Effects of previous preterm caesarean breech birth on the fo
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The following birth after the previous cesarean preterm breech section is associated with a higher rate of uterine rupture and with a higher rate of neonatal admission to the neonatal intensive care unit and more often an arterial umbilical cord pH below seven regardless of the mode of the following delivery.

The objective of this study was to determine whether there is an association between preterm cesarean breech delivery in the first pregnancy and maternal and neonatal morbidity in the subsequent pregnancy and delivery.

Researchers identified singleton preterm breech birth (n?=?1259) and constructed a data set of the first two deliveries for these women. They compared outcomes of the following pregnancy and delivery among women with a previous preterm cesarean breech section with the outcomes of women with one previous vaginal preterm breech birth.

--Neonates of women with a previous cesarean preterm breech delivery had an increased risk for arterial umbilical cord pH below seven and a higher rate of neonatal ICU admission.

--The women with a previous cesarean section had a higher rate of uterine rupture. They were also more likely in the subsequent pregnancy to have a planned cesarean section, an emergency cesarean section, or an instrumental vaginal delivery.

The results must be considered when counseling patients regarding their first preterm breech delivery, as the selected method of delivery also affects the outcomes of subsequent pregnancies and deliveries.

Journal of Obstetrics and Gynaecology
Source: https://doi.org/10.1080/01443615.2021.1871888
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