Breech presentation at term and associated obstetric risks factors-a nationwide population based cohort study

Purpose The aim of this study was to estimate whether breech presentation at term was associated with known individual obstetric risk factors for adverse fetal outcome. Methods This was a retrospective, nationwide Finnish population-based cohort study. Obstetric risks in all breech and vertex singleton deliveries at term were compared between the years 2005 and 2014. A multivariable logistic regression model was used to determine significant risk factors. Results The breech presentation rate at term for singleton pregnancies was 2.4%. The stillbirth rate in term breech presentation was signifi... Mehr ...

Verfasser: Macharey, Georg
Gissler, Mika
Rahkonen, Leena
Ulander, Veli-Matti
Vaisanen-Tommiska, Mervi
Nuutila, Mika
Heinonen, Seppo
Dokumenttyp: Artikel
Erscheinungsdatum: 2018
Verlag/Hrsg.: Springer Heidelberg
Schlagwörter: Breech presentation / Predicting factors / Risk factors / Fetal growth restriction / Stillbirth / Oligohydramnios / PLANNED VAGINAL BIRTH / FETAL MOVEMENTS / CEREBRAL-PALSY / DELIVERY / PREGNANCY / TRIAL / OUTCOMES / NETHERLANDS / CHILDREN / Gynaecology and paediatrics
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29197360
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://hdl.handle.net/10138/236696

Purpose The aim of this study was to estimate whether breech presentation at term was associated with known individual obstetric risk factors for adverse fetal outcome. Methods This was a retrospective, nationwide Finnish population-based cohort study. Obstetric risks in all breech and vertex singleton deliveries at term were compared between the years 2005 and 2014. A multivariable logistic regression model was used to determine significant risk factors. Results The breech presentation rate at term for singleton pregnancies was 2.4%. The stillbirth rate in term breech presentation was significantly higher compared to cephalic presentation (0.2 vs 0.1%). The odds ratios (95% CIs) for fetal growth restriction, oligohydramnios, gestational diabetes, a history of cesarean section and congenital fetal abnormalities were 1.19 CI (1.07-1.32), 1.42 CI (1.27-1.57), 1.06 CI (1.00-1.13), 2.13 (1.98-2.29) and 2.01 CI (1.92-2.11). Conclusions The study showed that breech presentation at term on its own was significantly associated with antenatal stillbirth and a number of individual obstetric risk factors for adverse perinatal outcomes. The risk factors included oligohydramnios, fetal growth restriction, gestational diabetes, history of caesarean section and congenital anomalies. ; Peer reviewed