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01-04-2017 | Maternal-Fetal Medicine

Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study

Authors: Georg Macharey, Mika Gissler, Leena Rahkonen, Veli-Matti Ulander, Mervi Väisänen-Tommiska, Mika Nuutila, Seppo Heinonen

Published in: Archives of Gynecology and Obstetrics | Issue 4/2017

Abstract

Purpose

The aim of this study was to estimate whether breech presentation at term was associated with known individual obstetric risk factors for adverse fetal outcome.

Methods

This was a retrospective, nationwide Finnish population-based cohort study. Obstetric risks in all breech and vertex singleton deliveries at term were compared between the years 2005 and 2014. A multivariable logistic regression model was used to determine significant risk factors.

Results

The breech presentation rate at term for singleton pregnancies was 2.4%. The stillbirth rate in term breech presentation was significantly higher compared to cephalic presentation (0.2 vs 0.1%). The odds ratios (95% CIs) for fetal growth restriction, oligohydramnios, gestational diabetes, a history of cesarean section and congenital fetal abnormalities were 1.19 CI (1.07–1.32), 1.42 CI (1.27–1.57), 1.06 CI (1.00–1.13), 2.13 (1.98–2.29) and 2.01 CI (1.92–2.11).

Conclusions

The study showed that breech presentation at term on its own was significantly associated with antenatal stillbirth and a number of individual obstetric risk factors for adverse perinatal outcomes. The risk factors included oligohydramnios, fetal growth restriction, gestational diabetes, history of caesarean section and congenital anomalies.

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Title: Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study
Authors: Georg Macharey
Mika Gissler
Leena Rahkonen
Veli-Matti Ulander
Mervi Väisänen-Tommiska
Mika Nuutila
Seppo Heinonen
Publication date: 01-04-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 4/2017
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-016-4283-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Breech presentation at term and associated obstetric risks factors—a nationwide population based cohort study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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