Factors associated with adverse perinatal outcomes for term breech fetuses with planned vaginal delivery.

Details

Serval ID
serval:BIB_C8AEA5E1CA75
Type
Article: article from journal or magazin.
Collection
Publications
Title
Factors associated with adverse perinatal outcomes for term breech fetuses with planned vaginal delivery.
Journal
American Journal of Obstetrics and Gynecology
Author(s)
Azria E., Le Meaux J.P., Khoshnood B., Alexander S., Subtil D., Goffinet F.
Working group(s)
PREMODA Study Group
Contributor(s)
Goffinet F., Alexander S., Foidart J., Uzan S., Subtil D., Bréart G., Carayol M., Goffinet F., Subtil D., Alexander S., Foidart J., Bréart G., Simeoni U., Rozé J., Gouyon J., Lequien P., Jarreau P., Haumont D., Puech F., Gaucherand P.
ISSN
1097-6868 (Electronic)
ISSN-L
0002-9378
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
207
Number
4
Pages
285.e1-285.e9
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
OBJECTIVE: We sought to identify factors associated with adverse perinatal outcomes (APO) among term breech neonates with planned vaginal deliveries.
STUDY DESIGN: We conducted univariable and multilevel multivariable analysis of the data collected in the multicenter prospective observational study PREsentation et MODe d'Accouchement (PREMODA) in women with planned vaginal delivery giving birth to singleton term breech babies. The end point was a composite set of APO.
RESULTS: Of 2502 women with planned vaginal delivery recruited in the 174 participating centers, 1772 (71%) delivered vaginally. Adverse outcomes were observed in 165 cases (6.59%). After adjustment, the factors associated with them were geographic origin, gestational age <39 weeks at birth, birthweight <10th percentile, and annual number of maternity unit births <1500.
CONCLUSION: When strict conditions governed the selection of delivery route and management of labor was rigorous, APO were not associated with any prenatal or peripartum obstetric factors.
Keywords
Adult, Breech Presentation, Delivery, Obstetric/adverse effects, Delivery, Obstetric/statistics & numerical data, Female, Gestational Age, Humans, Infant, Newborn, Maternal Age, Pregnancy, Pregnancy Outcome, Prospective Studies, Risk Factors
Pubmed
Web of science
Create date
21/02/2015 14:50
Last modification date
20/08/2019 15:43
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