Neonatal Morbidity after Cervical Ripening with a Singleton Fetus in a Breech Presentation at Term.

breech cervical ripening induction of labor maternal morbidity mode of labor neonatal morbidity

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
30 Nov 2022
Historique:
received: 13 09 2022
revised: 20 11 2022
accepted: 28 11 2022
entrez: 11 12 2022
pubmed: 12 12 2022
medline: 12 12 2022
Statut: epublish

Résumé

Vaginal delivery in women with a breech presentation is part of common practice in France despite much debate, and the induction of labor (IOL) with a fetus in a breech presentation at term remains uncommon. Little is known about the effectiveness of cervical ripening and its neonatal and maternal safety in these women. We present a retrospective study of 362 women who gave birth to a live singleton fetus in a breech presentation at term. The objective was to compare severe maternal and neonatal morbidity according to the planned mode of labor (spontaneous labor or the induction of labor (IOL) with a favorable cervix, cervical ripening, or elective cesarean delivery) and, specifically, to compare cervical ripening to the other modes of labor. The rate of severe neonatal morbidity was 3.0% and was significantly higher after the IOL compared to elective cesarean delivery (

Identifiants

pubmed: 36498693
pii: jcm11237118
doi: 10.3390/jcm11237118
pmc: PMC9736943
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Laura Berthommier (L)

Department of Obstetrics and Gynecology, Centre Hospitalier Departemental, 85000 La Roche sur Yon, France.

Lucie Planche (L)

Clinical Research Center, Centre Hospitalier Departemental, 85000 La Roche sur Yon, France.

Guillaume Ducarme (G)

Department of Obstetrics and Gynecology, Centre Hospitalier Departemental, 85000 La Roche sur Yon, France.

Classifications MeSH