Undiagnosed term breech: management and outcome.
Department of Obstetrics and Gynecology, King Khalid
University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia.
OBJECTIVE: To assess the antenatal and intra-partum risk
factors associated with undiagnosed breech at term and to compare their
outcome with those diagnosed before the onset of labor, as well as identifying
the determinants for cesarean section in breech presentation. METHODS: Case
control study of 183 undiagnosed breech deliveries at term with those
diagnosed before labor. RESULTS: There was no significant difference between
diagnosed term breech and undiagnosed breech deliveries with regards to
maternal, neonatal outcome and incidence of cesarean section. Footling breech
presentation, hypertension and failure to attend antenatal visits were
independent risk factor for cesarean section in all case of breech.
CONCLUSION: Undiagnosed breech at term are not at increased risk for cesarean
section and there is no additional maternal or fetal morbidity.
PMID: 11500686 [PubMed - indexed for MEDLINE]