Title :

Per-partum risk factors of neonatal acidemia in planned vaginal delivery for fetuses in breech presentation

Author(s) :

Vannerum, M. [Auteur]
Environnement périnatal et croissance - EA 4489 [EPS]
Subtil, Damien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Drumez, Elodie [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Brochot, C. [Auteur]
Groupe Hospitalier Artois-Ternois Centre Hospitalier d’Arras
Debarge, Veronique [Auteur]
Environnement Périnatal et Santé - EA 4489
Garabedian, Charles [Auteur]
Environnement périnatal et croissance - EA 4489 [EPS]

Journal title :

Gynecologie, obstetrique, fertilite & senologie

Abbreviated title :

Gynecol Obstet Fertil Senol

Volume number :

47

Pages :

11-17

Publisher :

Elsevier

Publication date :

2018-12-15

ISSN :

2468-7189

English keyword(s) :

Breech
Per-partum
Risk factors
Neonatal acidosis
Vaginal delivery

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Delivery mode of term breech presentation is debated because of higher rate of neonatal acidosis (pH<7.15) in planned vaginal delivery than in planned caesarean section. The objective was to evaluate per-partum risk factors ...
Show more >Delivery mode of term breech presentation is debated because of higher rate of neonatal acidosis (pH<7.15) in planned vaginal delivery than in planned caesarean section. The objective was to evaluate per-partum risk factors of neonatal acidosis in vaginal delivery for podalic fetuses. It was a single-centre, case-control retrospective study that included planned vaginal delivery in singleton term breech presentation between 2012 and 2016. The "case" group defined by neonatal pH≤7.10 and the "control" group defined by neonatal pH≥7.20 were matched. The maternal, labor, and neonatal characteristics were noted. One hundred and thirty-two patients were included: each of 44 patients in "case" group, has been matched according to breech type (legs position) to 2 patients in the "control" group, so 88. In multivariate analysis, significant risk factors identified were oxytocin use [ORa=5.663 (95% CI=1.844-17.397)], "high risk" fetal heart rate (FHR) abnormalities according to FIGO classification [ORa=10.997 (95% CI=1.864-64.866)] and FHR abnormalities during expulsion, Melchior 2 [ORa=8.088 (95% CI=1.192-54.875)] and Melchior 4 [ORa=12.705 (95% CI=1.157-139.541)]. These risk factors of neonatal acidemia have to be known to improve the labor management in case of breech planned vaginal delivery.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

• Environnement Périnatal et Santé - ULR 4489
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T18:20:26Z
2021-05-17T06:44:48Z
2024-04-10T09:07:08Z