{Reference Type}: Journal Article
{Title}: Routine maneuvers in eutocic breech vaginal delivery at term: A prospective cohort study.
{Author}: Touleimat S;Braund S;Delorme P;Diguet A;Goffinet F;Hennebert C;Verspyck E; ;
{Journal}: Int J Gynaecol Obstet
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jul 20
{Factor}: 4.447
{DOI}: 10.1002/ijgo.15767
{Abstract}: <B>OBJECTIVE: </B>To study neonatal and maternal outcomes associated with routine maneuvers in breech vaginal delivery at term.<BR><B>METHODS: </B>This was a secondary analysis of the multicenter PREMODA observational prospective study in France and Belgium. We included women with vaginal breech delivery, excluding those who underwent maneuvers to resolve a dystocic delivery. Maternal data and characteristics of labor, in addition to neonatal and maternal outcomes, were recorded. We defined two groups according to mode of delivery; breech vaginal delivery with or without routine maneuvers, and we compared the variables between the groups. To assess the factors associated with adverse perinatal outcomes, a multivariate logistic regression with adjustment for confounders was performed.<BR><B>RESULTS: </B>Of the 2502 women with planned vaginal deliveries, 1794 were delivered vaginally, 606 of whom were excluded from the study due to maneuvers performed for dystocia. A total of 25 other patients were excluded as a result of missing data. A total of 537 women were included in the routine maneuvers group and 626 women in the no maneuvers group. Adverse perinatal outcome was similar for the two groups (4.5% vs 5.0%, P = 0.65) and no neonatal deaths were reported. Third degree perineal tear and postpartum hemorrhage >1 L rates were comparable for the two groups. After adjustment, the factors associated with adverse perinatal outcomes were primiparity and birth weight <2500 g.<BR><B>CONCLUSIONS: </B>Routine maneuvers were not associated with an increase in neonatal morbidity in our population.