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Mode of delivery and developmental characteristics in a thousand Dunedin three year olds: a report from the Dunedin Multidisciplinary Child Development Study.

A study of 1037 representative Dunedin children delivered by a variety of modes was described. The results showed that there were no significant differences in maternal general mental ability, training in child development, or background of child experiences among the five delivery groups studied. Also, there were no significant differences between children who were spontaneous deliveries or any of the other groups in age at which the developmental milestones were achieved, nor in any of the developmental characteristics assessed.

Breech Presentation↗

[Artificial induction of labor. Results apropos of a consecutive series of 20% of induced labors].

The authors report on a series of 1 838 deliveries of which 358 (19.5%) were induced. The caesarean section rate when induction was undertaken for social convenience (delivery on pre-set dates) was 1.7%, but when induction had to be carried out the caesarean section rate was 10%. Fetal and maternal morbidity when induction was carried out on social grounds was the same as for the general population. The number of inductions that were performed was not sufficiently large to alter the work rate in the labour ward and the ways in which this could be evened out are discussed. We have considered the different techniques to ripen the cervix, particularly when premature induction by rupture of the membranes is required.

Anesthesia, Epidural↗