Responses

Download PDFPDF

Is vaginal breech delivery associated with higher risk for perinatal death and cerebral palsy compared with vaginal cephalic birth? Registry-based cohort study in Norway
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Revisiting criteria for safe term breech delivery
    • Lionel Carbillon, Obstetrician Gynecologist Assistance Publique - Hopitaux de Paris
    • Other Contributors:
      • Fatma Belmaghni, Obstetrician Gynecologist
      • Ingrid Wigniolle, Obstetrician Gynecologist

    We read with great interest the population-based study of Bjellmo et al1, who evaluated from the Norwegian Medical Birth Registry from years 1999-2009 the risk for stillbirth, neonatal mortality (NNM) and cerebral palsy in children born vaginally at term in breech position, as compared with the children born vaginally in cephalic position. Indeed, thanks to this way to address the crucial question of the over risk associated with breech presentation, these authors demonstrated that children in breech had a nearly threefold increased Odds Ratio (OR) for NNM compared with children born vaginally in cephalic, regardless of whether they were born vaginally or by caesarean delivery.
    Moreover, Bjellmo et al1 also found a higher proportion of infants born small-for-gestational-age (SGA) among children born in breech than in cephalic position, and suggested that SGA foetuses (with their risk factors for adverse outcomes) are more likely to present in breech than in cephalic posi¬tion at birth.
    In line with these findings, in a recent Finnish population-based case-control study, Macharey et al2 , who revisited the risk factors associated with adverse perinatal outcome in planned vaginal breech labours at term, found that the stillbirth rate was significantly higher compared to cephalic presentation (0.2 vs 0.1%) in association with SGA, oligohydramnios, and gestational diabetes. Furthermore this same group, in another recent survey from the same cohort of mother-neonate...

    Show More
    Conflict of Interest:
    None declared.