstet Gynecol 2019 7;2019:5090565. Epub 2019 Oct 7.

Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Nepal.

Twin pregnancy with a complete mole and a coexistent normal fetus reaching term is a rare occurrence. We report a case of a 21-yrs G2P1L0 un-booked patient at 39 weeks who was referred for the same condition diagnosed incidentally on ultrasound scan which showed a singleton pregnancy in breech presentation with a normal placenta and a heterogeneous cystic lesion seen anteriorly, suggesting a coexistent molar pregnancy. Cesarean section was done, and a healthy male baby was delivered with a grossly normal placenta and a second placenta with grape like vesicles. Read More

Gynecol Obstet Fertil Senol 2020 01 31;48(1):109-119. Epub 2019 Oct 31.

Service de gynécologie-obstétrique, hôpital Robert-Debré, AP-HP, 48, boulevard Sérurier, 75019 Paris, France; Inserm, INRA, université de Paris, Epidemiology and Statistics Research Center/CRESS, 75004, Paris, France. Electronic address:

Objective: To evaluate maternal risks and benefits associated with planned mode of delivery in case of breech presentation at term.

Methods: MedLine and Cochrane Library databases search and review of the main foreign guidelines.

Results: To analyze maternal complications according to the planned mode of delivery for breech singleton at term, only one study of high quality is available, a randomized controlled trial- the Term Breech Trial, having found a similar maternal morbidity rate with planned cesarean delivery compared to planned vaginal delivery (LE2). Read More

Ultrasound Obstet Gynecol 2020 Feb;55(2):248-256

Fetal Medicine Research Institute, King's College Hospital, London, UK.

Objective: Undiagnosed non-cephalic presentation in labor carries increased risks for both the mother and baby. Routine pregnancy care based on maternal abdominal palpation fails to detect the majority of cases of non-cephalic presentation. The aim of this study was to report the incidence of non-cephalic presentation at a routine scan at 35 + 0 to 36 + 6 weeks' gestation and the subsequent management of such pregnancies. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Dec 22;243:57-62. Epub 2019 Oct 22.

Neonatal Unit The Rosie Hospital Cambridge University Hospitals NHS Trust Cambridge United Kingdom.

Objectives: To establish the incidence of obstetric neonatal brachial plexus and facial nerve injuries in a tertiary maternity hospital in the United Kingdom and to identify associated risk factors with an emphasis on the time of delivery.

Study Design: From our hospital electronic data bases we identified all live births born between 2000 and 2016 and those neonates who sustained a nerve injury during delivery. We performed a logistic regression analysis linking "facial nerve injury" and "brachial plexus injury" with variables for which we had complete cohort data including "breech", "gestation", "sex", "birthweight", "day of week", "time of delivery", "method of delivery", "singleton/multiple deliveries" and "number of deliveries per day". Read More

In Vivo 2019 Nov-Dec;33(6):2199-2204

Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.

Background/aim: The aim of this study was to determine the value of Doppler indices and notching assessment of uterine artery between the 19th and 22nd week of gestation in the prediction of pregnancy outcome such as delivery mode, birth weight, Apgar score, afterbirth pH, fetal presentation, preeclampsia and fetal growth restriction in singleton pregnancy.

Patients And Methods: This is a retrospective cohort study of Doppler ultrasound of the uterine arteries at 19-22 week of gestation in 1,472 women with singleton pregnancies.

Results: Patients with bilateral high resistance-index (RI) and pulsatility-index (RI) or with the presence of a notch showed a significantly higher prevalence of small for gestational age (SGA) fetuses and intrauterine growth restriction (IUGR), low Apgar Scores at the 1st and the 5th min, high c-section rate, preterm birth, breech birth, placental insufficiency and placental abruption. Read More

Biomed Res Int 2019 16;2019:9581439. Epub 2019 Sep 16.

IRCCS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.

Aim of this study is to analyze determinants of breech presentation using information from two regional databases of Lombardy (Italy) including data on consecutive singleton breech and vertex deliveries occurred in the Region, between January 2010 and December 2015. Breech presentation occurred in 3.8% of all single deliveries. Read More

Rev Colomb Obstet Ginecol 2019 03;70(1):19-26

Doctor in Medicine and Surgery; specialist in Obstetrics and Gynecology; Subspecialist in Maternal and Fetal Medicine; Master in Health Administration. Faculty II, Universidad Nacional Autónoma de Honduras, Tegucigalpa (Honduras).

Objective: To classify cesarean sections according to the Robson Model in the obstetrics unit of an intermediate complexity hospital.

Methods: Descriptive cross-sectional study conducted in the obstetrics unit of the San Felipe General Hospital (HGSF), Tegucigalpa, Honduras, between April and June 2017. Out of 477 clinical records of patients undergoing elective and/ or emergency surgery during the study period, 89 were selected using probabilistic random selection. Read More

Acta Biomed 2019 09 6;90(3):300-309. Epub 2019 Sep 6.

Department of Obstetrics and Gynaecology, University of Bari "A. Moro" Bari, Italy.

To determine antenatal factors that may predict successful vaginal birth after Caesarean section (VBAC), to develop a relevant antenatal scoring system and a nomogram for prediction of vaginal birth after caesarean delivery. A non recurring indication for previous Caesarean section (CS), such as breech presentation or foetal distress, is associated with a much higher successful VBAC rate than recurrent indications, such as cephalopelvic disproportion (CPD). Prior vaginal deliveries are excellent prognostic indicators of successful VBAC, especially if the vaginal delivery follows the prior CS. Read More

Ned Tijdschr Geneeskd 2019 09 9;163. Epub 2019 Sep 9.

Maxima Medisch Centrum, afd. Gynaecologie en Verloskunde, Veldhoven.

Since the publication of the results of the Term Breech Trial (TBT) in 2000 the number of planned Caesarean sections for breech presentation has increased dramatically, at the expense of vaginal breech deliveries. The favourable effect of a planned Caesarean section for breech presentation on perinatal outcomes described in the TBT could not, however, be reproduced in later trials. A planned Caesarean section does carry an increased risk of maternal complications; furthermore, a previous Caesarean section leads to higher risks for both mother and child in any subsequent pregnancy. Read More

Am J Obstet Gynecol 2020 02 20;222(2):193-194. Epub 2019 Sep 20.

The Fetal Medicine Centre, Birmingham Women's and Children's Foundation Trust, Edgbaston, Birmingham, UK; The Institute of Metabolism and Systems Research, College of Medical & Dental Sciences, University of Birmingham, Birmingham, UK.

BMC Pregnancy Childbirth 2019 Sep 9;19(1):330. Epub 2019 Sep 9.

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Background: In a recent population-based study we reported excess risk of neonatal mortality associated with vaginal breech delivery. In this case-control study we examine whether deviations from Norwegian guidelines are more common in breech deliveries resulting in intrapartum or neonatal deaths than in breech deliveries where the offspring survives, and if these deaths are potentially avoidable.

Material And Methods: Case-control study completed as a perinatal audit including term breech deliveries of singleton without congenital anomalies in Norway from 1999 to 2015. Read More

J Perinat Med 2019 Oct;47(8):857-866

Department of Gynecology and Obstetrics, University Hospital Basel, Basel, Switzerland.

Background Although cesarean sections at full dilatation are increasing, training in delivering a deeply impacted fetal head is lacking among obstetricians. The purpose of the study was to implement and evaluate a theoretical and simulation-based training program for this obstetrical emergency. Methods We developed a training program consisting of a theoretical introduction presenting a clinical algorithm, developed on the basis of the available literature, followed by a simulation session. Read More

Zhonghua Yu Fang Yi Xue Za Zhi 2019 Sep;53(9):913-918

Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University/Anhui Provincial Key Laboratory of Population Health and Aristogenics/Key Laboratory of Population Health Across Life Cycle, Ministry of Education of the People's Republic of China, Hefei 230032, China.

To analyze the correlation between elective cesarean delivery and duration of breastfeeding in Ma'anshan city from 2013 to 2014. From May 2013 to September 2014, a total of 3 474 pregnant women with the first prenatal checkup were recruited from Ma'anshan maternal and child health care hospital. Finally, 3 109 pregnant women were included after exclusion of those with terminated pregnancies, adverse birth outcomes, twin or multiple pregnancies, breech traction, breech midwifery and loss of delivery information. Read More

Zhonghua Fu Chan Ke Za Zhi 2019 Aug;54(8):516-521

Department of Obstetrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning 530003, China.

To investigate the factors associated with the success rate of external cephalic version (ECV) for singleton and non-cephalic presentation pregnancies in the third trimester. A retrospective study of ECV among singleton and non-cephalic presentation pregnant women in 36-40 weeks of gestation at Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region from January 2016 to June 2018 was analyzed. (1) Totally, 251 cases of 358 pregnant women who underwent ECV were successful, with a total success rate of 70. Read More

Zhonghua Fu Chan Ke Za Zhi 2019 Aug;54(8):512-515

Department of Obstetrics and Gynecology, Key Laboratory of Obstetric Major Diseases, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China.

To investigate the ratio of transfer cesarean section after trial of labor and maternal-fetal outcomes based on Robson classifications. The delivery data by cesarean section in Third Affiliated Hospital of Guangzhou Medical University from January 1st, 2009 to December 31st, 2015 (gestational age ≥28 weeks and newborn birth weight 1 000 g) were retrospectively collected. The ratio of transfer cesarean section after trial of labor and maternal-fetal adverse outcomes were analyzed by weighted adverse outcome score in different Robson classifications. Read More

BMC Pregnancy Childbirth 2019 Aug 16;19(1):300. Epub 2019 Aug 16.

CHRU Dijon, Department of gynecology, obstetrics, fetal medicine and infertility, Dijon, France.

Background: Though the rate of episiotomy has decreased in France, the overall episiotomy rate was 20% in the 2016 national perinatal survey. We aimed to develop a classification to facilitate the analysis of episiotomy practices and to evaluate whether episiotomy is associated with a reduction in the rate of obstetric anal sphincter injuries (OASIS) for each subgroup.

Methods: This population-based study included all the deliveries that occurred in the Burgundy Perinatal Network from 2011 to 2016. Read More

J Perinat Med 2019 Sep;47(7):717-723

Maternal Fetal Medicine Unit, Department of Obstetrics and Gynecology, Hospital General Universitario Gregorio Marañón, Universidad Complutense, 48 O' Donnell Street, 28009 Madrid, Spain.

Background We aimed to analyze the success rate of external cephalic version (ECV) for breech presentations performed in our center between March 2011 and March 2016. We evaluated factors related to a successful ECV, delivery mode, complications and newborn status after ECV. Methods Analysis of assembled data of 327 consecutive ECVs in the third trimester was done. Read More

J Obstet Gynaecol 2020 Apr 29;40(3):336-341. Epub 2019 Jul 29.

Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

The aim of this study was to identify the main contributor to the high Caesarean section birth rate at a regional perinatal medical centre using the Robson Ten Group Classification System (TGCS). A total of 54,085 women were surveyed and were included in our study from 2015 to 2017 at the Women's Hospital at Zhejiang University School of Medicine in Hangzhou, China. The Caesarean birth rate was similar among the three years; although, the new two-childbirth policy in China has been in implementation since 2016. Read More

BMC Res Notes 2019 Jul 17;12(1):428. Epub 2019 Jul 17.

Independent Public Health Consultant, Addis Ababa, Ethiopia.

Objective: Breech delivery is generally associated with higher perinatal morbidity and mortality than cephalic presentation. Hence describing the outcomes of singleton term breech deliveries in Jimma University Medical Center (JUMC), Southwest Ethiopia addresses in recommendation of improving perinatal outcomes and developing protocols in selecting eligible women.

Results: The incidence of singleton term breech delivery was 5. Read More

Arch Gynecol Obstet 2019 10 16;300(4):875-880. Epub 2019 Jul 16.

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

Purpose: Recent literature evaluating the optimal timing for external cephalic version (ECV) in non-cephalic presentation is limited and hampered by methodological issues. We aimed to compare late preterm ECV [term (36-37 weeks of gestation] to term ECV ( > 37 weeks).

Methods: We conducted a retrospective cohort study of prospectively collected data of ECV procedures performed by a single operator during a 6 year period. Read More

Evid Based Complement Alternat Med 2019 9;2019:8950924. Epub 2019 Jun 9.

ObGyn Unit, Consultorio Celle, Rimini Hospital and Rimini Local Sanitary Unit, Rimini, Italy.

Introduction: Foetal breech presentation is an obstetric problem that often leads to caesarean section. Stimulation of the acupoint BL67 by moxibustion may correct breech presentation.

Methods: We observed 93 pregnant women in the 32nd-35th week of gestation with normal pregnancy and ultrasound diagnosis of breech presentation. Read More

Am J Obstet Gynecol 2019 10 27;221(4):353.e1-353.e7. Epub 2019 Jun 27.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

Objective: The reported incidence of combined twin delivery (vaginal delivery of twin A followed by cesarean delivery for twin B) ranges between 5% and 10%. These estimates are based mostly on small studies or retrospective data. We aimed to evaluate to incidence and risk factors for and outcomes of combined twin deliveries, using a subanalysis of the Twin Birth Study, a randomized, controlled, prospective study. Read More

Ultrasound Obstet Gynecol 2019 Dec;54(6):843-844

Department of Obstetrics, Charité Universitätsmedizin, Berlin, Germany.

Zhonghua Yi Xue Za Zhi 2019 Jun;99(21):1664-1668

Department of Gynecology and Obstetrics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai 201399, China.

To investigate the relationship of STOX1expression and pathogenesis of early onset preeclampsia. 65 cases of preeclampsia women who delivered in Shanghai Pudong Hospital from October 2015 to June 2018, were recruited, which included 31 cases with early onset preeclampsia (early onset group, gestational week<34 weeks) and 34 patients with late onset preeclampsia (late onset group, gestational week ≥34 weeks). 34 cases women who received caesarean section because of pelvic structural deformities, breech presentation, macrosomia and social factors were included as the control group(gestational week ≥34 weeks) were selected as control group. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Aug 12;239:45-51. Epub 2019 May 12.

Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway; Department of Clinical Science, University of Bergen, Bergen, Norway.

Acta Clin Croat 2018 Dec;57(4):762-767

Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.

- Cervical ripening can be promoted in many ways, but mechanical methods are among the oldest. Like all other methods, this one also has its pros and cons. Disadvantages compared to pharmacological methods include some maternal discomfort upon manipulation of the cervix, a theoretical increase in the risk of maternal and neonatal infection from the introduction of a foreign body, potential disruption of a low-lying placenta, and increase in the need of oxytocin induction of labor. Read More