The influence of counseling on the mode of breech birth: A single-center observational prospective study in The Netherlands |
| |
| Affiliation: | 1. Department of Gynecology&Obstetrics, Red Cross Hospital, Beverwijk, Vondellaan 13, 1942 LE Beverwijk, The Netherlands;2. Academic Medical Centre Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands;1. Study Centre of Perinatal Epidemiology, Brussels, Belgium;2. Department Obstetrics & Gynaecology, University Hospital, VU Brussels, Belgium;3. Biostatistics Unit, University Ghent, Belgium;1. Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Level 7, 235 Jones St., Ultimo, NSW 2007, P.O. Box 123, Australia;2. School of Nursing and Midwifery, Western Sydney University, Sydney, NSW, Australia;1. AUDIPOG (Association des Utilisateurs de Dossiers informatisés en Pédiatrie, Obstétrique et Gynécologie), Faculté de médecine RTH Laennec, Lyon, France;2. Service de Gynécologie-Obstétrique, AP-HP, Hôpital Louis Mourier, Colombes 92700, France;3. Pôle de Gynécologie-obstétrique et Biologie Reproduction, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France;4. Clermont Université, Université d’Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), Clermont-Ferrand, France;1. Department of Obstetrics and Gynecology, VU University Medical Centre, Amsterdam, The Netherlands;2. Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis Location West, Amsterdam, The Netherlands;3. Department of Obstetrics and Gynecology, Northwest Clinics, Alkmaar, The Netherlands;1. City University London, Centre for Maternal and Child Health Research, Northampton Square, London EC1V 0HB, UK;2. Imperial College Healthcare NHS Trust, St. Mary׳s Hospital, Praed Street, London W2 1NY, UK;3. City University London, Learning Enhancement and Development, Northampton Square, London EC1V 0HB, UK |
| |
| Abstract: | ![]()
Objectivewomen in the Netherlands, with a fetus in breech presentation, are thoroughly counseled to make an informed choice for the mode of delivery. The aim of this study was to assess the influence of counseling techniques on women's choices for the mode of delivery and subsequently to compare fetal and maternal outcomes of vaginal breech birth versus planned caesarean section.Study designwe performed an observational prospective study. Data on breech deliveries were prospectively collected. We used ANOVA to identify variables influencing women's choice for the mode of delivery.Settingthe obstetric department of the Red Cross Hospital in Beverwijk, the Netherlands.Participantswomen with a singleton gestation (>37 + 0 weeks) and a fetus in breech presentation were included.Measurements and findingsbetween January 2007 and December 2015 364 women were included. Counseling technique (p =<0.001) and maternal education (p = 0.046) were significantly associated with the choice of mode of delivery. Of all included women 33% (N = 119) opted for a vaginal breech delivery and 52% (N = 190) opted for a planned cesarean section. 15% (N = 55) were unexpected breeches. Of the planned vaginal delivery group 66% (N = 79) delivered vaginal, whereas 99.5% (N = 189) of the women in the planned cesarean section group underwent a planned cesarean section. There were no significant differences in maternal and neonatal outcomes.Key conclusionswomen's choice on the mode of delivery and the eventual modus partus of fetuses in breech presentation is strongly influenced by the counseling technique. Vaginal breech birth in low-risk women is a safe option without long term morbidity in neonates.Implications for practicecounselors should be aware of their influence on women's choice for mode of delivery in breech presentation. Counseling should be done using evidence based information. |
| |
| Keywords: | Counseling technique Mode of delivery Breech presentation Morbidity Vaginal breech birth Cesarean section |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
