Comparison of outcomes between induction of labor and spontaneous labor for term breech - A systemic review and meta analysis.

Abstract

OBJECTIVES:

Few studies have assessed the impact of induction of labor on breech presentation. This study aims to summarize the effect of induction of labor of breech presentation on perinatal morbidity.

METHODS:

Literature review was done in Medline, Embase, Web of science and Cochrane Library up to 20 October 2017. Randomized control studies, cohort studies, and case control publishing studies comparing induction of labor versus spontaneous labor of singleton live breech birth were included. Perinatal morbidity was calculated by RevMan 5 and presented by pooled odds ratio with 95% confidence intervals.

RESULTS:

Cesarean section rate and neonatal intensive care unit admission were increased in induction of breech labor as compared with spontaneous breech labor. No significant difference in umbilical cord blood base excess ≤ -12 mmol/L, Apgar 5 min < 7, Apgar 5 min < 4, umbilical cord blood PH < 7, neonatology unit admission, maternal fever, and intrapartum stillbirth between the two groups was found.

CONCLUSIONS:

Induction of breech labor has higher cesarean section rate and NICU perinatal morbidity compared to spontaneous breech labor. The neonatal outcomes were otherwise similar across both groups. Eligibility for induction of breech labor needs to be assessed carefully according to individual situation.

• Authors: Wen Sun, Fen Liu, Shiliang Liu, Sara-Michelle Gratton, Darine El-Chaar, Shi Wu Wen, Dunjin Chen
• Journal: European journal of obstetrics, gynecology, and reproductive biology (Eur J Obstet Gynecol Reprod Biol) Vol. 222 Pg. 155-160 (Mar 2018) ISSN: 1872-7654 [Electronic] Ireland
• PMID: 29408748 (Publication Type: Comparative Study, Journal Article, Meta-Analysis, Review, Systematic Review)
• Copyright: Copyright © 2017 Elsevier B.V. All rights reserved.

Topics

• Apgar Score
• Breech Presentation (physiopathology, surgery, therapy)
• Cesarean Section (adverse effects)
• Female
• Humans
• Infant, Newborn
• Infant, Newborn, Diseases (etiology, therapy)
• Intensive Care Units, Neonatal
• Labor, Induced (adverse effects)
• Labor, Obstetric
• Practice Guidelines as Topic
• Pregnancy
• Term Birth