Birth injury in breech delivery: a nationwide population-based cohort study in Finland.
Birth injury
Birthweight
Brachial plexus palsy
Epidemiology
Population-based study
Vaginal breech delivery
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
08
03
2022
accepted:
25
08
2022
medline:
18
8
2023
pubmed:
9
9
2022
entrez:
8
9
2022
Statut:
ppublish
Résumé
Previous studies have examined the optimal mode of breech delivery extensively, but there is a scarcity of publications focusing on the birth injuries of neonates born in breech presentation. This study aimed to examine birth injury in breech deliveries. In this retrospective register-based nationwide cohort study, data on birth injuries in vaginal breech deliveries with singleton live births were compared to cesarean section with breech presentation and cephalic vaginal delivery between 2004 and 2017 in Finland. The data were retrieved from the National Medical Birth Register. Primary outcome variables were severe and mild birth injury. Incidences of birth injuries in different gestational ages and birthweights were calculated in different modes of delivery. Crude odds ratios of risk factors for severe birth injury were analyzed. In vaginal breech delivery (n = 4344), there were 0.8% of neonates with severe birth injury and 1.5% of neonates with mild birth injury compared to 0.06% and 0.2% in breech cesarean section (n = 16,979) and 0.3% and 1.9% in cephalic vaginal delivery (n = 629,182). Brachial plexus palsy was the most common type of injury in vaginal breech delivery. Increasing gestational age and birthweight had a stronger effect on the risk for injury among cephalic vaginal deliveries than among vaginal breech deliveries. Birth injuries were rare in vaginal breech deliveries. The incidence of severe birth injury was two times higher in vaginal breech delivery compared to cephalic vaginal delivery. Brachial plexus palsy was the most common type of injury in vaginal breech delivery.
Identifiants
pubmed: 36074174
doi: 10.1007/s00404-022-06772-1
pii: 10.1007/s00404-022-06772-1
pmc: PMC10435420
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1139-1150Informations de copyright
© 2022. The Author(s).
Références
Am J Obstet Gynecol. 2012 Oct;207(4):285.e1-9
pubmed: 23021690
BJOG. 2019 Jan;126(1):73-82
pubmed: 30216654
J Pediatr. 2021 Nov;238:174-180.e3
pubmed: 34242670
Childs Nerv Syst. 2008 Jan;24(1):79-85
pubmed: 17632726
Eur J Obstet Gynecol Reprod Biol. 2014 Jan;172:1-6
pubmed: 24199680
Gynecol Obstet Fertil Senol. 2020 Jan;48(1):120-131
pubmed: 31678509
Aust N Z J Obstet Gynaecol. 2016 Oct;56(5):453-459
pubmed: 27339863
Aust N Z J Obstet Gynaecol. 2018 Apr;58(2):178-184
pubmed: 28799276
Eur J Obstet Gynecol Reprod Biol. 2018 Jun;225:13-18
pubmed: 29626709
J Perinat Med. 2017 Apr 1;45(3):291-297
pubmed: 27049610
Lancet. 2000 Oct 21;356(9239):1375-83
pubmed: 11052579
Ann Med. 2013 Sep;45(5-6):446-54
pubmed: 23768051
PLoS Med. 2018 Jan 23;15(1):e1002494
pubmed: 29360829
Scand J Public Health. 2012 Aug;40(6):505-15
pubmed: 22899561
Acta Paediatr. 2020 Dec;109(12):2562-2569
pubmed: 32201987
Arch Gynecol Obstet. 2021 Jan;303(1):93-101
pubmed: 32767041
Dev Med Child Neurol. 2020 Jun;62(6):673-683
pubmed: 31670385
Eur J Obstet Gynecol Reprod Biol. 2015 Sep;192:61-5
pubmed: 26164568
PLoS One. 2018 Aug 23;13(8):e0202760
pubmed: 30138358
BJOG. 2016 Jan;123(1):49-57
pubmed: 26234485
J Hand Surg Eur Vol. 2010 Jun;35(5):366-9
pubmed: 20031999
J Obstet Gynaecol. 2022 Jan;42(1):49-54
pubmed: 33938353
Scand J Soc Med. 1995 Mar;23(1):75-80
pubmed: 7784857
Obstet Gynecol. 2015 May;125(5):1153-1161
pubmed: 25932843
BJOG. 2017 Jun;124(7):e151-e177
pubmed: 28299904
Am J Obstet Gynecol. 2006 Apr;194(4):1002-11
pubmed: 16580289
Int J Gynaecol Obstet. 2009 Nov;107(2):169-76
pubmed: 19824190
CMAJ. 2018 Jun 18;190(24):E734-E741
pubmed: 29914910
Am J Obstet Gynecol. 2015 Oct;213(4):538.e1-9
pubmed: 26164696
Women Birth. 2022 May;35(3):e233-e242
pubmed: 34253466