{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:42:39Z","timestamp":1762864959458},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2005,5,18]],"date-time":"2005-05-18T00:00:00Z","timestamp":1116374400000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2005,6]]},"abstract":"<jats:p><jats:bold>Objective.\u2002<\/jats:bold> Medical documentation on term breech delivery (TBD) advocates planned abdominal delivery based on evidence. The aim of the present study was to describe a change in TBD practice in Sweden following evidence\u2010based documentation arguing in favor of TBD by cesarean section (CS).<\/jats:p><jats:p><jats:bold>Materials and methods.\u2002<\/jats:bold> The study was a population\u2010based observational study based on data from the Swedish Medical Birth Register. Eligible subjects were all mothers with singleton children in term breech (TB) presentation born between 1999 and 2001 at &gt;\u200a36\u2003weeks' gestational age. Data were processed, and subjects were subdivided into groups, according to mode of delivery.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> The CS rate increased from 75.3% in 1999 to 86.0% in 2001, due to an increase in planned abdominal deliveries. The change towards abdominal deliveries was more obvious for hospitals with fewer deliveries. While today, an increasing number of hospitals clearly have a non\u2010selective CS policy, with a &gt;\u200a95% CS rate, others still deliver 30% of TB babies vaginally.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold> In conclusion, the evidence\u2010based recommendation for TBD has so far had considerable impact on Swedish obstetric practice.<\/jats:p>","DOI":"10.1111\/j.0001-6349.2005.00534.x","type":"journal-article","created":{"date-parts":[[2005,5,18]],"date-time":"2005-05-18T08:00:01Z","timestamp":1116403201000},"page":"584-587","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Evidence\u2010based changes in term breech delivery practice in Sweden"],"prefix":"10.1111","volume":"84","author":[{"given":"Olof","family":"Alexandersson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Bixo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulf","family":"H\u00f6gberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,5,18]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"1357","article-title":"Practical details in management of breech presentation in labor.","volume":"30","author":"Marcus H","year":"1933","journal-title":"Svenska l\u00e4kartidningen"},{"key":"e_1_2_6_3_2","first-page":"821","article-title":"Morbidity among breech infants according to method of delivery.","volume":"75","author":"Croughan\u2010Minihane MS","year":"1990","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00326-3"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00053-T"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199310000-00026"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(80)90780-2"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(83)90923-7"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02833-6"},{"key":"e_1_2_6_11_2","volume-title":"The Cochrane Library","author":"Hofmeyr GJ","year":"2003"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080003187.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(03)00189-1"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200206000-00028"},{"key":"e_1_2_6_15_2","unstructured":"BordalPE.Breech delivery status and experience in Norway 2003. 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