{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T17:27:07Z","timestamp":1747675627537,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the long\u2010term respiratory morbidity of offspring born by cesarean delivery for breech presentation with that of those delivered vaginally.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based cohort analysis including all singleton breech deliveries between the years 1991 and 2014, comparing long\u2010term respiratory morbidity of offspring born in breech presentation, according to mode of delivery. Offspring with congenital malformations, perinatal deaths, and instrumental deliveries were excluded. Respiratory morbidity included hospitalizations (up to age 18\u2009years), as recorded in hospital records. A Kaplan\u2013Meier survival curve compared cumulative respiratory morbidity. A Weibull parametric survival model controlled for confounders and repeat deliveries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 7337 breech deliveries were included; 6376 (86.9%) cesarean deliveries and 961 (13.1%) vaginal breech deliveries. The Kaplan\u2013Meier survival curve demonstrated higher cumulative incidence of respiratory morbidity in the cesarean delivery group compared with vaginal delivery (log rank test <jats:italic>P<\/jats:italic>\u00a0=\u20090.006). Using a Weibull parametric survival model to control for confounders, cesarean delivery was found to be an independent risk factor for long\u2010term respiratory morbidity of the offspring (adjusted hazard ratio 1.87, 95% confidence interval 1.32\u20132.65, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cesarean versus vaginal delivery for breech presentation is an independent risk factor for long\u2010term pediatric respiratory morbidity of the offspring.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14570","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T07:08:50Z","timestamp":1668064130000},"page":"886-893","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Cesarean versus vaginal delivery for breech presentation is an independent risk factor for long\u2010term pediatric respiratory hospitalization 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Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gali","family":"Pariente","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Soroka University Medical Center, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniella","family":"Landau","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Soroka University Medical Center Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Sheiner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Soroka University Medical Center, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva 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