{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T02:11:50Z","timestamp":1772331110124,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T00:00:00Z","timestamp":1502409600000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,4]]},"abstract":"Background<\/jats:title>Preterm breech delivery is associated with a higher perinatal mortality rate compared with preterm vertex delivery, and some studies suggest caesarean section leads to lower mortality rates. Few studies include infants delivered less than 26\u00a0weeks gestation, and where included, results are often not stratified by gestational age. There is also a lack of consistent reporting on neonatal and maternal morbidity outcome measures.<\/jats:p><\/jats:sec>Aims<\/jats:title>To determine if mode of delivery for singleton extreme preterm breech fetuses is associated with a difference in perinatal mortality, neonatal and maternal morbidity.<\/jats:p><\/jats:sec>Materials and Methods<\/jats:title>Retrospective cohort study of breech deliveries from 23\u00a0+\u00a00 to 27\u00a0+\u00a06\u00a0weeks gestation (extreme preterm) between 2005 and 2014 at a tertiary obstetric facility.<\/jats:p><\/jats:sec>Results<\/jats:title>One hundred and fifty deliveries met the selection criteria. Perinatal mortality was reduced in the caesarean section group (20% vs 55.5% P<\/jats:italic>\u00a0<\u00a00.001). Apgar scores \u2265 7 (P<\/jats:italic>\u00a0=\u00a00.008) and cord pH<\/jats:styled-content> \u22657.1 (P<\/jats:italic>\u00a0=\u00a00.025) were more likely for neonates delivered by caesarean section, with lower rates of birth trauma (P<\/jats:italic>\u00a0=\u00a00.003). Caesarean section was associated with higher nursery admission rates (P<\/jats:italic>\u00a0<\u00a00.001), longer intensive care nursery admission (P<\/jats:italic>\u00a0=\u00a00.006), continuous positive airway pressure times (P<\/jats:italic>\u00a0=\u00a00.008) and increased use of surfactant (P<\/jats:italic>\u00a0<\u00a00.001). Maternal morbidity was increased with caesarean section including longer hospital stay (P<\/jats:italic>\u00a0<\u00a00.001), higher postpartum haemorrhage (P<\/jats:italic>\u00a0<\u00a00.001) and wound infection rates (P<\/jats:italic>\u00a0=\u00a00.034).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Caesarean section for singleton extreme preterm breech delivery is associated with reduced perinatal mortality, improved neonatal condition at delivery, and increased short\u2010term maternal morbidity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12681","type":"journal-article","created":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T05:11:47Z","timestamp":1502428307000},"page":"178-184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Mode of delivery for singleton extreme preterm breech fetuses: A 10\u00a0year retrospective review from a single tertiary obstetric centre"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7296-2095","authenticated-orcid":false,"given":"Frances","family":"Hills","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sunshine Coast University Hospital Birtinya QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandy","family":"Way","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute Herston QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renuka","family":"Sekar","sequence":"additional","affiliation":[{"name":"Clinical Lead Maternal Fetal Medicine Department Royal Brisbane and Women's Hospital Herston QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,8,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91347-D"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(85)90137-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(00)00246-3"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.07.049"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(77)90461-6"},{"issue":"2","key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/2230-8229.97050","article-title":"Preterm Singleton Breech Delivery in a Teaching Hospital of Saudi Arabia: vaginal versus Cesarean Delivery","volume":"15","author":"Gasim T","year":"2008","journal-title":"J Family Community Med"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1996.tb09838.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.1985.tb00754.x"},{"key":"e_1_2_6_11_1","first-page":"736","article-title":"The delivery route for very\u2010low\u2010birth\u2010weight infants","volume":"29","author":"Wallace RL","year":"1984","journal-title":"J Reprod Med"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-994704"},{"issue":"9","key":"e_1_2_6_13_1","first-page":"CD000078","article-title":"Caesarean section versus vaginal delivery for preterm birth in singletons","author":"Alfirevic Z","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.10.017"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701371306"},{"issue":"3","key":"e_1_2_6_16_1","first-page":"CD004454","article-title":"Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth","author":"Roberts D","year":"2006","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12681","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12681","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T00:13:22Z","timestamp":1695514402000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12681"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,11]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1111\/ajo.12681"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12681","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,11]]},"assertion":[{"value":"2017-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-06-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-08-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}