{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:47:03Z","timestamp":1777870023763,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"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; Obste"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine maternal and neonatal outcomes in women aged 35\u2009years and older compared with those under 35\u2009years following planned vaginal breech deliveries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study encompassed all vaginally intended breech deliveries at the Department of Obstetrics and Perinatal Medicine at Goethe University Hospital in Frankfurt from January 2004 to December 2023 (Frankfurt Breech at Term Cohort). Neonatal and maternal outcomes were compared by dividing the women into two groups and analyzing differences between groups using multivariate nominal regression adjusted for parity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No difference in perinatal morbidity (measured with a modified PREMODA score) was observed for women with advanced age (35\u2009years and older) (odds ratio [OR] 1.50, 95% confidence interval [CI] 0.74\u20133.02,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.257) in vaginally intended deliveries. We found a significant association with advanced maternal age and cesarean section (OR 1.50, 95% CI 1.21\u20131.86,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Analysis of vaginally completed deliveries showed higher odds of postpartum hemorrhage (OR 1.50, 95% CI 1.19\u20135.25,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.015).\n                    <\/jats:p>\n                    <jats:p>[Correction added on 20 December 2025 after first online publication: The preceding paragraph was corrected.]<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Maternal age of 35\u2009years or older is not linked to higher perinatal morbidity following vaginally attempted breech delivery. Nonetheless, a detailed consultation before delivery remains essential, particularly when pre\u2010existing health conditions are present.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Deutsches Register klinischer Studien<\/jats:title>\n                    <jats:p>\n                      DRKS00025030 (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/drks.de\/search\/de\/trial\/DRKS00025030\/details\">https:\/\/drks.de\/search\/de\/trial\/DRKS00025030\/details<\/jats:ext-link>\n                      )\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70689","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T11:13:36Z","timestamp":1763982816000},"page":"889-896","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of advanced maternal age (\u226535\u2009years) on maternal and neonatal outcomes in vaginally intended breech deliveries at term\u2014A\n                    <scp>FRABAT<\/scp>\n                    study"],"prefix":"10.1002","volume":"173","author":[{"given":"Bilal","family":"Alemi","sequence":"first","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatjana","family":"Nobs","sequence":"additional","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samira Catharina","family":"Hoock","sequence":"additional","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Deuster","sequence":"additional","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Elisabeth","family":"Hentrich","sequence":"additional","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Kristina","family":"K\u00e4mpf","sequence":"additional","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wiebke","family":"Schaarschmidt","sequence":"additional","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Louwen","sequence":"additional","affiliation":[{"name":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, 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":"\u201cFrankfurt Breech at Term (FRABAT) Collective\u201d, Department of Obstetrics and Perinatal Medicine University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"ACOG COMMITTEE OPINION Number 745 Committee on Obstetric Practice. [cited 2025 Jan 5];http:\/\/www.utoronto.ca\/"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14465"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2018.12.018"},{"key":"e_1_2_10_5_1","unstructured":"Ranzcog.Management of breech presentation."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12659"},{"issue":"3","key":"e_1_2_10_7_1","first-page":"282","article-title":"Rates of chromosome abnormalities at different maternal ages","volume":"58","author":"Hook EB","year":"1981","journal-title":"Obstet Gynecol"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.070150"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0186287"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.13256"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000158118.75532.51"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-019-05385-5"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06349-7"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0202760"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-023-07244-w"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0225546"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.817"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12033"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2021.102165"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2018.09.033"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2020.06.006"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.20344\/amp.11057"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8860"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-024-07678-w"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1285897"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.807240"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.13.04161"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-009-1063-7"},{"issue":"2","key":"e_1_2_10_30_1","article-title":"Selective versus routine use of episiotomy for vaginal birth","volume":"2","author":"Jiang H","year":"2017","journal-title":"Cochrane Database Syst Rev [Internet]"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-024-07403-7"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11113201"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10153252"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)31077-5"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004873"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14100"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00409.x"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70689","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70689","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:13:12Z","timestamp":1777561992000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":36,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ijgo.70689"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70689","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,24]]},"assertion":[{"value":"2025-05-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}