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Paul B, Möllmann CJ, Kielland-Kaisen U, Schulze S, Schaarschmidt W, Bock N, Brüggmann D, Louwen F, Jennewein L. Maternal and neonatal outcome after vaginal breech delivery at term after cesarean section - a prospective cohort study of the Frankfurt breech at term cohort (FRABAT). Eur J Obstet Gynecol Reprod Biol 2020; 252:594-598. [PMID: 32507288 DOI: 10.1016/j.ejogrb.2020.04.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 03/24/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To compare the neonatal and maternal outcomes as well as the mode of delivery of intended vaginal breech deliveries in women with a prior cesarean section to primiparous patients. STUDY DESIGN The prospective monocenter cohort study was conducted among 604 women who presented for an intended vaginal singleton breech delivery at term between January 2007 and December 2016. RESULTS Out of 37 women with a prior cesarean 19 had a successful vaginal delivery. 344 of 567 primiparous women had a successful vaginal delivery. Neonatal morbidity and mortality as well as maternal outcome were not significantly different in successful vaginal deliveries of women with prior cesarean compared to primiparous patients. The cesarean section rate was not significantly higher in the group of women with a prior cesarean (49%) compared to the group of primipara (39%). CONCLUSION A prior cesarean should not be taken as an exclusion criterion for a planned vaginal delivery out of a breech presentation at term. Large multicenter, case-controlled studies are necessary to implement international guidelines.
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Affiliation(s)
- B Paul
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany.
| | - C J Möllmann
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - U Kielland-Kaisen
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - S Schulze
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - W Schaarschmidt
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - N Bock
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - D Brüggmann
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - F Louwen
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
| | - L Jennewein
- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
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- Department of Gynecology and Obstetrics, School of Medicine, Goethe-University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
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Möllmann CJ, Jennewein L, Paul B, Kielland-Kaisen U, Brüggmann D, Louwen F. Vaginale Beckenendlagengeburt vor und nach dem errechneten Geburtstermin Fall-Kontroll-Studie – FRABAT Kohorte. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- CJ Möllmann
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | - L Jennewein
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | - B Paul
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | | | - D Brüggmann
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
| | - F Louwen
- Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland
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Jennewein L, Kielland-Kaisen U, Paul B, Möllmann CJ, Brüggmann D, Raddatz LM, Schulze S, Bock N, Schaarschmidt W, Jörgens M, Louwen F. Das fetale Geburtsgewicht korreliert mit einer erhöhten Rate an sekundären Kaiserschnitten, jedoch nicht mit einer erhöhten perinatalen Morbidität bei vaginal angestrebten Geburten aus Beckenendlage. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- L Jennewein
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - U Kielland-Kaisen
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - B Paul
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - CJ Möllmann
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - D Brüggmann
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - LM Raddatz
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - S Schulze
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - N Bock
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - W Schaarschmidt
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - M Jörgens
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
| | - F Louwen
- Geburtshilfe und Perinatalmedizin/Goethe Universität, Frankfurt am Main, Deutschland
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