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Table 2 Characteristics of case and control in-hospital deliveries included in the study and where contractions and a vaginal delivery had started (i.e. those not performed as planned CD)

From: Adherence to guidelines and suboptimal practice in term breech delivery with perinatal death- a population-based case-control study in Norway

Vaginal or emergency caesarean delivery (ECD)

Case N = 16

(%) (100)

Control N = 23

(%) (100)

 Undiagnosed before birth

  Yes

5

(31)

7

(30)

  No

11

(69)

16

(70)

 Mode of delivery

  Vaginal

10

(63)

14

(61)

  ECD

6

(37)

9

(39)

 Ultrasonography

  Yes

15

(94)

22

(96)

  No

1a

(6)

1a

(4)

 Type of breech (assessed with ultrasound)

  Frank breech

5

(31)

8

(35)

  Complete breech

2

(13)

3

(13)

  Footling

0

(0)

1

(4)

  Not documented b

9

(56)

11

(48)

 Pelvimetryc

  Yes

10

(63)

11

(48)

  No

6

(37)

12

(52)

 Obstetrician present

  Yes

16

(100)

23

(100)

  No

0

(0)

0

(0)

 Pediatrician present

  Yes

14

(88)

14

(61)

  No

2d

(12)

4d

(17)

  Not documented

0

(0)

5

(22)

 Fetal heart monitoring

  External

7

(44)

12

(52)

  Internal

8

(50)

11

(48)

  Not done

1e

(6)

0

(0)

Vaginal delivery

Case N = 10

(%) (100)

Control N = 14

(%) (100)

 Anesthesia

  Epidural

8

(80)

11

(79)

  No

2f

(20)

3f

(21)

 Episiotomy (recommended in nullipara)

  Yes

8

(80)

10

(71)

  No

2g

(20)

4h

(29)

 Piper forceps

  Yes

7

(70)

5

(36)

  No

3

(30)

9

(64)

 Breech extraction

  Yes

2

(20)

1

(7)

  No

8i

(80)

13i

(93)

  1. aUndiagnosed breech discovered late in birth (at 9-10 cm) where the child was delivered shortly after
  2. bNot documented in the medical record
  3. cPelvimetry is not prerequisite for vaginal delivery according to the guidelines
  4. dAccording to current guidelines a pediatrician should be present at term breech vaginal delivery, but this was not required at the time of these six deliveries
  5. eCord prolapse at 10 cm
  6. fBreech position diagnosed late in labour - born before epidural could be applied
  7. gBoth multiparas – episiotomy not a prerequisite in multiparas
  8. h3 multiparas and one nullipara
  9. iAll births were assisted vaginal breech deliveries. (i.e. Løvset’s manoeuvre, Veit-Smellie-Mauriceau' manoeuvre or others)