title: How singleton breech babies at term are born in France: a survey of data from the AUDIPOG network.
abstract: Based on data from the AUDIPOG sentinel network between 1994 and 2010, we can say that the rate of singleton breech presentation at term is 3% and remains unchanged despite an external cephalic version rate of 35%. The total cesarean section rate is currently 75%. This rate increased by nearly 20% after the Hannah publication in 2000, regardless of the type of breech and type of maternity unit. The rate of planned cesarean sections increased in particular, going from 40% to 60%, and even reaching 67% for footling breech presentations. The rate is higher in type I maternity units than in type II or III. This cesarean section rate has been stable since 2005 and has even decreased for the Frank breech. The average rate of external cephalic version remains stable at around 23%. The episiotomy rate is 28%. The rate of babies transferred to neonatology units is higher for breech babies at term than for babies presenting cephalically (3.9% compared to 2.9%), but the newborns most often transferred are those born by cesarean section (4.1% compared to 3.4%).
authors: AUDIPOG (Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie), Faculté de médecine RTH Laennec, Lyon, France. Electronic address: Jacques.Lansac@wanadoo.fr.
authors: J
authors: J
authors: Lansac
authors: AUDIPOG (Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie), Faculté de médecine RTH Laennec, Lyon, France; Service de Gynécologie-Obstétrique, AP-HP, Hôpital Louis Mourier, Colombes 92700, France.
authors: C
authors: C
authors: Crenn-Hebert
authors: AUDIPOG (Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie), Faculté de médecine RTH Laennec, Lyon, France.
authors: O
authors: O
authors: Rivière
authors: AUDIPOG (Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie), Faculté de médecine RTH Laennec, Lyon, France; Service de Gynécologie-Obstétrique, AP-HP, Hôpital Louis Mourier, Colombes 92700, France; Pôle de Gynécologie-obstétrique et Biologie Reproduction, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France; Clermont Université, Université d'Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), Clermont-Ferrand, France.
authors: F
authors: F
authors: Vendittelli
mesh_terms: D000328:Adult; D001724:Birth Weight; D001946:Breech Presentation / Q000453:epidemiology / Q000628:therapy*; D002585:Cesarean Section / Q000706:statistics & numerical data* / Q000639:trends; D003696:Delivery Rooms / Q000145:classification / Q000706:statistics & numerical data*; D004841:Episiotomy / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000706:statistics & numerical data; D011247:Pregnancy; D047929:Term Birth; D014710:Version, Fetal / Q000706:statistics & numerical data* / Q000639:trends; D055815:Young Adult
keywords: Breech; Cesarean section; Delivery; External cephalic version