Cargando…
Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study
Background: Vaginal breech delivery is becoming an extinct art although national guidelines underline its safety and vaginal breech delivery in an upright position has been shown to be a safe birth mode option. In order to spread clinical knowledge and be able to implement vaginal breech delivery in...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153626/ https://www.ncbi.nlm.nih.gov/pubmed/34068873 http://dx.doi.org/10.3390/jcm10102117 |
_version_ | 1783698841829113856 |
---|---|
author | Jennewein, Lukas Brüggmann, Dörthe Fischer, Kyra Raimann, Florian J. Pfeifenberger, Hemma Roswitha Agel, Lena Zander, Nadja Eichbaum, Christine Louwen, Frank |
author_facet | Jennewein, Lukas Brüggmann, Dörthe Fischer, Kyra Raimann, Florian J. Pfeifenberger, Hemma Roswitha Agel, Lena Zander, Nadja Eichbaum, Christine Louwen, Frank |
author_sort | Jennewein, Lukas |
collection | PubMed |
description | Background: Vaginal breech delivery is becoming an extinct art although national guidelines underline its safety and vaginal breech delivery in an upright position has been shown to be a safe birth mode option. In order to spread clinical knowledge and be able to implement vaginal breech delivery into obstetricians’ daily practice, we need to gather knowledge from facilities who teach specialized obstetrical management. Methods: We performed a prospective cohort study on 140 vaginal deliveries out of breech presentation solely-managed by seven newly-trained physicians and compared fetal outcome as well as rates of manual assistance in respect to preexisting experience. Results: Fetal morbidity rate measured with a modified PREMODA score was not significantly different in three sub-cohorts sorted by preexisting expertise levels of managing obstetricians (experience groups EG, EG0: 2, 5%; EG1: 3, 7.5%; EG2: 1, 1.7%; p = 0.357). Manual assistance rate was significantly higher in EG1 (low experience level in breech delivery and only in dorsal position) compared to EG0 and EG2 (EG1 28, 70%; EG0: 14, 25%; EG2: 21, 35%; p = 0.0008). Conclusions: Our study shows that vaginal breech delivery with newly-trained obstetricians is a safe option whether or not they have advanced preexisting expertise in breech delivery. These data should encourage implementing vaginal breech delivery in clinical routine. |
format | Online Article Text |
id | pubmed-8153626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81536262021-05-27 Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study Jennewein, Lukas Brüggmann, Dörthe Fischer, Kyra Raimann, Florian J. Pfeifenberger, Hemma Roswitha Agel, Lena Zander, Nadja Eichbaum, Christine Louwen, Frank J Clin Med Article Background: Vaginal breech delivery is becoming an extinct art although national guidelines underline its safety and vaginal breech delivery in an upright position has been shown to be a safe birth mode option. In order to spread clinical knowledge and be able to implement vaginal breech delivery into obstetricians’ daily practice, we need to gather knowledge from facilities who teach specialized obstetrical management. Methods: We performed a prospective cohort study on 140 vaginal deliveries out of breech presentation solely-managed by seven newly-trained physicians and compared fetal outcome as well as rates of manual assistance in respect to preexisting experience. Results: Fetal morbidity rate measured with a modified PREMODA score was not significantly different in three sub-cohorts sorted by preexisting expertise levels of managing obstetricians (experience groups EG, EG0: 2, 5%; EG1: 3, 7.5%; EG2: 1, 1.7%; p = 0.357). Manual assistance rate was significantly higher in EG1 (low experience level in breech delivery and only in dorsal position) compared to EG0 and EG2 (EG1 28, 70%; EG0: 14, 25%; EG2: 21, 35%; p = 0.0008). Conclusions: Our study shows that vaginal breech delivery with newly-trained obstetricians is a safe option whether or not they have advanced preexisting expertise in breech delivery. These data should encourage implementing vaginal breech delivery in clinical routine. MDPI 2021-05-14 /pmc/articles/PMC8153626/ /pubmed/34068873 http://dx.doi.org/10.3390/jcm10102117 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Jennewein, Lukas Brüggmann, Dörthe Fischer, Kyra Raimann, Florian J. Pfeifenberger, Hemma Roswitha Agel, Lena Zander, Nadja Eichbaum, Christine Louwen, Frank Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study |
title | Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study |
title_full | Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study |
title_fullStr | Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study |
title_full_unstemmed | Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study |
title_short | Learning Breech Birth in an Upright Position Is Influenced by Preexisting Experience—A FRABAT Prospective Cohort Study |
title_sort | learning breech birth in an upright position is influenced by preexisting experience—a frabat prospective cohort study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153626/ https://www.ncbi.nlm.nih.gov/pubmed/34068873 http://dx.doi.org/10.3390/jcm10102117 |
work_keys_str_mv | AT jenneweinlukas learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT bruggmanndorthe learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT fischerkyra learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT raimannflorianj learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT pfeifenbergerhemmaroswitha learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT agellena learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT zandernadja learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT eichbaumchristine learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy AT louwenfrank learningbreechbirthinanuprightpositionisinfluencedbypreexistingexperienceafrabatprospectivecohortstudy |