Can labor with breech presentation be induced?

Abstract

Our objective was to evaluate the efficacy and safety of labor induction in women with a breech presentation, and an unripe cervix. We conducted a retrospective, matched-paired study on patients with breech presentation and an unripe cervix (n = 23), who underwent induction of labor using extra-amniotic saline instillation. The women were compared to three matched control groups: 46 women with vertex presentation and an unripe cervix, whose labor was induced by the same method, 23 with breech presentation who underwent a vaginal trial of labor, and 23 women with breech presentation who underwent a cesarean section without a trial of labor. In the study group, 12 women (52.2%) delivered vaginally. Rates of Apgar score, birth trauma, and maternal morbidity were similar in all groups. Induction of labor in patients with a breech presentation and an unripe cervix may be attempted in selected cases as it seems to be efficacious (vaginal delivery rate of 52.2%) and safe for both fetus and mother.

• Authors: G Fait, Y Daniel, J B Lessing, A Bar-Am, I Gull, M Shenhav, M J Kupferminc
• Journal: Gynecologic and obstetric investigation (Gynecol Obstet Invest) Vol. 46 Issue 3 Pg. 181-6 ( 1998) ISSN: 0378-7346 [Print] Switzerland
• PMID: 9736800 (Publication Type: Journal Article)

Topics

• Adult
• Apgar Score
• Birth Injuries
• Breech Presentation
• Cervical Ripening
• Cesarean Section
• Female
• Gestational Age
• Humans
• Labor, Induced
• Pregnancy
• Retrospective Studies
• Trial of Labor