4,950 results match your criteria: "Breech Presentation"
Term Breech Presentation and Timing of Delivery.
Isr Med Assoc J
October 2024
Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
Article Synopsis
- Breech presentation often leads to cesarean deliveries (CD), but the best timing for these surgeries is still a topic of debate.
- A study analyzed 468 breech CDs to determine how gestational age affects maternal and neonatal outcomes, with particular attention to emergent CDs.
- Results showed that cesarean deliveries performed between 39 + 0 and 39 + 6 weeks led to better maternal outcomes and fewer emergencies compared to surgeries at earlier or later weeks.
Difficult fetal extraction in cesarean section: Number 8 - 2024.
Rev Bras Ginecol Obstet
October 2024
Hospital das Clínicas São SebastiãoSP Brazil Hospital das Clínicas, São Sebastião, SP, Brazil.
Article Synopsis
- Difficult fetal extraction during cesarean sections is mainly caused by a deeply impacted fetal head and floating fetus presentation, with limited scientific evidence supporting various management techniques.
- Maternal complications from managing a deeply impacted fetal head include lacerations and hematomas, while neonates may suffer serious issues like hemorrhage, fractures, nerve injuries, and perinatal asphyxia.
- The abdominovaginal delivery method is linked to higher complications, while the internal podalic version followed by pelvic extraction is a distinct approach for floating fetal presentations.
Ogilvie syndrome with caecal perforation following cesarean section: a rare case report from Jordan.
Ann Med Surg (Lond)
October 2024
Faculty of Medicine, University of Kalamoon, Al-Nabk, Syria.
Article Synopsis
- Ogilvie syndrome is a rare condition marked by acute colonic dilation, first described in 1948, with an incidence of about 100 cases per 100,000 people annually in the US, and major symptoms include abdominal distention and pain.
- A case study of a 32-year-old pregnant woman revealed that after a caesarean section, she developed severe abdominal pain and distension, leading to the discovery of a caecal perforation requiring surgery.
- This condition, although more common in males, can affect women post-childbirth or pelvic surgery, and diagnosis involves imaging to check for bowel obstruction, while treatment options include conservative measures, medication, or colonoscopic decompression.
Delivery management of pregnant blue rubber bleb nevus syndrome patients: a case report and literature review.
Nagoya J Med Sci
August 2024
Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Article Synopsis
- * A case study highlights a 36-year-old first-time mother with BRBNS who had a cesarean section using spinal anesthesia due to breech presentation, with careful pre-operation imaging done to avoid complications.
- * Managing pregnant women with BRBNS requires thorough evaluation of VMs to predict potential complications and determine the safest delivery and anesthesia options.
Prediction of intrapartum caesarean section in vaginal breech birth: development of models for nulliparous and multiparous women.
J Perinat Med
November 2024
Department of Obstetrics, University Hospital of Leipzig, Leipzig, Germany.
Article Synopsis
- The study aims to create prediction models for intrapartum cesarean sections during vaginal breech births, focusing on nulliparous (first-time mothers) and multiparous (previously giving birth) women.
- Two prediction models were developed for each group, with the nulliparous model having an AUC (Area Under Curve) of 0.67 and the multiparous model showing better performance at 0.77, indicating higher accuracy.
- Key risk factors identified include epidural analgesia, maternal height, birth weight, and abdominal circumference, with a significant finding that certain factors only influence cesarean outcomes when birth weights exceed 3.8 kg or abdominal circumference is above 34 cm.
The Optimal Prediction Model for Successful External Cephalic Version.
Am J Perinatol
October 2024
Carle Illinois College of Medicine, The University of Illinois at Urbana-Champaign, Champaign, Illinois.
Article Synopsis
- Most breech fetuses are delivered via Cesarean section, but an external cephalic version (ECV) can help avoid this, though not all attempts succeed and there are risks involved.
- This study analyzed data from Carle Foundation Hospital to validate six different models designed to predict the success of ECV attempts.
- Among the models, Dahl 2021 showed the best predictive value for ECV success, suggesting it may be the most reliable tool for clinicians to use in practice.
External Cephalic Version: A Retrospective Chart Review at a Canadian Tertiary Care Centre.
J Obstet Gynaecol Can
November 2024
Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB, Canada.
Article Synopsis
- The study aimed to evaluate the success rate of external cephalic version (ECV) in breech pregnancies, identifying factors that enhance the likelihood of success and monitoring complication rates.
- Analysis of patient charts from January 2018 to December 2022 revealed a 31% overall success rate for ECV, with multiparity, transverse presentation, and higher neonatal birthweight linked to greater success.
- The findings suggest that while ECV can effectively manage term breech cases, obstetrical providers can better counsel patients by considering specific factors to improve success chances, though there was a 10% emergency cesarean rate and 8% neonatal intensive care admission rate noted.
False-Positive Human Immunodeficiency Virus-1 Test Results With Rapid Seroreversion After Third-Trimester Tdap Booster Vaccination.
Obstet Gynecol
December 2024
Departments of Pediatrics (Infectious Diseases), Medicine (Infectious Diseases), and Obstetrics and Gynecology, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, and Oishei Children's Hospital, Buffalo, New York.
Article Synopsis
- A 34-year-old pregnant woman experienced false-positive HIV test results after receiving a Tdap booster vaccine, despite initially testing negative for HIV during her first trimester.
- The false-positive results appeared in both initial screening and confirmatory tests, but follow-up tests indicated she was HIV-negative, ruling out laboratory error.
- Clinicians should be aware that vaccinations and other immune triggers can cause false-positive HIV results, emphasizing the importance of retesting sooner when such cases are suspected.
Neglected congenital bilateral knee dislocation treated by quadricepsplasty with semitendinosus and sartorius transfer: A case report.
World J Orthop
August 2024
Department of Orthopedic, Alnoor Specialist Hospital, Mecca 24241, Makkah al Mukarramah, Saudi Arabia.
Article Synopsis
- Congenital knee dislocation (CKD) is a rare condition that affects only 1% of congenital hip dislocations and can occur alone or alongside other genetic disorders.
- A case study describes a 2-year-old girl with bilateral CKD who experienced delays in treatment due to failed casting and socioeconomic barriers, presenting with limited mobility and other health issues.
- After a multidisciplinary approach, she underwent successful surgery (V-Y quadricepsplasty) and began to regain mobility, underscoring the need for early intervention in similar cases.
A Full-Term Pregnancy in a Patient With Uterus Didelphys.
Cureus
August 2024
Obstetrics and Gynaecology, Al Kharj Armed Forces Hospital, Al-Kharj, SAU.
Article Synopsis
- Müllerian duct anomalies (MDAs) are congenital issues with the uterus caused by improperly developed Müllerian ducts, and uterus didelphys is a rare type associated with complications like infertility and pain.
- A case study of a 21-year-old woman revealed an irregularly shaped uterus, diagnosed as a bicornuate uterus, but further examination before a scheduled surgery showed a thick vaginal septum, halting the procedure.
- The patient ultimately underwent a cesarean section at 37 weeks, revealing two non-communicating uteri and vaginas; the study emphasizes that proper prenatal care can lead to successful pregnancy outcomes in women with this anomaly.
Contraindications in national guidelines for vaginal breech delivery at term: Comparison, consensus, and controversy.
Acta Obstet Gynecol Scand
December 2024
Department of Obstetrics and Gynecology, Northwest Clinics, Alkmaar, The Netherlands.
Article Synopsis
- * A systematic review was conducted to assess existing national guidelines and literature on contraindications for vaginal breech delivery, revealing limited consensus and significant gaps in scientific evidence.
- * Ultimately, the review identified 11 contraindications with only two having strong supportive evidence, highlighting the need for further research to clarify guidelines in this area.
A qualitative and quantitative cross-sectional study on the past, present, and future of vaginal delivery: Turkey.
Int J Gynaecol Obstet
January 2025
Department of History of Medicine and Ethics, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Article Synopsis
- The study predicts future trends in obstetrics by analyzing obstetricians' experiences with challenging vaginal deliveries, comparing these to their residency training.
- Conducted in two phases, the research included interviews with 20 obstetricians and a survey of 400, utilizing qualitative and quantitative methods for data analysis.
- Findings reveal a shift towards cesarean deliveries due to safety perceptions, with younger obstetricians lacking sufficient training in vaginal deliveries, raising concerns about the future availability of these essential skills as senior obstetricians retire.
Outcomes in term breech birth according to intended mode of delivery-A Swedish prospective single-center experience of a dedicated breech birth team.
Acta Obstet Gynecol Scand
November 2024
Department of Clinical Science and Education, Unit of Obstetrics and Gynecology, Karolinska Institutet, Stockholm, Sweden.
Article Synopsis
- * Conducted at Södersjukhuset, the research included 1,067 women giving birth to single breech fetuses, comparing outcomes between those planned for vaginal delivery versus cesarean delivery.
- * Results showed that the planned vaginal delivery group had a higher risk of neonatal morbidity (3.1% vs. 0.7%) compared to the cesarean group, suggesting that the risks of vaginal delivery should be carefully considered against those associated with cesarean delivery.
Reversible Second-Degree Heart Block Attributed to Ondansetron: A Rare Side Effect.
Cureus
July 2024
Internal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Article Synopsis
- - A 36-week pregnant woman with gestational diabetes and hypothyroidism needed a cesarean section due to breech presentation and slow labor progression, during which significant heart issues were observed.
- - She experienced asymptomatic bradycardia and a type 1 Mobitz second-degree heart block during anesthesia, which progressed to a type 2 heart block but persisted without symptoms for 16 hours.
- - After treatment with ondansetron for vomiting, the heart block recurred but eventually normalized after 36 hours, and she was discharged three days later from the ICU.
Impact of Pavlik Harness treatment on motor skills acquisition: A case-control study.
J Child Orthop
August 2024
Department of Pediatric Orthopaedics, Pediatric Hospital, Unidade Local de Saúde de Coimbra, Coimbra, Portugal.
Article Synopsis
- The study aimed to assess how the Pavlik Harness treatment affects motor skills development in children with Developmental Dysplasia of the Hip, compared to a healthy control group.
- A total of 121 children participated, consisting of 55 with the hip condition and 66 healthy children, with a focus on the timing of achieving three key motor milestones: sitting, crawling, and walking.
- Results showed that while children with the hip condition reached these milestones about a month later than healthy peers, the differences were not statistically significant, leading to the conclusion that the treatment does not cause major delays in motor skills development.
Impact of a simulator-based training program on the success rate of external cephalic version.
Eur J Obstet Gynecol Reprod Biol
October 2024
Faculdade de Medicina, Universidade de Lisboa, Portugal; Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução, Centro Hospitalar Universitário Santa Maria, Lisboa, Portugal.
Article Synopsis
- This study aimed to assess the effects of a simulation-based training program on the success and complication rates of external cephalic version (ECV) at a university medical center.
- Data from two years before and after the training were analyzed, revealing similar success rates: 44.8% before training and 43.2% after, without any major complications.
- The conclusion indicates that the structured training program did not significantly improve the outcomes of ECV procedures at the facility.
Effect of anesthesia on the success rate of external cephalic version: GRADE- assessed systematic review and meta-analysis of randomized controlled trials.
Syst Rev
July 2024
Department of Anesthesiology, Women's Hospital of Nanjing Medical University, Nanjing Women and Children's Healthcare Hospital, 123 Tianfei Lane, Nanjing, 210004, China.
Article Synopsis
- External cephalic version (ECV) is a procedure to turn breech babies to the head-down position, and the use of anesthesia during this process has been studied for its effectiveness.
- A systematic review of 17 randomized clinical trials found that women who received anesthesia had higher success rates for ECV and vaginal delivery, and lower rates of cesarean delivery.
- While anesthesia helps manage pain and improves outcomes, it may also lead to increased maternal hypotension (low blood pressure).
Neonatal outcomes of planned vaginal delivery versus planned cesarean section for breech presentation at term: Population-based study on 546,842 breech births across the United States between 2008 and 2017.
J Gynecol Obstet Hum Reprod
December 2024
Department of Obstetrics & Gynecology, Jewish General Hospital, McGill University, Pav H, Room 412, 5790 Cote-Des-Neiges Road, Montreal, Quebec H3S 1Y9, Canada; Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada. Electronic address:
Article Synopsis
- Over the past few decades, cesarean delivery has been recommended as the safest option for breech presentations, and this study compares outcomes between planned vaginal births and planned cesarean births for breech fetuses.
- The study, using data from 2008 to 2017 involving over 546,000 breech deliveries, found that only 26.14% of planned vaginal births were successful, with significant risks associated with these deliveries.
- The results indicate that planned vaginal births for breech presentations have a low success rate and are linked to increased neonatal morbidity and mortality, suggesting that women should be thoroughly informed about the risks involved.
Maternal and neonatal outcomes associated with breech presentation in planned community (home and birth center) births in the United States: A prospective observational cohort study.
PLoS One
July 2024
School of Nursing, Vanderbilt University, Nashville, TN, United States of America.
Article Synopsis
- The study examines the effects of breech presentation during planned community births in the U.S. on maternal and neonatal outcomes, focusing on types like frank, complete, and footling/kneeling breech.
- Using data from a national perinatal registry, the analysis finds that breech births, comprising 1% of cases, often lead to higher rates of cesarean deliveries and transfers compared to regular head-first births.
- Outcomes for neonates from breech presentations include increased rates of complications such as NICU admissions and even a higher risk of mortality, indicating significant health risks associated with breech delivery.
Routine maneuvers in eutocic breech vaginal delivery at term: A prospective cohort study.
Int J Gynaecol Obstet
November 2024
Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France.
Article Synopsis
- The study aimed to analyze the neonatal and maternal outcomes of routine maneuvers during breech vaginal deliveries at term through a secondary analysis of a multicenter study in France and Belgium.
- A total of 1,163 women were compared between those who had routine maneuvers and those who did not, with similar adverse perinatal outcomes in both groups (4.5% vs 5.0%).
- The findings suggested that routine maneuvers did not lead to increased neonatal morbidity, with factors like being a first-time mother and low birth weight being linked to adverse outcomes.
Malpresentation and autism spectrum disorder in the study to explore early development.
Paediatr Perinat Epidemiol
July 2024
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Background: An infant's presentation at delivery may be an early indicator of developmental differences. Non-vertex presentation (malpresentation) complicates delivery and often leads to caesarean section, which has been associated with neurodevelopmental delays, including autism spectrum disorder (ASD). However, malpresentation could be an early sign of an existing developmental problem that is also an upstream factor from caesarean delivery.
View Article and Find Full Text PDFTrend analysis of caesarean sections using modified Robson's classification in a teaching institution in Uttarakhand.
J Family Med Prim Care
June 2024
Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.
Article Synopsis
- The study examines the rising rate of caesarean sections (CS) and its impact on maternal health, emphasizing the need for a standardized auditing system to address this trend.
- Conducted from October 2022 to March 2023, the research analyzed data from 260 women who underwent CS, revealing an overall rate of 31.4%, with specific groups contributing most to this number.
- The findings highlight that using the Modified Robson's Ten Group classification system can effectively audit and reduce unnecessary CS, ultimately improving maternal and fetal health outcomes.
Barriers and facilitators for implementation of OptiBreech collaborative care: A qualitative study as part of an implementation process evaluation.
Women Birth
September 2024
School of Healthcare, Leicester University, Leicester, United Kingdom.
Article Synopsis
- The problem highlighted is the limited training and clinical experience in breech birth, leading to reduced confidence among maternity professionals.
- The OptiBreech collaborative care pathway aims to enhance safety and professional training for breech presentations by providing person-centered care and dedicated support facilities.
- Through interviews with staff at OptiBreech trial sites, key factors such as skill development, resource availability, and social support were identified as facilitators and barriers, offering insights for improving future implementation of this care model.*
How to: a breech vaginal delivery before 25 weeks of gestation.
Arch Gynecol Obstet
September 2024
Gynecology and Obstetrics Department, Service de Gynécologie Obstétrique, Hôpital Mère Enfant, CHU Dupuytren, CHU Limoges, 8 Avenue Dominique Larrey, 87000, Limoges, France.
Delivery before 25 weeks of gestation has become a more frequent occurrence in our maternity units and can be a difficult obstetrical situation to manage when the fetus is breech. We describe a new obstetrical maneuver enabling vaginal birth of a breech fetus before 25 weeks of gestation. It enables the fetal mobile to be fully grasped and secured, thus facilitating passage through the genital tract.
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