Induction of labor in breech presentation at term: a retrospective cohort study
-
Jorge Burgos
,
Itziar Arana
Abstract
Objective:
To compare the outcome of two methods of labor induction and spontaneous onset of labor in breech presentation at term.
Material:
A retrospective study between 2003 and 2012. We compare obstetric (indication of induction, Bishop score, cesarean rate) and perinatal outcomes (Apgar score, umbilical artery pH, base excess ≤−12 mmol/L, admission to neonatal unit) between prostaglandins and oxytocin. We also compare labor induction versus spontaneous onset of labor.
Results:
Of the 1684 breech deliveries, we carried out labor induction in 221 cases (76% with prostaglandins, 24% with oxytocin). The prostaglandins group had significantly lower Bishop scores and the time for induction phase was significantly higher. There were no differences in cesarean rate between both methods of induction or spontaneous onset of labor. The prostaglandins group had higher rates of base excess ≤−12 mmol/L. Compared with spontaneous onset of labor in breech presentation, induction had significant lower rates of newborn weight and higher rates of admission to the neonatal unit.
Conclusions:
Induction of labor in breech presentation at term is a reasonable and effective option after a careful selection of cases. It was not associated with an increase of perinatal morbidity or cesarean rate compared with spontaneous onset of labor.
References
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The authors stated that there are no conflicts of interest regarding the publication of this article.
©2017 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Intrapartum care
- Recommendation and Guidelines for Perinatal Practice
- Delivery modes in case of fetal malformations
- Review article
- Obstetric analgesia – update 2016
- Highlight articles
- Risk factors and outcomes in “well-selected” vaginal breech deliveries: a retrospective observational study
- Induction of labor in breech presentation at term: a retrospective cohort study
- Evaluating fetal head dimension changes during labor using open magnetic resonance imaging
- Risk factors of uterine rupture with a special interest to uterine fundal pressure
- Diagnostic accuracy of fetal scalp lactate for intrapartum acidosis compared with scalp pH
- Reference values for Lactate Pro 2™ in fetal blood sampling during labor: a cross-sectional study
- Linear and non-linear analysis of uterine contraction signals obtained with tocodynamometry in prediction of operative vaginal delivery
- Evaluation of simparteam – a needs-orientated team training format for obstetrics and neonatology
- Transient fetal blood redistribution associated with maternal supine position
- Original articles
- Underlying causes of neonatal deaths in term singleton pregnancies: home births versus hospital births in the United States
- Fourfold increase in prevalence of gestational diabetes mellitus after adoption of the new International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria
- Hematological changes in severe early onset growth-restricted fetuses with absent and reversed end-diastolic flow in the umbilical artery
- Breast milk feeding in infants with inherited metabolic disorders other than phenylketonuria – a 10-year single-center experience
- Clinical significance of a false positive glucose challenge test in patients with a high body mass index
- Obituary
- Obituary – Edward Ogata (1945–2017)
- Congress Calendar
- Congress Calendar
Articles in the same Issue
- Frontmatter
- Editorial
- Intrapartum care
- Recommendation and Guidelines for Perinatal Practice
- Delivery modes in case of fetal malformations
- Review article
- Obstetric analgesia – update 2016
- Highlight articles
- Risk factors and outcomes in “well-selected” vaginal breech deliveries: a retrospective observational study
- Induction of labor in breech presentation at term: a retrospective cohort study
- Evaluating fetal head dimension changes during labor using open magnetic resonance imaging
- Risk factors of uterine rupture with a special interest to uterine fundal pressure
- Diagnostic accuracy of fetal scalp lactate for intrapartum acidosis compared with scalp pH
- Reference values for Lactate Pro 2™ in fetal blood sampling during labor: a cross-sectional study
- Linear and non-linear analysis of uterine contraction signals obtained with tocodynamometry in prediction of operative vaginal delivery
- Evaluation of simparteam – a needs-orientated team training format for obstetrics and neonatology
- Transient fetal blood redistribution associated with maternal supine position
- Original articles
- Underlying causes of neonatal deaths in term singleton pregnancies: home births versus hospital births in the United States
- Fourfold increase in prevalence of gestational diabetes mellitus after adoption of the new International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria
- Hematological changes in severe early onset growth-restricted fetuses with absent and reversed end-diastolic flow in the umbilical artery
- Breast milk feeding in infants with inherited metabolic disorders other than phenylketonuria – a 10-year single-center experience
- Clinical significance of a false positive glucose challenge test in patients with a high body mass index
- Obituary
- Obituary – Edward Ogata (1945–2017)
- Congress Calendar
- Congress Calendar
