13.2.1What is the prevalence of breech presentation at term and what are the outcomes associated with it?

StudyRef.PopulationInterventionOutcomesResultsCommentsStudy typeEL
Danielian et al., 19966231645 infants delivered alive at term > 37 weeks after breech presentation in a Scottish region from 1981 to 1990
269 had handicap
Observational studyLong-term outcome of infants delivered in breech presentation at term by intended mode of delivery
Included: handicap, developmental delay, neurological deficit, psychiatric referral
Handicap occurred in 269/1387 (16.9%) of infants
Handicap by mode of delivery:
Elective CS: 100/482 (20.7%)
Planned vaginal delivery: 169/905 (18.7%)
There were no significant differences in the frequency of handicap by intended mode of deliveryCH2b
Krebs et al., 1999624345 infants with cerebral palsy born in East Denmark from 1979 and 1986
Total of 233,764 infants
Observational studyPresentationRates of cerebral palsy in term infants according to presentation at birth:CCS3
CPAllOR (95% CI)
Breech5.2%3.5%1.56 (0.9 to 2.4)
Vertex90.7%93.4%0.7 (0.5 to 1.0)
Other14%3.1%1.3 (0.7 to 2.2)
Milsom et al., 2002625225 deliveries at 37 weeks in 3 hospitals in Sweden from 1985 to 1991Observational studyBirth asphyxia defined as Apgar score < 7 at 5 minutesAssociation of breech delivery with birth asphyxia: OR (95% CI) 20.3 (3.0 to 416.5) (adjusted)CCS3

From: Evidence tables

Cover of Antenatal Care
Antenatal Care: Routine Care for the Healthy Pregnant Woman.
NICE Clinical Guidelines, No. 62.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2008 Mar.
Copyright © 2008, National Collaborating Centre for Women’s and Children’s Health.

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