title: Fetal outcome for infants in breech by method of delivery: experiences with a stand-by service system of senior obstetricians and women's choices of mode of delivery.
abstract: To show that the fetal outcome in vaginal deliveries (VD) of breech presentation in a setting of a senior obstetrician stand-by system is as good as in planned cesarean sections.
  
  
  
  This observational prospective intent-to-treat study (n=211 singleton breech presentation pregnancies of ≥35 weeks of gestation) compared two groups of breech deliveries: planned cesarean sections (PCS, n=126) and intended VD (IVD, n=85) resulting in vaginal deliveries (VD, n=46) as well as secondary cesarean sections (SCS, n=39). Women's informed choice as well as strict pre-selection criteria for vaginally intended breech presentation deliveries was followed.
  
  
  
  Fetal outcome of vaginal breech deliveries and of primary as well as SCS (45.9% of IVD) was comparable in terms of cord blood pH, base excess, Apgar score, fetal trauma, and transfer to neonatal intensive care unit.
  
  
  
  Vaginal breech delivery is a safe option in a stand-by system of senior obstetricians with controlled decision-making before labor.
authors: Department of Obstetrics and Gynecology, Paracelsus Medical University, Salzburg, Austria. b.maier@salk.at
authors: Barbara
authors: B
authors: Maier
authors: Alexander
authors: A
authors: Georgoulopoulos
authors: Michael
authors: M
authors: Zajc
authors: Tobias
authors: T
authors: Jaeger
authors: Christian
authors: C
authors: Zuchna
authors: Gottfried
authors: G
authors: Hasenoehrl
mesh_terms: D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D001946:Breech Presentation / Q000601:surgery / Q000628:therapy*; D002585:Cesarean Section; D002755:Choice Behavior; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009775:Obstetrics and Gynecology Department, Hospital; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D055815:Young Adult