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Mode of delivery and mortality and morbidity for very preterm singleton infants in a breech position: A European cohort study

European Journal of Obstetrics & Gynecology and Reproductive Biology Jan 17, 2019

Schmidt S, et al. - Neonatal outcomes for singleton breech infants were evaluated by mode of delivery using data from the EPICE population-based cohort of very preterm births in 19 regions in 11 European countries (7770 live births). Singleton spontaneous-onset breech births at 24-31 weeks gestational age (GA) without antenatal medical complications requiring cesarean delivery (N = 572) were included. Cesarean section (CS) was performed in 64.4% of infants with a range across regions from 41% to 100%; these infants had higher GA and were more likely to be small for gestational age, receive antenatal steroids, and have mothers who were hospitalized for more than one day before delivery compared to those delivered vaginally. In conventional statistical models, point estimates suggested cesarean delivery as protective for very preterm breech infants. However, no statistically significant associations were noted in analyses using propensity scores and based on unit policies.
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