[Influence of mode of delivery in term breech presentation on the Apgar score and transfer in neonatal care unit. Results of the management of 568 singleton pregnancies in a level III French maternity].
OBJECTIVE
The aim of our study was to define the influence of mode of delivery in term breech presentation on the Apgar score and transfert in neonatal care unit using our university hospital protocol.


METHODS
We conducted a retrospective study. The study included 568 singleton term pregnancies during the period January 1996 to December 2005. The main selection criteria were Apgar score and transfert in neonatal care unit.


RESULTS
Analysis of the Apgar scores at 1.5 and 10min and transfer in neonatal care unit do not show any statistical difference.


CONCLUSIONS
The absence of a difference in neonatal prognosis is to allow vaginal delivery to be carried out. To carry on with the teaching of obstetrical manoeuvres makes it possible to avoid pointless surgical intervention and a bad maternofoetal prognosis in the event of an unexpected breech presentation.
Delotte
J
J
Service de gynécologie-obstérique-reproduction et médecine foetale, CHU de l'Archet-2, B.P. 3079, 06202 Nice cedex 03, France. jdelotte@hotmail.com
Trastour
C
C
Bafghi
A
A
Boucoiran
I
I
D'Angelo
L
L
Bongain
A
A
D000328:Adult; D001034:Apgar Score; D001946:Breech Presentation / Q000628:therapy*; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005602:France; D005865:Gestational Age; D006801:Humans; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data*; D007743:Labor, Obstetric; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects / Q000379:methods*