Skip to main content

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

From: Neonatal outcome in vaginal breech labor at 32 + 0—36 + 0 weeks of gestation: a nationwide, population-based record linkage study

  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)
  1. 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
  2. aAdjusted for maternal age, parity, BMI, smoking, diabetes, oligohydramnios, child’s sex, and birth weight < 10th percentile