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Term breech trial follow-up: planned c-section still best for term breech.(Obstetrics)
NEW ORLEANS -- Planned cesarean section remains the safest mode of delivery in pregnant women with breech presentation at term, Dr. Hilary Whyte said at the annual meeting of the Society for Maternal-Fetal Medicine.
She based that conclusion on new 2-year follow-up data on children from the land-mark Term Breech Trial. In the initial report, women who were randomized to planned vaginal delivery had babies that were at significantly increased risk of neonatal death or serious neonatal morbidity, compared with children of women randomized to planned cesarean delivery (Lancet 356[9239]:1375-83, 2000).
The new data, presented by Dr. Whyte at the meeting, suggest that delivery mode was not associated with major effects on the risk of adverse outcomes at 2 years. These data confirm that planned cesarean section is the safest delivery method in women with breech presentation at term, said Dr. Whyte of the Hospital for Sick Children, Toronto.
"We haven't in fact added anything to the original findings. We haven't uncovered any serious morbidity or late mortality in the cesarean section group, which would perhaps have taken away from the original findings," she said.
In the Term Breech Trial, nearly 2,100 women with singleton pregnancies and breech presentation at term were randomized to either a planned cesarean delivery group or planned vaginal delivery group. The children were ...
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Source: HighBeam Research, Term breech trial follow-up: planned c-section still best for term...