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A group of 128 women for whom vaginal delivery was planned was compared with a group of 122 women who had an elective cesarean delivery with regard to neonatal mortality and morbidity (birth trauma, birth asphyxia, hyperbilirubinemia, and duration of stay in the neonatal intensive care unit) and maternal morbidity (infections, hemorrhage, hysterectomy, deep venous thrombosis, and pulmonary embolism). <jats:italic>Results<\/jats:italic>: There was no difference in neonatal mortality and morbidity between the two groups (13.0% vs. 9.4%). There were fewer maternal complications in the planned vaginal group than in the elective cesarean group (5.5% vs. 18%; <jats:italic>P<\/jats:italic>&lt;0.01). In the planned vaginal delivery group 70% of multiparas and 85% of grandmultiparas were delivered vaginally compared with 50% of nulliparas. <jats:italic>Conclusions<\/jats:italic>: In breech presentations at term vaginal delivery can be achieved in 85% of grandmultiparas without significant neonatal morbidity. Elective cesarean section is associated with increased maternal morbidity compared with planned vaginal delivery.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2003.11.017","type":"journal-article","created":{"date-parts":[[2004,4,23]],"date-time":"2004-04-23T09:53:24Z","timestamp":1082714004000},"page":"234-239","source":"Crossref","is-referenced-by-count":14,"title":["Mode of delivery for breech presentation in grandmultiparous women"],"prefix":"10.1002","volume":"85","author":[{"given":"A.S.","family":"Kumari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Grundsell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,4,21]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1982.tb05049.x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00177-4"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7044.1451"},{"key":"e_1_2_5_5_2","first-page":"1","article-title":"Births: final data for 1999","volume":"49","author":"Ventura S.J.","year":"2001","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199310000-00026"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10200.x"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080008731.x"},{"key":"e_1_2_5_10_2","unstructured":"American College of Obstetricians and Gynaecologists. 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