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ALARM and moreOB: Shaping the Present and Future of Labour and Delivery Training in Canada and Abroad.
J Obstet Gynaecol Can
December 2019
Department of Obstetrics and Gynecology, University of Saskatchewan, SK.
Objectives: To review the physiology of breech birth; to discern the risks and benefits of a trial of labour versus planned Caesarean section; and to recommend to obstetricians, family physicians, midwives, obstetrical nurses, anaesthesiologists, pediatricians, and other health care providers selection criteria, intrapartum management parameters, and delivery techniques for a trial of vaginal breech birth.
Options: Trial of labour in an appropriate setting or delivery by pre-emptive Caesarean section for women with a singleton breech fetus at term.
Outcomes: Reduced perinatal mortality, short-term neonatal morbidity, long-term infant morbidity, and short- and long-term maternal morbidity and mortality.
The ALARM and MORE(OB) programs.
J Obstet Gynaecol Can
March 2007
Maternal-Fetal Medicine Department of Obstetrics and Gynecology McMaster University, Hamilton ON.
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