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https://ciane.net/id=597

Criado em : 10 Mar 2004
Alterado em : 02 Dec 2007

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Nota bibliográfica (sem autor) :

Vaginal breech delivery: is it still an option? Eur J Obstet Gynecol Reprod Biol. 2003 Dec 10;111(2):122-8.

Autores :

Hellsten C, Lindqvist PG, Olofsson P.

Ano de publicação :

2003

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To provide local data on term breech delivery for future guidance.

STUDY DESIGN: Retrospective, ’intended-mode-of-delivery’ analysis of 711 antenatally uncomplicated singleton breech deliveries at >or=37 weeks: 445 (63%) planned for vaginal delivery (VD) (no fetal growth restriction, fetal weight 2000-4000 g, adequate pelvic size, maternal consent) and 266 for cesarean section (CS).

OUTCOME MEASURES: Apgar score, cord blood acid-base status, childhood deaths and disability. RESULTS: Perinatal mortality was nil in both groups. Low 1-min Apgar scores and low arterial cord blood pH were significantly more frequent in planned VD, but not low Apgar scores at 5 or 10 min or low venous pH. Metabolic acidosis, neonatal intensive care, neonatal seizures, birth trauma, childhood death (CS=1), and neurodevelopmental handicaps (CS=2, VD=1) were equally common.

CONCLUSION: Our results do not disqualify selective vaginal breech delivery at term and beyond as an option.

Sumário (português)  :

Resumen (español)  :

Comentários :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Palavras-chaves :

➡ cesariana ; medicina baseada em evidências ; apresentação pelvica (sentado) ; distocia

Autor da esta ficha :

Cécile Loup — 10 Mar 2004
➡ última atualização : Bernard Bel — 02 Dec 2007