Factors associated with adverse perinatal outcomes for term breech fetuses with planned vaginal delivery.
Détails
ID Serval
serval:BIB_C8AEA5E1CA75
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Factors associated with adverse perinatal outcomes for term breech fetuses with planned vaginal delivery.
Périodique
American Journal of Obstetrics and Gynecology
Collaborateur⸱rice⸱s
PREMODA Study Group
Contributeur⸱rice⸱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
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
207
Numéro
4
Pages
285.e1-285.e9
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Résumé
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.
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.
Mots-clé
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
Création de la notice
21/02/2015 15:50
Dernière modification de la notice
20/08/2019 16:43
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