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dc.contributor.authorTurner, M J
dc.contributor.authorMaguire, P J
dc.date.accessioned2015-07-06T14:41:18Zen
dc.date.available2015-07-06T14:41:18Zen
dc.date.issued2015-03en
dc.identifier.citationVaginal breech delivery at term: the doctors' dilemma. 2015, 108 (3):69 Ir Med Jen
dc.identifier.issn0332-3102en
dc.identifier.pmid25876294en
dc.identifier.urihttp://hdl.handle.net/10147/559046en
dc.description.abstract"When an operation is once performed, nobody can ever prove that it was unnecessary". The Craze for Operations from The Doctorâ s Dilemma: Preface on Doctors by George Bernard Shaw, 1909*. Breech presentation complicates 3-4% of deliveries at term and it is associated with an increased risk of perinatal mortality and morbidity 1,2 . The increased fetal risks may be due to the hypoxia or trauma associated with a vaginal delivery, but this can be minimised if cases suitable for vaginal delivery are carefully selected and labour is supervised by experienced clinical staff 2,3 . The increased fetal risk may also be due to other causes, such as congenital malformations, which are independent of the mode of delivery. Before 2000, the elective caesarean section (CS) rate for breech presentation had been rising as obstetricians attempted to avoid the fetal risks associated with vaginal delivery.
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.rightsArchived with thanks to Irish medical journalen
dc.subjectCHILDBIRTHen
dc.subjectPREGNANCYen
dc.subject.meshBreech Presentationen
dc.subject.meshDelivery, Obstetricen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshOutcome Assessment (Health Care)en
dc.subject.meshPregnancyen
dc.subject.meshPregnancy Outcomeen
dc.subject.meshRandomized Controlled Trials as Topicen
dc.subject.meshTerm Birthen
dc.titleVaginal breech delivery at term: the doctors' dilemma.en
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
refterms.dateFOA2018-08-26T21:37:59Z
html.description.abstract"When an operation is once performed, nobody can ever prove that it was unnecessary". The Craze for Operations from The Doctorâ s Dilemma: Preface on Doctors by George Bernard Shaw, 1909*. Breech presentation complicates 3-4% of deliveries at term and it is associated with an increased risk of perinatal mortality and morbidity 1,2 . The increased fetal risks may be due to the hypoxia or trauma associated with a vaginal delivery, but this can be minimised if cases suitable for vaginal delivery are carefully selected and labour is supervised by experienced clinical staff 2,3 . The increased fetal risk may also be due to other causes, such as congenital malformations, which are independent of the mode of delivery. Before 2000, the elective caesarean section (CS) rate for breech presentation had been rising as obstetricians attempted to avoid the fetal risks associated with vaginal delivery.


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