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13/08/2014
The study, which has been published in Acta Obstetricia et Gynecologica Scandinavica, a journal of the Nordic Federation of Societies of Obstetrics and Gynecology, found that neonatal outcomes in the Netherlands have improved ever since the publication of the Term Breech Trial, due to an increase in elective caesarean rates.
The Term Breech Trial was the largest trial to investigate the effect of mode of delivery for term breech deliveries on neonatal and maternal outcomes. The study, which used date from the Dutch national perinatal registry between 1999 to 2007, resulted in a cohort of 58,320 women with a term breech delivery. It aimed to look at the effect of the increased caesarean rate for term breech presentation on neonatal outcome.
The findings revealed that there was an increase in the elective caesarean rate from 24% to 60%, and as a a result, overall perinatal mortality fell from 1.3 per 1000 births to 0.7 per 1000 birth.
Those behind the study said that there is still room for improvement.
Commenting on the study, Dr Paul Fogarty, RCOG Senior Vice President for Global Health, said: "The Royal College of Obstetricians and Gynaecologists currently recommends that caesarean delivery is the safest mode of delivery for the baby when in a breech position and this study suggests neonatal outcomes might be improved with a higher rate of elective caesarean section.
"There are benefits and risks associated with both caesarean delivery and vaginal breech birth and these should be discussed between you and your obstetrician, so that you can choose the best plan for you and your baby."
(JP/CD)
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RCOG Comments On Dutch Study
The Royal College of Obstetricians and Gynaecologists (RCOG) has issued a statement on the new Dutch study which examines breech delivery and neonatal outcomes.The study, which has been published in Acta Obstetricia et Gynecologica Scandinavica, a journal of the Nordic Federation of Societies of Obstetrics and Gynecology, found that neonatal outcomes in the Netherlands have improved ever since the publication of the Term Breech Trial, due to an increase in elective caesarean rates.
The Term Breech Trial was the largest trial to investigate the effect of mode of delivery for term breech deliveries on neonatal and maternal outcomes. The study, which used date from the Dutch national perinatal registry between 1999 to 2007, resulted in a cohort of 58,320 women with a term breech delivery. It aimed to look at the effect of the increased caesarean rate for term breech presentation on neonatal outcome.
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The findings revealed that there was an increase in the elective caesarean rate from 24% to 60%, and as a a result, overall perinatal mortality fell from 1.3 per 1000 births to 0.7 per 1000 birth.
Those behind the study said that there is still room for improvement.
Commenting on the study, Dr Paul Fogarty, RCOG Senior Vice President for Global Health, said: "The Royal College of Obstetricians and Gynaecologists currently recommends that caesarean delivery is the safest mode of delivery for the baby when in a breech position and this study suggests neonatal outcomes might be improved with a higher rate of elective caesarean section.
"There are benefits and risks associated with both caesarean delivery and vaginal breech birth and these should be discussed between you and your obstetrician, so that you can choose the best plan for you and your baby."
(JP/CD)
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