{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T08:13:39Z","timestamp":1771316019207,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This large cohort study investigates the impact of premature rupture of membranes (PROM) on maternal and neonatal outcomes in breech deliveries. The aim is to contribute to a better understanding of vaginal breech delivery and its possible risk factors and to facilitate more informed decision\u2010making within the counseling process. This study compares perinatal outcomes in vaginally planned breech deliveries with and without PROM at term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 2876 women with singleton breech presentation between 2007 and 2023 were included on this prospective cohort registry study. Among 1920 with intended vaginal delivery, 642 experienced PROM, while 1278 had spontaneous rupture of membranes (SROM). Of the women with PROM, 397 completed vaginal delivery, while the remainder underwent cesarean section after the onset of labor or after a PROM. Maternal and fetal outcome parameters were compared between groups using Pearson's\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2010test, the Kruskal\u2013Wallis test, and multivariate regression analysis with Spearman's\n                      <jats:italic>\u03c1<\/jats:italic>\n                      correlation while a significance level of\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05 applied.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No differences in maternal and fetal outcome were observed regarding the timing of membrane rupture in vaginally planned or completed breech deliveries at term. Fetal outcome parameters, including those measured by the modified PREMODA score, showed no significant difference in relation to intended vaginal breech delivery with PROM (PROM: 2.2%, SROM: 1.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.212). None of the maternal outcome parameters showed a significant difference between the two groups. A significant association was found between an increased maternal body mass index and the prevalence of PROM in breech presentation (PROM: 23.5\u2009\u00b1\u20094.2\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , SROM: 22.9\u2009\u00b1\u20093.7\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007). There was an increased rate of epidural anesthesia in the PROM group compared to the SROM group (PROM: 307 [57.6%], SROM: 661 [51.7%],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.014).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study supports the proposition that PROM has little to no impact on the fetal and maternal outcome of breech deliveries. With appropriate expertise, based on these data, PROM cannot be considered a risk factor for adverse outcome in vaginal breech delivery. It should be noted that women delivering vaginally with a breech presentation and PROM at term might have a higher need for epidural anesthesia. Clinical management of cases with PROM can follow that of pregnancies with cephalic presentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70391","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T13:29:50Z","timestamp":1753277390000},"page":"630-638","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of premature rupture of membranes on the peripartum outcomes in vaginally intended breech deliveries at\u00a0term: A\n                    <scp>FRABAT<\/scp>\n                    study"],"prefix":"10.1002","volume":"172","author":[{"given":"Emmy","family":"Rasch","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Perinatal Medicine University Hospital, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Elisabeth","family":"Hentrich","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Perinatal Medicine University Hospital, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Kristina","family":"K\u00e4mpf","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Perinatal Medicine University Hospital, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Deuster","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Perinatal Medicine University Hospital, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samira Catharina","family":"Hoock","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Perinatal Medicine University Hospital, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Louwen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Perinatal Medicine University Hospital, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6919-9394","authenticated-orcid":false,"given":"Lukas","family":"Jennewein","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Perinatal Medicine University Hospital, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,23]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Deutsche Gesellschaft f\u00fcr Gyn\u00e4kologie und Geburtshilfe (DGGG) \u00d6. G. f\u00fcr G. und G. (OEGGG) S. G. f\u00fcr G. und G. (SGGG).Sectio Caesarea\u2014S3 Guideline.2020https:\/\/register.awmf.org\/assets\/guidelines\/015\u2010084l_S3_Sectio\u2010caesarea_2020\u201006_1_02.pdf"},{"key":"e_1_2_9_3_1","unstructured":"Deutsche Gesellschaft f\u00fcr Gyn\u00e4kologie und Geburtshilfe e.V. deutsche G. f\u00fcr H.Vaginal Birth at Term\u2014S3 Guideline.2020.https:\/\/register.awmf.org\/assets\/guidelines\/015\u2010083l_S3_Vaginale\u2010Geburt\u2010am\u2010Termin_2021\u201003.pdf"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0225546"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgyn.2015.04.008"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.817"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00349.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0202760"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.03.031"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005302.pub3"},{"key":"e_1_2_9_12_1","unstructured":"RANZCOG.Term Prelabour Rupture of Membranes (Term PROM)\u2014clinical guidance statement.https:\/\/ranzcog.edu.au\/wp\u2010content\/uploads\/2022\/05\/Term\u2010Prelabour\u2010Rupture\u2010of\u2010Membranes\u2010Term\u2010PROM.pdf2021."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaceta.2021.07.028"},{"key":"e_1_2_9_14_1","first-page":"1827","article-title":"The influence of elective amniotomy on fetal heart rate patterns and the course of labor in term patients: a randomized study","volume":"168","author":"Garite TJ","year":"1993","journal-title":"Pacific Coast Obstet Gynecol Soc"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0146-0005(96)80003-6"},{"key":"e_1_2_9_16_1","unstructured":"Royal College of Obstetricians & Gynaecologists.Umbilical Cord Prolapse Green\u2010Top Guideline No. 50.https:\/\/www.rcog.org.uk\/media\/3wykswng\/gtg\u201050\u2010umbilicalcordprolapse\u20102014.pdf2014."},{"key":"e_1_2_9_17_1","first-page":"e80","article-title":"Prelabor rupture of membranes","volume":"217","author":"ACOG Practice Bulletin","year":"2020","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_18_1","first-page":"e151","article-title":"Management of Breech Presentation: green\u2010top guideline No. 20b","volume":"124","author":"Impey LWM","year":"2017","journal-title":"BJOG"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12033"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.05.041"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1938-3"},{"key":"e_1_2_9_22_1","unstructured":"ArtusS.Obesity in Pregnancy; BIRGIT SEELBACH\u2010G\u00d6BEL.2019."},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21113776"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-024-07403-7"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12286"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-023-07244-w"},{"key":"e_1_2_9_27_1","unstructured":"KonopkaCK GlanznerWG RigoML et\u00a0al.Responsivity to PGE2 labor induction involves concomitant differential prostaglandin E receptor gene expression in cervix and myometrium."},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2020.12.012"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.orcp.2021.10.005"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70391","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70391","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:39:17Z","timestamp":1771313957000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,23]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ijgo.70391"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70391","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,23]]},"assertion":[{"value":"2025-05-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}