Evidence Based Management of Breech Presentation
Find out information about breech presentation.
Thus, the most important finding in the two studies of the correlation of breech at term to CP and epilepsy in childhood was that SGA was slightly more common in breech at term than in other presentations, and that SGA was a predictor for CP and epilepsy, but mode of delivery was not. The correlation of SGA to cerebral palsy is well known (15, 35, 41). SGA and IUGR of term infants is a risk factor for impaired neuro-developmental outcome in terms of lower cognitive scores, neurological abnormalities, lower IQ scores, behavioural problems, and deficits in schooling- or academic achievements (16). To our knowledge, no studies have evaluated SGA or IUGR as isolated risk factors for epilepsy. A Swedish study showed that breech infants weighed 4.9% less than their vertex controls in relation to gestational age (98).
Thesis About Breech Presentation
Delivery of term breech by elective caesarean reduces the foetal mortality and morbidity. Until recently, it has been argued that caesarean delivery poses a threat to the woman at delivery and in future pregnancies (102). Therefore, obstetricians have been reluctant to recommend caesarean delivery for term breech. However, there is consistent evidence that emergency caesarean delivery is associated with a higher risk than elective caesarean delivery for the mother. This is important as nearly one-third of planned vaginal deliveries end up with caesarean delivery (51, 80). Furthermore, there is consistent evidence that maternal complications are more common at emergency than at elective caesarean deliveries (134).