To stimulate obstetric centers to start training in breech counseling and selection and performing vaginal breech deliveries. The different steps that were needed to roll out a breech program, are described: the "walking" epidural (PIEB protocol), the breech consultation with a structured counseling tool, and training of the whole team (gynecologis...
Published in Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
Objectif : De nos jours, dans le domaine de l’obstétrique, il est difficile d’acquérir les compétences cliniques nécessaires à la tenue d’un accouchement vaginal du siège (AVS) en toute sûreté. Des stratégies pédagogiques novatrices sont requises, puisque l’exposition des stagiaires en obstétrique à l’AVS demeure limitée. Cette étude avait pour obj...
Published in Acta obstetricia et gynecologica Scandinavica
The objective of this study was to examine the association between planned mode of delivery and neonatal outcomes in breech deliveries. In this retrospective cohort study we studied singleton term breech deliveries in Norway from 1991 to 2011 (n = 30 861) using the Medical Birth Registry of Norway. We compared planned vaginal delivery with planned ...
Published in Geburtshilfe und Frauenheilkunde
Einleitung: Die steigende Sectio-Rate wird weltweit diskutiert. Aufgrund der unklaren Datenlage scheint die Identifikation weiterer prädiktiver Faktoren, um die Indikation für eine Sectio zu stellen, sinnvoll und nötig, da diese eng mit mütterlicher und kindlicher Morbidität verbunden ist. In dieser Studie wird versucht, die Verlegungsrate auf die ...
Published in American Journal of Obstetrics and Gynecology
Objective: The results of a program of external version and selective trial of labor for term breech presentation are reviewed. This is a follow-up to our 1987 report describing management of singleton, term breech presentations and expands our 16-year experience to 1180 cases. Study design: All term breech presentations cared for in 1985 through 1...
Published in American Journal of Obstetrics and Gynecology
Objective: The purpose of this study was to decrease the rate of cesarean delivery for breech presentation through use of a protocol that calls for external cephalic version and selected vaginal delivery of the infant in breech position. Study Design: I offered external cephalic version to patients whose fetuses were in the breech position beyond 3...
