Term cesarean breech delivery in the first pregnancy is associated with an increased risk for maternal and neonatal morbidity in the subsequent delivery: a national cohort study

Show full item record



Permalink

http://hdl.handle.net/10138/318079

Citation

Macharey , G , Toijonen , A , Hinnenberg , P , Gissler , M , Heinonen , S & Ziller , V 2020 , ' Term cesarean breech delivery in the first pregnancy is associated with an increased risk for maternal and neonatal morbidity in the subsequent delivery: a national cohort study ' , Archives of Gynecology and Obstetrics , vol. 302 , no. 1 , pp. 85-91 . https://doi.org/10.1007/s00404-020-05575-6

Title: Term cesarean breech delivery in the first pregnancy is associated with an increased risk for maternal and neonatal morbidity in the subsequent delivery: a national cohort study
Author: Macharey, Georg; Toijonen, Anna; Hinnenberg, Pia; Gissler, Mika; Heinonen, Seppo; Ziller, Volker
Contributor: University of Helsinki, HUS Gynecology and Obstetrics
University of Helsinki, HUS Gynecology and Obstetrics
University of Helsinki, HUS Gynecology and Obstetrics
University of Helsinki, HUS Gynecology and Obstetrics
Date: 2020-07
Number of pages: 7
Belongs to series: Archives of Gynecology and Obstetrics
ISSN: 0932-0067
URI: http://hdl.handle.net/10138/318079
Abstract: Purpose To determine whether there is an association between term cesarean breech delivery in the first pregnancy and maternal and neonatal morbidities in the subsequent pregnancy and delivery. Methods We conducted a retrospective, nationwide Finnish population-based cohort study, including all deliveries from January 2000 to December 2017. We included all women with the first two consecutive singleton deliveries of which the first one was a breech delivery regardless of mode of delivery (n = 11,953), and constructed a data set in which the first two deliveries for these women were connected. The outcomes of the second delivery of the women with a first pregnancy that resulted in cesarean breech delivery at term were compared with women whose first pregnancy resulted in a vaginal breech delivery at term. P-value, odds ratio, and adjusted odds ratio were calculated. Results Neonates of a subsequent delivery after cesarean breech delivery had an increased risk for arterial umbilical cord pH below seven, a higher rate of a 5 min APGAR score <7 and a higher rate of neonatal intensive care unit admission. The women with a history of cesarean section with the fetus in breech presentation were more often in need of a blood transfusion and suffered more often a uterus rupture. In this group, the second delivery was more often a planned cesarean section, an emergency cesarean section, or an instrumental vaginal delivery. Conclusions Primary cesarean breech section in the first pregnancy is associated with adverse neonatal and maternal outcomes in the subsequent delivery.
Subject: 3123 Gynaecology and paediatrics
Breech delivery
Subsequent
Caesarean section
Postpartum hemorrhage
Uterine rupture
Vaginal birth after caesarean
Breech delivery
Subsequent
Caesarean section
Postpartum hemorrhage
Uterine rupture
Vaginal birth after caesarean
PLANNED VAGINAL BIRTH
UTERINE RUPTURE
INTERDELIVERY INTERVAL
PERINATAL DEATH
SECTION
WOMEN
LABOR
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Macharey2020_Ar ... anBreechDeliveryInTh_1.pdf 469.5Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record