Climate Change Data Portal
| DOI | 10.3389/fmed.2023.1048628 |
| Term breech presentation vaginal births in Tibet: A retrospective analysis of 451 cases | |
| Long, Fang; Yan, Keqing; Guo, Dongxing; Zhaxi, Duoji; Xu, Xiaoguang; Sun, Zhigang; Xiao, Zhen | |
| 发表日期 | 2023 |
| EISSN | 2296-858X |
| 卷号 | 10 |
| 英文摘要 | BackgroundIn high altitude areas, like Tibet, most fetuses in breech presentation at term are delivered vaginally owing to a variety of reasons, but this has not been published. ObjectiveThis study aimed to provide references and evidence for the delivery of breach presentation term fetuses in high altitude areas, through comparing and analyzing the data of full-term singleton fetuses with breech or cephalic presentation in Naqu People's Hospital, Tibet. Study designWe retrospectively analyzed the clinical data of 451 breech presentation fetuses mentioned above over a period of 5 years (2016-2020). A total of 526 cephalic presentation fetuses' data within 3 months (1 June to 1 September 2020) of the same period were collected too. Statistics were compared and assembled on fetal mortality, Apgar scores, and severe neonatal complications for both planned cesarean section (CS) and vaginal delivery. In addition, we also analyzed the types of breech presentation, the second stage of labor, and damage to the maternal perineum during vaginal delivery. ResultsAmong the 451 cases of breech presentation fetuses, 22 cases (4.9%) elected for CS and 429 cases (95.1%) elected for vaginal delivery. Of the women who chose vaginal trial labor, 17 cases underwent emergency CSs. The perinatal and neonatal mortality rate was 4.2% in the planned vaginal delivery group and the incidence of severe neonatal complications was 11.7% in the transvaginal group, no deaths were detected in the CS group. Among the 526 cephalic control groups with planned vaginal delivery, the perinatal and neonatal mortality was 1.5% (p = 0.012), and the incidence of severe neonatal complications was 1.9%. Among vaginal breech deliveries, most of them were complete breech presentation (61.17%). Among the 364 cases, the proportion of intact perinea was 45.1%, and first degree lacerations accounted for 40.7%. ConclusionIn the Tibetan Plateau region, vaginal delivery was less safe than cephalic presentation fetuses for full-term breech presentation fetuses delivered in the lithotomy position. However, if dystocia or fetal distress can be identified in time and then encouraged to convert to cesarean, its safety will be greatly improved. |
| 关键词 | term breech birthTibetneonatal mortalityperineal lacerationstages of labor |
| 英文关键词 | PLANNED CESAREAN-SECTION; APGAR SCORES; DELIVERY; STILL |
| WOS研究方向 | Medicine, General & Internal |
| WOS记录号 | WOS:000979370500001 |
| 来源期刊 | FRONTIERS IN MEDICINE
 |
| 文献类型 | 期刊论文 |
| 条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/282553 |
| 作者单位 | Dalian Medical University; Dalian Medical University |
| 推荐引用方式 GB/T 7714 | Long, Fang,Yan, Keqing,Guo, Dongxing,et al. Term breech presentation vaginal births in Tibet: A retrospective analysis of 451 cases[J],2023,10. |
| APA | Long, Fang.,Yan, Keqing.,Guo, Dongxing.,Zhaxi, Duoji.,Xu, Xiaoguang.,...&Xiao, Zhen.(2023).Term breech presentation vaginal births in Tibet: A retrospective analysis of 451 cases.FRONTIERS IN MEDICINE,10. |
| MLA | Long, Fang,et al."Term breech presentation vaginal births in Tibet: A retrospective analysis of 451 cases".FRONTIERS IN MEDICINE 10(2023). |
| 条目包含的文件 | 条目无相关文件。 | |||||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
