East African medical journal · 2003
Planned vaginal delivery versus Caesarean section for breech presentation in Ile-Ife, Nigeria.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Orji E O, Ajenifuja K O
Аннотация
BACKGROUND: The optimum mode of breech delivery remains a matter of controversy among obstetricians worldwide.
OBJECTIVE: To determine whether term breech babies born by planned vaginal delivery are at higher risk of neonatal mortality and morbidity than those born by planned caesarean delivery.
DESIGN: A hospital based non-experimental comparison of outcome of breech delivery.
SETTING: Ife State Hospitals Complex, Ile-Ife.
SUBJECTS: Two hundred and fourty four singleton breech deliveries occurring at term.
MAIN OUTCOME MEASURES: They include low 5-minute Apgar score, birth trauma, maternal and perinatal morbidity and mortality.
RESULTS: The perinatal mortality was not significantly different in both groups: OR 2.7 (95% C.I. 0.3-26.8). The low 5-minute Apgar scores were higher in the planned vaginal delivery OR 9.0 (95% C.I. 1-73.4), but the traumatic morbidity was not (OR 1.8, 95% C.I. 0.2-20.1). Maternal morbidity occurred more in the planned Caesarean delivery group OR 0.4 (95% C.I. 0.2-0.9).
CONCLUSION: Given appropriate selection criteria and management protocol, the outcome from elective caesarean section might not be better than from planned vaginal delivery.
OBJECTIVE: To determine whether term breech babies born by planned vaginal delivery are at higher risk of neonatal mortality and morbidity than those born by planned caesarean delivery.
DESIGN: A hospital based non-experimental comparison of outcome of breech delivery.
SETTING: Ife State Hospitals Complex, Ile-Ife.
SUBJECTS: Two hundred and fourty four singleton breech deliveries occurring at term.
MAIN OUTCOME MEASURES: They include low 5-minute Apgar score, birth trauma, maternal and perinatal morbidity and mortality.
RESULTS: The perinatal mortality was not significantly different in both groups: OR 2.7 (95% C.I. 0.3-26.8). The low 5-minute Apgar scores were higher in the planned vaginal delivery OR 9.0 (95% C.I. 1-73.4), but the traumatic morbidity was not (OR 1.8, 95% C.I. 0.2-20.1). Maternal morbidity occurred more in the planned Caesarean delivery group OR 0.4 (95% C.I. 0.2-0.9).
CONCLUSION: Given appropriate selection criteria and management protocol, the outcome from elective caesarean section might not be better than from planned vaginal delivery.