Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery
Objective: The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery. Materials and Methods: A retrospect...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=24;epage=29;aulast=Fajar |
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| _version_ | 1850173581718192128 |
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| author | Jonny Karunia Fajar Mohd Andalas Harapan Harapan |
| author_facet | Jonny Karunia Fajar Mohd Andalas Harapan Harapan |
| author_sort | Jonny Karunia Fajar |
| collection | DOAJ |
| description | Objective: The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery. Materials and Methods: A retrospective study was conducted at Dr. Zainoel Abidin General Hospital from January 2010 to December 2012. Data on the mode of delivery and Apgar scores at 1 and 5 min for infants with a BP were extracted from the medical records. Logistic regression was employed to assess the correlation between mode of delivery and Apgar scores. In addition, a meta-analysis was conducted to summarize findings from other regions. Results: A total of 205 (3.9%) BPs among 5252 deliveries between January 2010 and December 2012 were analyzed for this study. There were 26% (52 cases) vaginal and 74% (153 cases) cesarean deliveries. The mode of delivery for BP had a significant association with Apgar score at 1 min (odds ratio [OR] 95% confidence interval [CI] = 6.462 [2.476–16.870], P = 0.0001) and 5 min (OR 95% CI =7.727 [1.416–42.175], P = 0.018). Our meta-analysis showed that the delivery mode had a significant association with Apgar score in BP (OR: 3.69; 95% CI: 2.18–6.26, P = 0.0001). Conclusions: There was a significant association between Apgar scores in BPs and mode of delivery. Our results suggest better outcomes for cesarean than vaginal delivery in BPs. |
| format | Article |
| id | doaj-art-cb46440ba6b949d09c65139960eef0c6 |
| institution | OA Journals |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-cb46440ba6b949d09c65139960eef0c62025-08-20T02:19:48ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562017-01-01291242910.4103/tcmj.tcmj_5_17Comparison of Apgar scores in breech presentations between vaginal and cesarean deliveryJonny Karunia FajarMohd AndalasHarapan HarapanObjective: The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery. Materials and Methods: A retrospective study was conducted at Dr. Zainoel Abidin General Hospital from January 2010 to December 2012. Data on the mode of delivery and Apgar scores at 1 and 5 min for infants with a BP were extracted from the medical records. Logistic regression was employed to assess the correlation between mode of delivery and Apgar scores. In addition, a meta-analysis was conducted to summarize findings from other regions. Results: A total of 205 (3.9%) BPs among 5252 deliveries between January 2010 and December 2012 were analyzed for this study. There were 26% (52 cases) vaginal and 74% (153 cases) cesarean deliveries. The mode of delivery for BP had a significant association with Apgar score at 1 min (odds ratio [OR] 95% confidence interval [CI] = 6.462 [2.476–16.870], P = 0.0001) and 5 min (OR 95% CI =7.727 [1.416–42.175], P = 0.018). Our meta-analysis showed that the delivery mode had a significant association with Apgar score in BP (OR: 3.69; 95% CI: 2.18–6.26, P = 0.0001). Conclusions: There was a significant association between Apgar scores in BPs and mode of delivery. Our results suggest better outcomes for cesarean than vaginal delivery in BPs.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=24;epage=29;aulast=FajarApgar scoreBreech presentationCesarean deliveryVaginal delivery |
| spellingShingle | Jonny Karunia Fajar Mohd Andalas Harapan Harapan Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery Tzu Chi Medical Journal Apgar score Breech presentation Cesarean delivery Vaginal delivery |
| title | Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery |
| title_full | Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery |
| title_fullStr | Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery |
| title_full_unstemmed | Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery |
| title_short | Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery |
| title_sort | comparison of apgar scores in breech presentations between vaginal and cesarean delivery |
| topic | Apgar score Breech presentation Cesarean delivery Vaginal delivery |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=24;epage=29;aulast=Fajar |
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