Can labor with breech presentation be induced?

G. Fait, Y. Daniel, J. B. Lessing, A. Bar-Am, I. Gull, M. Shenhav, Michael J. Kupferminc*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Our objective was to evaluate the efficacy and safety of labor induction in women with a breech presentation, and an unripe cervix. We conducted a retrospective, matched-paired study on patients with breech presentation and an unripe cervix (n = 23), who underwent induction of labor using extra-amniotic saline instillation. The women were compared to three matched control groups: 46 women with vertex presentation and an unripe cervix, whose labor was induced by the same method, 23 with breech presentation who underwent a vaginal trial of labor, and 23 women with breech presentation who underwent a cesarean section without a trial of labor. In the study group, 12 women (52.2%) delivered vaginally. Rates of Apgar score, birth trauma, and maternal morbidity were similar in all groups. Induction of labor in patients with a breech presentation and an unripe cervix may be attempted in selected cases as it seems to be efficacious (vaginal delivery rate of 52.2%) and safe for both fetus and mother.

Original languageEnglish
Pages (from-to)181-186
Number of pages6
JournalGynecologic and Obstetric Investigation
Volume46
Issue number3
DOIs
StatePublished - 1998

Keywords

  • Breech presentation
  • Induction of labor

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