Abstract | BACKGROUND: METHODS: RESULTS: Our study cohort comprised 1,079,576 delivery admissions with breech presentation; 56,409 (5.2 %) women underwent successful external cephalic version and 1,023,167 (94.8 %) women had persistent breech presentation at the time of delivery. The rate of cesarean delivery was lower among women who had successful external cephalic version compared to those with persistent breech (20.2 % vs. 94.9 %; p < 0.001). Compared to women with persistent breech at the time of delivery, women with successful external cephalic version were also less likely to experience several measures of significant maternal morbidity including endometritis (adjusted Odds Ratio (aOR) = 0.36, 95 % Confidence Interval (CI) 0.24-0.52), sepsis (aOR = 0.35, 95 % CI 0.24-0.51) and length of stay > 7 days (aOR = 0.53, 95 % CI 0.40-0.70), but had a higher risk of chorioamnionitis (aOR = 1.83, 95 % CI 1.54-2.17). CONCLUSIONS: Overall a low proportion of women with breech presentation undergo successful external cephalic version, and it is associated with significant reduction in the frequency of cesarean delivery and a number of measures of maternal morbidity. Increased external cephalic version use may be an important approach to mitigate the high rate of cesarean delivery observed in the United States.
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Authors | Carolyn F Weiniger, Deirdre J Lyell, Lawrence C Tsen, Alexander J Butwick, BatZion Shachar, William M Callaghan, Andreea A Creanga, Brian T Bateman |
Journal | BMC pregnancy and childbirth
(BMC Pregnancy Childbirth)
Vol. 16
Issue 1
Pg. 150
(07 08 2016)
ISSN: 1471-2393 [Electronic] England |
PMID | 27392035
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Breech Presentation
(therapy)
- Cesarean Section
(statistics & numerical data)
- Chorioamnionitis
(epidemiology)
- Endometritis
(epidemiology)
- Female
- Humans
- Length of Stay
(statistics & numerical data)
- Patient Admission
- Pregnancy
- Sepsis
(epidemiology)
- Treatment Failure
- United States
(epidemiology)
- Version, Fetal
- Young Adult
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