Maternal and neonatal outcome after vaginal breech delivery at term of children weighing more or less than 3.8 kg: A FRABAT prospective cohort study.
Lukas JenneweinUlrikke Kielland-KaisenBettina PaulCharlotte J MöllmannAnna-Sophia KlemtSally SchulzeNina BockWiebke SchaarschmidtDörthe BrüggmannFrank LouwenPublished in: PloS one (2018)
A fetal weight above 3.79 kg does not predict increased maternal or infant morbidity after delivery from breech presentation at term. Neither the literature nor our analyses document evidence for threshold of estimated birth weight that is associated with maternal and/or infant morbidity. However, patients should be informed about an increased likelihood of cesarean sections during labor when attempting vaginal birth from breech position at term in order to reach an informed shared decision concerning the birth strategy. Further investigations in multi center settings are needed to advance international guidelines on vaginal breech deliveries in the context of estimated birth weight and its impact on perinatal outcome.
Keyphrases
- birth weight
- gestational age
- preterm birth
- end stage renal disease
- weight gain
- ejection fraction
- chronic kidney disease
- newly diagnosed
- young adults
- pregnant women
- body mass index
- weight loss
- peritoneal dialysis
- prognostic factors
- patient reported outcomes
- decision making
- clinical practice
- case report
- patient reported