Vaginal breech delivery of pregnancy before and after the estimated due date—A FRABAT prospective cohort study
European Journal of Obstetrics & Gynecology and Reproductive Biology May 05, 2020
Möllmann CJ, Kielland-Kaisen U, Paul B, et al. - Researchers aimed at determining the short-term maternal and fetal outcome in intended vaginally breech deliveries before the estimated due date (until 40/0 weeks of gestation) vs those carried out past the estimated due date (later than 40/1 weeks of gestation). They conducted a prospective cohort study including 827 women who presented for an intended vaginal breech delivery of a singleton. Of these, 447 patients (54%) were delivered prior to or at their estimated due date, 380 (46%) of pregnancies were continued after the estimated due date. Both groups did not differ significantly in maternal and neonatal short-term mortality and morbidity. The group of patients, who delivered later than 40 + 0 weeks of gestation, had increased rate of cesarian sections as well as exhibited increased likelihood for delivery maneuvers. Findings thereby support that when the estimated due date has passed in singleton pregnancy, an elective cesarean section for breech presentations at term is not obligatory .
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