{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:25:12Z","timestamp":1790101512310,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T00:00:00Z","timestamp":1539043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001677","name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001677","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether planned route of delivery is associated with perinatal and 2\u2010year outcomes for preterm breech singletons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective nationwide population\u2010based <jats:styled-content style=\"fixed-case\">EPIPAGE<\/jats:styled-content>\u20102 cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>France, 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>Three hundred and ninety women with breech singletons born at 26\u201334\u00a0weeks of gestation after preterm labour or preterm prelabour rupture of membranes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Propensity\u2010score analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Survival at discharge, survival at discharge without severe morbidity, and survival at 2\u00a0years of corrected age without neurosensory impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Vaginal and caesarean deliveries were planned in 143 and 247 women, respectively. Neonates with planned vaginal delivery and planned caesarean delivery did not differ in survival (93.0 versus 95.7%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.14), survival at discharge without severe morbidity (90.4 versus 89.9%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.85), or survival at 2\u00a0years without neurosensory impairment (86.6 versus 91.6%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.11). After applying propensity scores and assigning inverse probability of treatment weighting, as compared with planned vaginal delivery, planned caesarean delivery was not associated with improved survival (odds ratio, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a01.31; 95% confidence interval, 95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.67\u20132.59), survival without severe morbidity (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a00.75, 95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.45\u20131.27), or survival at 2\u00a0years without neurosensory impairment (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a01.04, 95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.60\u20131.80). Results were similar after matching on propensity score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No association between planned caesarean delivery and improved outcomes for preterm breech singletons born at 26\u201334\u00a0weeks of gestation after preterm labour or preterm prelabour rupture of membranes was found. The route of delivery should be discussed with women, balancing neonatal outcomes with the higher risks of maternal morbidity associated with caesarean section performed at low gestational age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.15466","type":"journal-article","created":{"date-parts":[[2018,9,16]],"date-time":"2018-09-16T10:13:37Z","timestamp":1537092817000},"page":"73-82","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Planned delivery route of preterm breech singletons, and neonatal and 2\u2010year outcomes: a population\u2010based cohort study"],"prefix":"10.1111","volume":"126","author":[{"given":"E","family":"Lorthe","sequence":"first","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy, Paris Descartes University Paris France"},{"name":"EPIUnit \u2013 Institute of Public Health University of Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Sentilhes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Bordeaux University Hospital Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Quere","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy, Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Lebeaux","sequence":"additional","affiliation":[{"name":"Reference Centre on Teratogenic Agents Trousseau University Hospital Assistance Publique \u2013 H\u00f4pitaux de Paris Paris 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