Trial and error − Outcome of breech presentation depending on birth mode and root cause analysis of severe adverse events

Anika Nothelfer; Thomas W. P. Friedl; Davut Dayan; Franziska Beer; Wolfgang Janni; Frank Reister; Katrina Kraft; Beate Huener

doi:10.1016/j.ejogrb.2024.06.034

June 27, 2024European Journal of Obstetrics & Gynecology and Reproductive BiologyOpen Access

Trial and error − Outcome of breech presentation depending on birth mode and root cause analysis of severe adverse events

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Key Points

Elective caesarean section demonstrates favorable fetal outcomes compared to vaginal breech birth, but risks tied to attempting vaginal delivery warrant systematic examination.
Assessment of delivery modes identifies clinical factors promoting successful vaginal breech birth, while highlighting recurrent management errors during term labor care.
Root cause analysis provides structured insight into severe adverse events, supporting targeted safety protocols to optimize outcomes during planned breech deliveries.

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Implication

Observational study evaluates fetal outcomes by birth mode in term breech presentation, highlighting factors that support successful vaginal delivery.

Abstract

The debate about the safest birth mode for breech presentation at term remains unresolved. The comparison of a vaginal breech birth (VBB) with an elective caesarean section (CS) regarding fetal outcomes favors the CS. However, the question of whether attempting a VBB is associated with poorer fetal outcomes is examined in this study. Additionally, the study evaluates factors contributing to a successful VBB and illustrates possible errors in VBB management.

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Cite This Study

Nothelfer et al. (2024) studied this question.

synapsesocial.com/papers/68e63003b6db6435875c1ec6 https://doi.org/10.1016/j.ejogrb.2024.06.034

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Trial and error − Outcome of breech presentation depending on birth mode and root cause analysis of severe adverse events

Key Points

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Implication

Abstract

Discussion

Cite This Study

Trial and error − Outcome of breech presentation depending on birth mode and root cause analysis of severe adverse events

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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