RT Journal Article
T1 Maternal and fetal risks of planned vaginal breech delivery vs planned caesarean section for term breech birth: A systematic review and meta-analysis
A1 Fernández Carrasco, Francisco Javier
A1 Cristóbal Cañadas, Delia
A1 Gómez Salgado, Juan
A1 Vázquez Lara, Juana María
A1 Rodríguez Díaz, Luciano
A1 Parrón Carreño, Tesifón
AB Background Breech presentation delivery approach is a controversial issue in obstetrics. How to cope with breech delivery (vaginal or C-section) has been discussed to find the safest in terms of morbid-ity. The aim of this study was to assess the risks of foetal and maternal mortality and perinatal morbidity associated with vaginal deliv-ery against elective caesarean in breech presentations, as reported in observational studies. Methods Studies assessing perinatal morbidity and mortality asso-ciated with breech presentations births. Cochrane, Medline, Scopus, Embase, Web of Science, and Cuiden databases were consulted. This protocol was registered in PROSPERO CRD42020197598. Selection criteria were: years between 2010 and 2020, in English language, and full-term gestation (37-42 weeks). The methodological quality of the eligible articles was assessed according to the Newcastle -Ottawa scale. Meta-analyses were performed to study each parameter related to neonatal mortality and maternal morbidity. Results The meta-analysis included 94 285 births with breech presentation. The relative risk of perinatal mortality was 5.48 (95% confidence interval (CI) = 2.61-11.51) times higher in the vaginal delivery group, 4.12 (95% CI = 2.46-6.89) for birth trauma and 3.33 (95% CI = 1.95-5.67) for Apgar results. Maternal morbidity showed a relative risk 0.30 (95% CI = 0.13-0.67) times higher in the planned caesarean group. Conclusions An increment in the risk of perinatal mortality, birth trauma, and Apgar lower than 7 was identified in planned vaginal delivery. However, the risk of severe maternal morbidity because of complications of a planned caesarean was slightly higher.
PB International Global Health Society
SN 2047-2978
SN 2047-2986 (electrónico)
YR 2022
FD 2022
LK https://hdl.handle.net/10272/22002
UL https://hdl.handle.net/10272/22002
LA eng
NO Fernández-Carrasco, F. J., Cristóbal-Cañadas, D., Gómez-Salgado, J., Vázquez-Lara, J. M., Rodríguez-Díaz, L., & Parrón-Carreño, T. (2022). Maternal and fetal risks of planned vaginal breech delivery vs planned caesarean section for term breech birth: A systematic review and meta-analysis. In Journal of Global Health (Vol. 12). International Global Health Society. https://doi.org/10.7189/jogh.12.04055
DS Repositorio Institucional de la Universidad de Huelva
RD 30 may 2026