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The impact of major congenital anomalies on obstetric outcomes in the United Arab Emirates: the Mutaba'ah Study.

Sci Rep

January 2025

Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, P.O. Box 15551, Al Ain, United Arab Emirates.

Major congenital anomalies (MCAs) are a public health concern. However, studies on obstetric outcomes in pregnancies complicated by MCAs are scarce, emphasizing the need for research to enhance management strategies. This study aimed to investigate the impact of MCAs on fetal presentation and delivery mode in the United Arab Emirates.

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When asked why nearly all doctors refer their breech cases to surgery, despite non-surgical breech birth being permitted throughout the United States, an obstetrician will likely cite the Term Breech Trial (TBT). This study, conducted in 2000, decisively concluded that planned cesarean delivery is safer than vaginal breech delivery. However, a review of the literature suggests that the decline of vaginal breech deliveries was a long time in the making.

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Vaginal breech birth management: serious mobile game design and evaluation for midwifery students.

Nurse Educ Today

December 2024

Eskişehir Osmangazi University, Faculty of Health Sciences, Midwifery Department, Meşelik Campus, Eskişehir, Turkey.

Background: The skills required to safely manage vaginal breech birth are declining among healthcare professionals, while midwifery students have limited practice opportunities due to its rarity. Innovative techniques, such as simulation and gamification, have the potential to enhance the acquisition of these essential skills.

Aim: This study has two aims.

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"It's a breech, and what now?": A decision-aid tool to help clinicians counsel women with breech presentation near term.

Eur J Obstet Gynecol Reprod Biol

February 2025

Faculdade de Medicina, Universidade de Lisboa, Portugal; CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Portugal.

Article Synopsis
  • Management options for breech presentation include vaginal delivery, cesarean delivery, and external cephalic version, which require detailed discussions about risks and recovery.
  • A decision aid tool for clinicians was created through literature review and expert input, followed by evaluation with obstetricians.
  • This tool received unanimous agreement from participants, demonstrating strong consensus and effectiveness in aiding shared decision-making for pregnant women with breech presentations.
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Objective: To determine whether patients undergoing a trial of labor with a breech presentation following a failed attempt of external cephalic version (ECV) are at increased risk of adverse maternal and neonatal outcomes.

Methods: This retrospective cohort study was conducted at a single university-affiliated medical center. The study group comprised women with singleton pregnancies at term, categorized into three groups: those who underwent a failed external cephalic version (ECV) and subsequently attempted a trial of breech delivery (Breech-failed-ECV group), those who attempted an assisted vaginal breech delivery without a prior ECV attempt (Breech-no-ECV group), and those with vertex presentation following a successful ECV (Vertex-ECV).

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