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 single...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2017-04, Vol.295 (4), p.833-838 |
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| creator | Macharey, Georg Gissler, Mika Rahkonen, Leena Ulander, Veli-Matti Väisänen-Tommiska, Mervi Nuutila, Mika Heinonen, Seppo |
| description | 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. |
| doi_str_mv | 10.1007/s00404-016-4283-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1866292487</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1866292487</sourcerecordid><originalsourceid>FETCH-LOGICAL-c481t-375c5ba9c5c3eaa2af7d0b728800a7970baba949ac977492a1f388379843c81d3</originalsourceid><addsrcrecordid>eNp1kcFO3DAQhi1EBQvtA_RSWeLCJWXseGPnWFa0VELi0p6tieOUwG6cehwhbjwET8iT4G2gSEicbGm-__PIP2OfBXwVAPqEABSoAkRVKGnKQu-whVClLEALscsWUG_vUOl9dkB0DSCkMdUe25dG6AqEWrBwGr13V3yMnvyQMPVh4Jh48nHDcWg5EgXXY_ItDw0ln2LveOzphniHLoVIj_cPyId_ydu-9XwM47SeRQ1SzrlwFWLilKb27iP70OGa_Kfn85D9_n72a3VeXFz--Ln6dlE4ZUQqSr10ywZrt3SlR5TY6RYandcHQF1raDBPVY2u1lrVEkVXGlPq2qjSGdGWh-x49o4x_J08Jbvpyfn1GgcfJrLCVJWspTI6o0dv0OswxSFvZ6WsxFJqqSBTYqZcDETRd3aM_QbjnRVgt23YuQ2b27DbNuzW_OXZPDUb3_5PvHx_BuQMUB4Nf3x8ffp96xPa8pbf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261527240</pqid></control><display><type>article</type><title>Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Macharey, Georg ; Gissler, Mika ; Rahkonen, Leena ; Ulander, Veli-Matti ; Väisänen-Tommiska, Mervi ; Nuutila, Mika ; Heinonen, Seppo</creator><creatorcontrib>Macharey, Georg ; Gissler, Mika ; Rahkonen, Leena ; Ulander, Veli-Matti ; Väisänen-Tommiska, Mervi ; Nuutila, Mika ; Heinonen, Seppo</creatorcontrib><description>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.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-016-4283-7</identifier><identifier>PMID: 28176014</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Breech presentation ; Breech Presentation - epidemiology ; Cesarean Section ; Cohort analysis ; Decision trees ; Delivery, Obstetric ; Diabetes ; Endocrinology ; Female ; Gynecology ; Health risk assessment ; Human Genetics ; Humans ; Maternal-Fetal Medicine ; Medicine ; Medicine & Public Health ; Obstetrics ; Obstetrics/Perinatology/Midwifery ; Parity ; Population-based studies ; Pregnancy ; Pregnancy Outcome ; Retrospective Studies ; Risk Factors ; Stillbirth ; Term Birth</subject><ispartof>Archives of gynecology and obstetrics, 2017-04, Vol.295 (4), p.833-838</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-375c5ba9c5c3eaa2af7d0b728800a7970baba949ac977492a1f388379843c81d3</citedby><cites>FETCH-LOGICAL-c481t-375c5ba9c5c3eaa2af7d0b728800a7970baba949ac977492a1f388379843c81d3</cites><orcidid>0000-0002-3337-3896</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-016-4283-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-016-4283-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28176014$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Macharey, Georg</creatorcontrib><creatorcontrib>Gissler, Mika</creatorcontrib><creatorcontrib>Rahkonen, Leena</creatorcontrib><creatorcontrib>Ulander, Veli-Matti</creatorcontrib><creatorcontrib>Väisänen-Tommiska, Mervi</creatorcontrib><creatorcontrib>Nuutila, Mika</creatorcontrib><creatorcontrib>Heinonen, Seppo</creatorcontrib><title>Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>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.</description><subject>Adult</subject><subject>Breech presentation</subject><subject>Breech Presentation - epidemiology</subject><subject>Cesarean Section</subject><subject>Cohort analysis</subject><subject>Decision trees</subject><subject>Delivery, Obstetric</subject><subject>Diabetes</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health risk assessment</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Maternal-Fetal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Parity</subject><subject>Population-based studies</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Stillbirth</subject><subject>Term Birth</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcFO3DAQhi1EBQvtA_RSWeLCJWXseGPnWFa0VELi0p6tieOUwG6cehwhbjwET8iT4G2gSEicbGm-__PIP2OfBXwVAPqEABSoAkRVKGnKQu-whVClLEALscsWUG_vUOl9dkB0DSCkMdUe25dG6AqEWrBwGr13V3yMnvyQMPVh4Jh48nHDcWg5EgXXY_ItDw0ln2LveOzphniHLoVIj_cPyId_ydu-9XwM47SeRQ1SzrlwFWLilKb27iP70OGa_Kfn85D9_n72a3VeXFz--Ln6dlE4ZUQqSr10ywZrt3SlR5TY6RYandcHQF1raDBPVY2u1lrVEkVXGlPq2qjSGdGWh-x49o4x_J08Jbvpyfn1GgcfJrLCVJWspTI6o0dv0OswxSFvZ6WsxFJqqSBTYqZcDETRd3aM_QbjnRVgt23YuQ2b27DbNuzW_OXZPDUb3_5PvHx_BuQMUB4Nf3x8ffp96xPa8pbf</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Macharey, Georg</creator><creator>Gissler, Mika</creator><creator>Rahkonen, Leena</creator><creator>Ulander, Veli-Matti</creator><creator>Väisänen-Tommiska, Mervi</creator><creator>Nuutila, Mika</creator><creator>Heinonen, Seppo</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3337-3896</orcidid></search><sort><creationdate>20170401</creationdate><title>Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study</title><author>Macharey, Georg ; Gissler, Mika ; Rahkonen, Leena ; Ulander, Veli-Matti ; Väisänen-Tommiska, Mervi ; Nuutila, Mika ; Heinonen, Seppo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-375c5ba9c5c3eaa2af7d0b728800a7970baba949ac977492a1f388379843c81d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Breech presentation</topic><topic>Breech Presentation - epidemiology</topic><topic>Cesarean Section</topic><topic>Cohort analysis</topic><topic>Decision trees</topic><topic>Delivery, Obstetric</topic><topic>Diabetes</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Health risk assessment</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Maternal-Fetal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Parity</topic><topic>Population-based studies</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Stillbirth</topic><topic>Term Birth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Macharey, Georg</creatorcontrib><creatorcontrib>Gissler, Mika</creatorcontrib><creatorcontrib>Rahkonen, Leena</creatorcontrib><creatorcontrib>Ulander, Veli-Matti</creatorcontrib><creatorcontrib>Väisänen-Tommiska, Mervi</creatorcontrib><creatorcontrib>Nuutila, Mika</creatorcontrib><creatorcontrib>Heinonen, Seppo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Macharey, Georg</au><au>Gissler, Mika</au><au>Rahkonen, Leena</au><au>Ulander, Veli-Matti</au><au>Väisänen-Tommiska, Mervi</au><au>Nuutila, Mika</au><au>Heinonen, Seppo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>295</volume><issue>4</issue><spage>833</spage><epage>838</epage><pages>833-838</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28176014</pmid><doi>10.1007/s00404-016-4283-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3337-3896</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of gynecology and obstetrics, 2017-04, Vol.295 (4), p.833-838 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Breech presentation Breech Presentation - epidemiology Cesarean Section Cohort analysis Decision trees Delivery, Obstetric Diabetes Endocrinology Female Gynecology Health risk assessment Human Genetics Humans Maternal-Fetal Medicine Medicine Medicine & Public Health Obstetrics Obstetrics/Perinatology/Midwifery Parity Population-based studies Pregnancy Pregnancy Outcome Retrospective Studies Risk Factors Stillbirth Term Birth |
| title | Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study |
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