Vaginal breech delivery of pregnancy before and after the estimated due date—A prospective cohort study
European Journal of Obstetrics & Gynecology and Reproductive Biology Jun 19, 2020
Möllmann CJ, Kielland-Kaisen U, Paul B, et al. - The short-term maternal and fetal outcome in intended vaginally breech deliveries before the estimated due date (until 40 0/7 weeks of gestation) were compared with the outcome of deliveries carried out past the estimated due date (later than 40 0/7 weeks of gestation). Among 827 women who presented for an intended vaginal breech delivery of a singleton and were included in this prospective cohort study includes, 447 patients (54%) delivered before or at their estimated due date and 380 (46%) of pregnancies continued after the estimated due date. The groups did not exhibit significant difference in maternal and neonatal short-term mortality and morbidity. The group of patients, who delivered later than 40 1/7 weeks of gestation, had increased rate of cesarean sections. Evidence was gained in this study indicating that for breech presentations at term, an elective cesarean section is not obligatory when the estimated due date has passed in singleton pregnancy.
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