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Are health expectations of term breech infants unrealistically high?
Acta Obstet Gynecol Scand
February 2004
Department of Obstetrics and Gynecology, Helsinki University Central Hospital, and STAKES National Research and Development Center for Welfare and Health, Helsinki, Finland.
Background: The aim of this study was to compare the effect of fetal presentation and mode of delivery on infant outcome in a nation-wide study.
Methods: In a retrospective observational cohort study, we compared, with the help of Finnish Medical Birth Register and other nation-wide registers, the short-term and long-term outcome of infants born by breech vaginal (n = 1270) or by vertex vaginal delivery (n = 128,683) or through planned cesarean section (CS) in breech (n = 1640) or vertex (n = 4997); the pregnancies were otherwise entirely normal.
Results: One perinatal death occurred in the breech vaginal group and 23 deaths in the vertex vaginal group (p = 0.