An audit of singleton breech deliveries in a hospital with a high rate of vaginal delivery
The term breech trial (TBT) has brought about radical changes but it is debatable whether it provides unequivocal evidence regarding the practice of breech deliveries. There is a need to publish the data of a study that was performed before the era of the TBT in a hospital where there was a high rat...
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| Veröffentlicht in: | The Malaysian journal of medical sciences 2007-01, Vol.14 (1), p.28-37 |
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| creator | Nordin, Noraihan Mohd |
| description | The term breech trial (TBT) has brought about radical changes but it is debatable whether it provides unequivocal evidence regarding the practice of breech deliveries. There is a need to publish the data of a study that was performed before the era of the TBT in a hospital where there was a high rate of breech vaginal delivery. The objectives were to ascertain the incidence, mode of delivery and fetal outcome in singleton breech deliveries. The study design was a retrospective cohort study where 165 consecutive breech and 165 controls (cephalic) were included. Statistical analysis, used were Chi squared and Fischer's exact test. P |
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There is a need to publish the data of a study that was performed before the era of the TBT in a hospital where there was a high rate of breech vaginal delivery. The objectives were to ascertain the incidence, mode of delivery and fetal outcome in singleton breech deliveries. The study design was a retrospective cohort study where 165 consecutive breech and 165 controls (cephalic) were included. Statistical analysis, used were Chi squared and Fischer's exact test. P<0.05 is taken as the level of significance. The incidence of breech deliveries was found to be 3% and has remained fairly constant but the rate of breech vaginal delivery has fallen and the CS rates have increased. Even though more breech compared to controls were significantly sectioned, majority of the breeches {n=137 (83%)} were planned for vaginal delivery and in these patients two-thirds attained vaginal delivery. There was 1 fetal death in the CS group compared to 12 deaths in the vaginally delivered breech. However, most death in the breech delivered vaginally are unavoidable. In conclusion, there is a high rate of breech vaginal delivery in this series of patients and most perinatal deaths were not related to the mode of delivery.</description><identifier>ISSN: 1394-195X</identifier><identifier>EISSN: 2180-4303</identifier><identifier>PMID: 22593649</identifier><language>eng</language><publisher>Malaysia: Penerbit Universiti Sains Malaysia</publisher><subject>Original</subject><ispartof>The Malaysian journal of medical sciences, 2007-01, Vol.14 (1), p.28-37</ispartof><rights>Penerbit Universiti Sains Malaysia, 2007 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351215/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351215/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22593649$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nordin, Noraihan Mohd</creatorcontrib><title>An audit of singleton breech deliveries in a hospital with a high rate of vaginal delivery</title><title>The Malaysian journal of medical sciences</title><addtitle>Malays J Med Sci</addtitle><description>The term breech trial (TBT) has brought about radical changes but it is debatable whether it provides unequivocal evidence regarding the practice of breech deliveries. There is a need to publish the data of a study that was performed before the era of the TBT in a hospital where there was a high rate of breech vaginal delivery. The objectives were to ascertain the incidence, mode of delivery and fetal outcome in singleton breech deliveries. The study design was a retrospective cohort study where 165 consecutive breech and 165 controls (cephalic) were included. Statistical analysis, used were Chi squared and Fischer's exact test. P<0.05 is taken as the level of significance. The incidence of breech deliveries was found to be 3% and has remained fairly constant but the rate of breech vaginal delivery has fallen and the CS rates have increased. Even though more breech compared to controls were significantly sectioned, majority of the breeches {n=137 (83%)} were planned for vaginal delivery and in these patients two-thirds attained vaginal delivery. There was 1 fetal death in the CS group compared to 12 deaths in the vaginally delivered breech. However, most death in the breech delivered vaginally are unavoidable. In conclusion, there is a high rate of breech vaginal delivery in this series of patients and most perinatal deaths were not related to the mode of delivery.</description><subject>Original</subject><issn>1394-195X</issn><issn>2180-4303</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNpVkF9LwzAUxYMobk6_guTRl0L-NG3zIoyhThj4oiC-hLS9bSNZWpN0sm9vh1P06XI553fO5Z6gOaMFSVJO-CmaUy7ThErxOkMXIbwTwgXLinM0Y0xInqVyjt6WDuuxNhH3DQ7GtRZi73DpAaoO12DNDryBgM3kw10fBhO1xZ8mdofdtB32OsKB3unWuEk7QvtLdNZoG-DqOBfo5f7uebVONk8Pj6vlJhlYlsUkn47MmrriJGeVqBuWEsrShrJak6KQsqAlFw0HYJpnIi2qXOQTwApRA8t0yRfo9jt3GMst1BW46LVVgzdb7feq10b9V5zpVNvvFOeCMiqmgJtjgO8_RghRbU2owFrtoB-DooQKIvOUksl6_bfrt-TnofwLhhlzjw</recordid><startdate>200701</startdate><enddate>200701</enddate><creator>Nordin, Noraihan Mohd</creator><general>Penerbit Universiti Sains Malaysia</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200701</creationdate><title>An audit of singleton breech deliveries in a hospital with a high rate of vaginal delivery</title><author>Nordin, Noraihan Mohd</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-73946fdc3072c5df240124f12da0889981b35f3ee2a36548c75746f285de26ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Original</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nordin, Noraihan Mohd</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Malaysian journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nordin, Noraihan Mohd</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An audit of singleton breech deliveries in a hospital with a high rate of vaginal delivery</atitle><jtitle>The Malaysian journal of medical sciences</jtitle><addtitle>Malays J Med Sci</addtitle><date>2007-01</date><risdate>2007</risdate><volume>14</volume><issue>1</issue><spage>28</spage><epage>37</epage><pages>28-37</pages><issn>1394-195X</issn><eissn>2180-4303</eissn><abstract>The term breech trial (TBT) has brought about radical changes but it is debatable whether it provides unequivocal evidence regarding the practice of breech deliveries. There is a need to publish the data of a study that was performed before the era of the TBT in a hospital where there was a high rate of breech vaginal delivery. The objectives were to ascertain the incidence, mode of delivery and fetal outcome in singleton breech deliveries. The study design was a retrospective cohort study where 165 consecutive breech and 165 controls (cephalic) were included. Statistical analysis, used were Chi squared and Fischer's exact test. P<0.05 is taken as the level of significance. The incidence of breech deliveries was found to be 3% and has remained fairly constant but the rate of breech vaginal delivery has fallen and the CS rates have increased. Even though more breech compared to controls were significantly sectioned, majority of the breeches {n=137 (83%)} were planned for vaginal delivery and in these patients two-thirds attained vaginal delivery. There was 1 fetal death in the CS group compared to 12 deaths in the vaginally delivered breech. However, most death in the breech delivered vaginally are unavoidable. In conclusion, there is a high rate of breech vaginal delivery in this series of patients and most perinatal deaths were not related to the mode of delivery.</abstract><cop>Malaysia</cop><pub>Penerbit Universiti Sains Malaysia</pub><pmid>22593649</pmid><tpages>10</tpages></addata></record> |
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| ispartof | The Malaysian journal of medical sciences, 2007-01, Vol.14 (1), p.28-37 |
| issn | 1394-195X 2180-4303 |
| language | eng |
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| source | PMC (PubMed Central); Bioline International; Free E-Journal (出版社公開部分のみ） |
| subjects | Original |
| title | An audit of singleton breech deliveries in a hospital with a high rate of vaginal delivery |
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