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MeSH Review

Breech Presentation

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High impact information on Breech Presentation

  • Among singletons in the study group, there were more term breech presentations (10.1%) compared with both spontaneously conceiving women and all IVF women (P < 0.01) [1].
  • Craniosynostosis was significantly more common among male infants, infants born preterm (<37 weeks gestation), breech presentation or presentations other than vertex, and infants born to fathers 40 years of age or older, even after accounting for known autosomal dominant syndromes [2].
  • Four of the 27 (15%) successful versions in the terbutaline group and three of the 14 (21%) successful versions in the placebo group spontaneously reverted to breech presentation [3].
  • CONCLUSION: Labor with breech presentation, administration of oxytocin and meperidine, cord entanglement, and male gender are associated with an increased risk for insufficient fetomaternal gas exchange [4].
  • STUDY DESIGN: Small fetoplacental arteries (mean luminal diameter 482 +/- 31 micrometers, n = 17, at zero flow and pressure) were dissected from samples of placental tissue obtained from normal term vaginal deliveries and elective term cesarean sections for breech presentation [5].

Chemical compound and disease context of Breech Presentation


Gene context of Breech Presentation

  • SETTING: Data Bank, Aberdeen Maternity Hospital. SUBJECTS: 643 women (273 primiparae and 370 multiparae) with a singleton breech presentation and spontaneous onset of labour at term [11].
  • Abnormality was more common in babies with a family history of CDH and in breech presentations [12].
  • The successful manipulation group included significantly more cases in which the back of the fetus was directed ventrally or dorsally from the maternal midline than did the breech presentations in which version did not occur [13].
  • (6) The infusion of PG F2alpha is effective for the induction of labor in older primiparae, cases of breech presentation and suspected cases of CPD [14].
  • Caesarean delivery for breech presentation improved survival compared with vaginal delivery, both at 24 and 25 weeks (56.1% vs 36.0%; OR 2.19; 95% CI 1.10-4.34, and 68.7% vs 55.2% OR 1.78; 95% CI 0.093-3.43) [15].

Analytical, diagnostic and therapeutic context of Breech Presentation


  1. Obstetric outcome among women with unexplained infertility after IVF: a matched case-control study. Isaksson, R., Gissler, M., Tiitinen, A. Hum. Reprod. (2002) [Pubmed]
  2. Craniosynostosis in Western Australia, 1980-1994: a population-based study. Singer, S., Bower, C., Southall, P., Goldblatt, J. Am. J. Med. Genet. (1999) [Pubmed]
  3. A randomized placebo-controlled evaluation of terbutaline for external cephalic version. Fernandez, C.O., Bloom, S.L., Smulian, J.C., Ananth, C.V., Wendel, G.D. Obstetrics and gynecology. (1997) [Pubmed]
  4. Risk factors for acidemia at birth. Herbst, A., Wolner-Hanssen, P., Ingemarsson, I. Obstetrics and gynecology. (1997) [Pubmed]
  5. Nitric oxide is involved in flow-induced dilation of isolated human small fetoplacental arteries. Learmont, J.G., Poston, L. Am. J. Obstet. Gynecol. (1996) [Pubmed]
  6. A randomized trial of external cephalic version with tocolysis in late pregnancy. Brocks, V., Philipsen, T., Secher, N.J. British journal of obstetrics and gynaecology. (1984) [Pubmed]
  7. Caffeine use during pregnancy and child outcome: a 7-year prospective study. Barr, H.M., Streissguth, A.P. Neurotoxicology and teratology. (1991) [Pubmed]
  8. Route of delivery for the breech presentation: a conundrum. Eller, D.P., VanDorsten, J.P. Am. J. Obstet. Gynecol. (1995) [Pubmed]
  9. Vaginal prostaglandin E2 gel and breech presentation. O'Herlihy, C. Eur. J. Obstet. Gynecol. Reprod. Biol. (1981) [Pubmed]
  10. Cephalic version by moxibustion for breech presentation. Coyle, M.E., Smith, C.A., Peat, B. Cochrane database of systematic reviews (Online) (2005) [Pubmed]
  11. Breech delivery and epidural analgesia. Chadha, Y.C., Mahmood, T.A., Dick, M.J., Smith, N.C., Campbell, D.M., Templeton, A. British journal of obstetrics and gynaecology. (1992) [Pubmed]
  12. Routine ultrasound screening for neonatal hip instability. Can it abolish late-presenting congenital dislocation of the hip? Marks, D.S., Clegg, J., al-Chalabi, A.N. The Journal of bone and joint surgery. British volume. (1994) [Pubmed]
  13. Ultrasonic examination before external version of breech presentation. Kirkinen, P., Ylöstalo, P. Gynecol. Obstet. Invest. (1982) [Pubmed]
  14. A technique for the induction of labor by the extraovular administration of prostaglandin F2alpha. Ishikawa, Y., Uneki, K., Fukui, H., Futakawa, K., Ogawa, T. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. (1976) [Pubmed]
  15. Neonatal survival rates in 860 singleton live births at 24 and 25 weeks gestational age. A Canadian multicentre study. Effer, S.B., Moutquin, J.M., Farine, D., Saigal, S., Nimrod, C., Kelly, E., Niyonsenga, T. BJOG : an international journal of obstetrics and gynaecology. (2002) [Pubmed]
  16. Continuous epidural analgesia with bupivacaine 0.125% or bupivacaine 0.0625% plus sufentanil 0.25 microg.mL(-1): a study in singleton breech presentation. Benhamou, D., Mercier, F.J., Ben Ayed, M., Auroy, Y. International journal of obstetric anesthesia. (2002) [Pubmed]
  17. Tocolysis in term breech external cephalic version. Nor Azlin, M.I., Haliza, H., Mahdy, Z.A., Anson, I., Fahya, M.N., Jamil, M.A. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. (2005) [Pubmed]
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