Thesis About Breech Presentation

So regardless of how conscientious a breeder may be about never using breeding stock with small nostrils, the day may come when any breeder may need to deal with the problem of a cat with stenoticnares.

Usually, the wing of the nostril blocks the opening and when the cat breathesin, the wing is pulled in further and blocks the opening even more.

Evidence Based Management of Breech Presentation

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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).

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Improving management of breech presentation at term

Likewise, the population of emergency caesarean section is a combination of groups of women with 1) planned caesarean delivery where emergency caesarean section was performed because of pregnancy complications or onset of labour before the scheduled operation, 2) undiagnosed breech where a caesarean delivery was decided at admission, and 3) planned vaginal deliveries. Thus, different outcomes in these three groups influence the results when comparing intended vaginal delivery with intended caesarean delivery.

Breech presentation lsa by Virginia Hall - issuu

In a register-based study from the Swedish Medical Birth Registry, 1991-1992, on 6,542 infants delivered in breech presentation after 34 completed weeks of pregnancy (94), rates of vaginal delivery elective caesarean section and emergency caesarean section were, respectively, 35.9%, 26.9% and 35.9%. Information on perinatal deaths was validated by medical records. After exclusion of infants with malformations and infants delivered outside hospital, no difference in infant mortality was found between vaginal delivery and caesarean section (0.09% and 0.05% respectively). Risk of Apgar score below 7 at five minutes was significantly increased among vaginally delivered infants compared with infants delivered by elective caesarean section (3.1% and 0.93% respectively RR3.38; 95% CI: 2.02-5.33).

Breech presentation at term is associated with ..

Register-based studies may be limited in completeness and in the accuracy of coding of obstetrical data (33, 85, 123). We validated information on term breech presentation from the Danish Medical Birth Registry (II, 79). A review of medical records from all cases of perinatal death and a sample of selected controls showed that foetal malformations in perinatal deaths were consistently under-reported. Among the perinatal deaths supposed to be without foetal malformations 71.1% actually had malformations. The reason for this discrepancy is that at the time the study was conducted information on malformations diagnosed in the neonatal period was not automatically added to the Medical Birth Registry, but reported to a separate registry of congenital malformations.