Featured Research

from universities, journals, and other organizations

Breech babies have higher risk of death from vaginal delivery compared to C-section

Date:
August 11, 2014
Source:
Wiley
Summary:
While a rise in cesarean section (C-section) delivery rates due to breech presentation has improved neonatal outcome, 40% of term breech deliveries in the Netherlands are planned vaginal deliveries. According to a new Dutch study, there is a 10-fold increase in fetal mortality in vaginal delivery for breech presentation compared to elective C-section.

While a rise in cesarean section (C-section) delivery rates due to breech presentation has improved neonatal outcome, 40% of term breech deliveries in the Netherlands are planned vaginal deliveries. According to a new Dutch study that is published today in Acta Obstetricia et Gynecologica Scandinavica, a journal of the Nordic Federation of Societies of Obstetrics and Gynecology, there is a 10-fold increase in fetal mortality in vaginal delivery for breech presentation compared to elective C-section.

Related Articles


Up to 4% of deliveries are breech births -- when the baby is delivered buttocks or feet first, instead of in the head-first position. A 2000 study by Hannah et al. was the largest, randomized controlled trial to examine the type of deliver on mother and infant outcomes. After the term breech trial reported a significant decrease in perinatal mortality among women who had a planned C-section compared to those opting for elective vaginal delivery, C-section rates increased dramatically.

In fact, medical evidence found that following publication of the term breech trial results, elective cesarean rates in Australia increased to 94% (2008) and in the Netherlands that rate rose from 50% to 78%. In the U.S., the overall cesarean rate climbed nearly 60% from 1996 to 2009 and in 2012 was at 33% of all deliveries according to the Centers for Disease Control and Prevention (CDC).

"As an obstetrician, ensuring the health and safety of the mother and infant during child birth is of the utmost importance," said lead study author Dr. Floortje Vlemmix from the Department of Obstetics and Gynecology, Academic Medical Center, University of Amsterdam in the Netherlands. "Our study focuses on understanding if the increase in ceseareans following the term breech study had any impact on neonatal outcomes."

For this retrospective study, researchers studied 58,320 women who had term breech deliveries at hospitals in the Netherland. The group included singleton term breech babies delivered between 37 and 42 weeks, but excluded infants who had any birth defects (congenital malformations) or stillbirths (antenatal death). Researchers used data from the Dutch national perinatal registry from 1999 to 2007, which includes 96% of all births in the Netherlands.

Findings indicate that elective C-section rates increased from 24% to 60%, resulting in a decrease of infant mortality from 1.3/1000 to 0.7/1000. Perinatal mortality remained the same in the group of planned vaginal deliveries. Researchers determined that there needed to be 338 cesareans to prevent one perinatal death. Further analysis could not identify pregnancy related factors that placed women at low versus high risk of poor neonatale outcome during vaginal breech birth.

"While elective C-section has improved neonatal outcomes there is still a good number of women who attempt vaginal birth," concludes Dr. Vlemmix. "Our findings suggest there is still room for improvement to prevent unnessary risk to the infant. We recommend using measures to turn the baby (external cephalic version) to prevent breech presentation at birth and counselling women who want to proceed with a vaginal breech birth."


Story Source:

The above story is based on materials provided by Wiley. Note: Materials may be edited for content and length.


Journal Reference:

  1. Floortje Vlemmix, Lester Bergenhenegouwen, Jelle M. Schaaf, Sabine Ensing, Ageeth N. Rosman, Anita C.J. Ravelli, Joris A.M. van der Post, Arno Verhoeven, Gerard H. Visser, Ben Willem M. Mol and Marjolein Kok. Term Breech Deliveries in The Netherlands: Did the Increased Caesarean Rate Affect Neonatal Outcome? A Population Based Cohort Study. Acta Obstetricia et Gynecologica Scandinavica, August 2014 DOI: 10.1111/aogs.12449

Cite This Page:

Wiley. "Breech babies have higher risk of death from vaginal delivery compared to C-section." ScienceDaily. ScienceDaily, 11 August 2014. <www.sciencedaily.com/releases/2014/08/140811124531.htm>.
Wiley. (2014, August 11). Breech babies have higher risk of death from vaginal delivery compared to C-section. ScienceDaily. Retrieved November 28, 2014 from www.sciencedaily.com/releases/2014/08/140811124531.htm
Wiley. "Breech babies have higher risk of death from vaginal delivery compared to C-section." ScienceDaily. www.sciencedaily.com/releases/2014/08/140811124531.htm (accessed November 28, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, November 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Rural India's Low-Cost Sanitary Pad Revolution

Rural India's Low-Cost Sanitary Pad Revolution

AFP (Nov. 28, 2014) — One man hopes his invention -– a machine that produces cheap sanitary pads –- will help empower Indian women. Duration: 01:51 Video provided by AFP
Powered by NewsLook.com
Research on Bats Could Help Develop Drugs Against Ebola

Research on Bats Could Help Develop Drugs Against Ebola

AFP (Nov. 28, 2014) — In Africa's only biosafety level 4 laboratory, scientists have been carrying out experiments on bats to understand how virus like Ebola are being transmitted, and how some of them resist to it. Duration: 01:18 Video provided by AFP
Powered by NewsLook.com
Ebola Leaves Orphans Alone in Sierra Leone

Ebola Leaves Orphans Alone in Sierra Leone

AFP (Nov. 27, 2014) — The Ebola epidemic sweeping Sierra Leone is having a profound effect on the country's children, many of whom have been left without any family members to support them. Duration: 01:02 Video provided by AFP
Powered by NewsLook.com
Experimental Ebola Vaccine Shows Promise In Human Trial

Experimental Ebola Vaccine Shows Promise In Human Trial

Newsy (Nov. 27, 2014) — A recent test of a prototype Ebola vaccine generated an immune response to the disease in subjects. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins