Can labor with breech presentation be induced?
Our objective was to evaluate the efficacy and safety of labor induction in women with a breech presentation, and an unripe cervix. We conducted a retrospective, matched-paired study on patients with breech presentation and an unripe cervix (n = 23), who underwent induction of labor using extra-amniotic saline instillation. The women were compared to three matched control groups: 46 women with vertex presentation and an unripe cervix, whose labor was induced by the same method, 23 with breech presentation who underwent a vaginal trial of labor, and 23 women with breech presentation who underwent a cesarean section without a trial of labor. In the study group, 12 women (52.2%) delivered vaginally. Rates of Apgar score, birth trauma, and maternal morbidity were similar in all groups. Induction of labor in patients with a breech presentation and an unripe cervix may be attempted in selected cases as it seems to be efficacious (vaginal delivery rate of 52.2%) and safe for both fetus and mother.
Fait
G
G
Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Israel.
Daniel
Y
Y
Lessing
J B
JB
Bar-Am
A
A
Gull
I
I
Shenhav
M
M
Kupferminc
M J
MJ
D000328:Adult; D001034:Apgar Score; D001720:Birth Injuries; D001946:Breech Presentation; D020070:Cervical Ripening; D002585:Cesarean Section; D005260:Female; D005865:Gestational Age; D006801:Humans; D007751:Labor, Induced; D011247:Pregnancy; D012189:Retrospective Studies; D014219:Trial of Labor