Table 2.
The short-term adverse outcomes of vaginal breech deliveries and non-urgent cesarean sections at 32 + 0—36 + 6 gestational weeks 2004–2017 in Finland
|
Vaginal breech labor n / % 535 / 100% |
Non-urgent cesarean section n / % 227 / 100% |
P-value |
Adjusted ORa (95% confidence interval) |
|
|---|---|---|---|---|
| Neonatal death 0–27 days | 1 / 0.2% | 0 / 0.0% | 0,515 | |
|
Arterial umbilical pH < 7 |
6 / 1.1% | 0 / 0.0% | 0,109 | |
| 5 min Apgar < 4 | 7 / 1.3% | 1 / 0.4% | 0,282 |
2.77 (0.30—25.58) |
| 5 min Apgar < 7 | 41 / 7.7% | 8 / 3.5% | 0,033 |
2.48 (1.08—5.59) |
| Intubation | 15 / 2.8% | 5 / 2.2% | 0,635 |
1.24 (0.38—6.06) |
| Antibiotics newborn | 111 / 20.7% | 68 / 30.0% | 0,006 |
0.60 (0.40—0.89) |
| Neonatal NICU admission | 265 / 49.5% | 162 / 71.4% | < 0,001 |
0.47 (0.33—0.68) |
|
Severe adverse outcome (arterial umbilical pH < 7, 5 min Apgar < 4, neonatal death 0-27d) |
14 / 2.6% | 1 / 0.4% | 0,048 |
7.11 (0.83—60.79) |
| Birth trauma | 8 / 1.5% | 0 / 0.0% | 0,064 | |
| RDS | 63 / 11.8% | 62 / 27.3% | < 0,001 |
0.30 (0.19—0.48) |
| Neonatal convulsions | 1 / 0.2% | 0 / 0.0% | 0,515 | |
| Cerebral ischemia | 0 / 0% | 0 / 0% | ||
| HIE | 0 / 0% | 0 / 0% | ||
| Congenital hypotonia | 0 / 0% | 0 / 0% | ||
| Any dg of IVH, RDS, neonatal convulsions, cerebral ischemia, or HIE | 63 / 11.8% | 62 / 27.3% | < 0,001 |
0.30 (0.19—0.48) |
OR Odds Ratio, NICU Neonatal Intensive Care Unit, RDS Respiratory Distress Syndrome, HIE Hypoxic-Ischemic Encephalopathy, dg diagnose, IVH Intraventricular Hemorrhage due to birth injury
aAdjusted for maternal age, parity, BMI, smoking, diabetes, oligohydramnios, child’s sex, and birth weight < 10th percentile