[Obstetrical prognosis of breech presentations with premature rupture of membranes at term].
Fiche publication
Date publication
mai 2015
Auteurs
Membres identifiés du Cancéropôle Est :
Pr RAMANAH Rajeev
Tous les auteurs :
Cattin J, Roesch M, Bourtembourg A, Maillet R, Ramanah R, Riethmuller D
Lien Pubmed
Résumé
OBJECTIVES: Breech delivery is still a controversial situation in literature. Added complexity exists when breech presentations are associated with premature rupture of membranes (PROM) as such cases are conventionally excluded in studies dealing with PROM and are often indications for elective caesarean section. Thus, the objective of this study was to evaluate the obstetrical prognosis of breech presentations after PROM at term. MATERIALS AND METHODS: We conducted a retrospective observational study at the Besancon University Medical Centre, between 1st January 2008 and 31th December 2012. Two groups of patients with breech presentations at term were constituted according to the existence or not of a PROM. The primary endpoint was the delivery mode: caesarean section or vaginal. Other endpoints were maternal characteristics, type of onset of labour and neonatal criterias. RESULTS: Two hundred and nine patients were included. In the control group, 67.9 % of vaginal deliveries occurred versus 60 % in the group with PROM (P=0.25). No difference was found on neonatal criterias such as pH, lactate and the Apgar score at 5 minutes. CONCLUSION: PROM at term in breech presentation doesn't seem to change the obstetrical prognosis and should therefore not be a systematic indication for elective caesarean section.
Référence
J Gynecol Obstet Biol Reprod (Paris). 2015 May 12. pii: S0368-2315(15)00121-0