Lancet 2000 term breech trial pdf

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4. Plentl A, Stone R. The Bracht Maneuver. Obstetrical & Gynecological Review. 1953;8:313-25 5. Hannah M, Hannah WJ, Hewson SA, D HE, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. The Lancet. 2000 October, 21st 2000;356:1375-83. A policy of planned cesarean section for the delivery of twins gained support after the publication of the Term Breech Trial, trial. Lancet 2000;356: 1375 2007/9789241596145_eng.pdf). internal version and breech extraction of a malpresent-ing second twin or poorly timed rupture of membranes leading to premature cervical contraction.w5 The ongoing Canadian multicentre study of mode of delivery of twins (the "twin birth study") may further increasethecaesareansectionrateifresultssuggestsafer delivery of twins by elective caesarean. Term Breech Trial •122 centers in 26 countries •2,088 women randomized •Selection criteria: •singleton term breech •live at randomization •frank/complete •<4000 g •head not hyperextended •no fetal anomalies 9 TBT findings 10 3/1000 13/1000 11 Numbers rounded/approximated. Objective: To analyse neonatal mortality and morbidity in term infants born in breech presentation in relation to the mode of delivery (planned caesarean section, emergency caesarean section or vaginal delivery) and to compare these findings with those of the Term Breech Trial Collaborative Group (Hannah et al. ; Lancet Oct 2000). the publication of the Term Breech Trial in 2000.1 The published trial indicated that there were serious differences in short-termneonatalmorbidity,from0.4 fordeliveries via Caesarean section to 5.1 for vaginal deliveries. The publica-tion has had widespread influence throughout the world, including in low-resource countries, where many obstetri- • Mode of birth for breech presentation was influenced by the term breech trial (1). However, a more recent trial stated that attempted vaginal delivery for breech presentation remains an option in carefully selected women under strict obstetric protocols with full discussion about risks and benefits during antenatal clinic (2). • If breech is undiagnosed then mode of birth needs to be Background: The Term Breech Trial compared the safety of planned cesarean and planned vaginal birth for breech presentations at term. The combined outcome of perinatal or neonatal death and serious neonatal morbidity was found to be significantly lower among babies delivered by planned cesarean section. In this study we conducted a cost analysis of the 2 approaches to breech presentations at The ideal management of women with term breech presentation remains a matter of intense debate. The rate of vaginal delivery has steadily declined in the last decades of the last century [].In 2000, the Term Breech Trial (TBT) Collaborative Group concluded that a composite variable combining perinatal and neonatal mortality or serious neonatal morbidity was significantly lower in the planned Among Term Breech Births: Swedish Experience 1987-1993. Obstetrics and Gynecology, 92, 945-950. The Term Breech Trial. American Journal of Obstetrics and Gynecology

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