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PubMed · 15453044

[Breech presentation: vaginal delivery or planned caesarean section?].

Nizar Ben Aissia·Atef Youssef·Mohamed Chiheb Said·Mohamed Faouzi Gara
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Abstract

UNLABELLED: Breech delivery is a high risk situation because of its numerous dystocies. The most serious is the last head retention. The authors realized a retrospective study concerning 347 patients who had given birth to a newborn child in breech presentation during a period of 4 years. RESULTS: The vaginal delivery was associated in a significant way to an excess of obstetric traumatisms (5.5%) versus caesarean section (0.5%) and this even after strict selection of vaginal delivery's conditions (P = 0.00453). The rate of the newborn child having Apgar's score < 7 in 5 min was higher in case of vaginal delivery (17.39%) than caesarean section's birth (3.48%). Corrected neonatal mortality is higher in the group of vaginal delivery than caesarean section's group (34% versus 0.49%, P = 0.02553). There is no significant difference of maternal morbidity between caesarean section and vaginal delivery group (P = 4.65). Vaginal delivery is associated to an excess of morbidity and neonatal mortality even after strict selection of the candidates of the vaginal delivery.

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Breech PresentationCesarean SectionDelivery, ObstetricFemaleHumansInfant, NewbornPregnancyRetrospective StudiesEnglish AbstractJournal Article

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BibTeXRIS

Nizar Ben Aissia, Atef Youssef, Mohamed Chiheb Said, Mohamed Faouzi Gara. 2004. [Breech presentation: vaginal delivery or planned caesarean section?].. https://pubmed.ncbi.nlm.nih.gov/15453044/

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PubMed2006

French trainees in obstetrics and gynaecology theoretical training and practice of vaginal breech delivery: a national survey.

OBJECTIVE: To survey French trainees in Obstetrics and Gynaecology and evaluate their theoretical training and practice of vaginal breech delivery (VBD). STUDY DESIGN: We conducted a national survey between January and April 2004 among the 817 French trainees undergoing a 5-year training program in obstetrics and gynaecology. Trainees in years 1-3 were considered as juniors, and those in years 4 and 5 as seniors. Respondents were invited to specify whether they had received theoretical teaching in the management of VBD, and to indicate the number of VBDs they had performed during their training. RESULTS: The questionnaire was returned by 156 (19%) trainees and of these 140 questionnaires were suitable for analysis. Overall, 35% of the respondents had never been taught the management of a VBD. Among the senior trainees, 33% had performed less than four VBDs, and 23% had not received any teaching on how to manage a VBD. CONCLUSION: The level of theoretical training and practice in the management of VBD seems to have diminished and does not bring the French trainees in obstetrics and gynaecology to the required standard of competence.

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