The effect of the Term Breech Trial on Medical Intervention Behavior and Neonatal Outcome in The Netherlands: An Analysis of 35,453 Term Breech Infants.

摘要

The results of the Term Breech Trial were published in October 2000 in The Lancet. This prospective trial consisted of over 2000 pregnant women at term with a fetus in breech position. In The Netherlands, the overall caesarean section rate of term breeches increased from 50% in 2000 to 80% in 2001. The purpose of this study was to investigate the time scale in which this change in obstetric management occurred, whether it occurred in all hospitals, and whether this change in management was related to improved direct neonatal outcome. The study was conducted using data from The Netherlands Perinatal Registry that includes 95% of all approximately 200,000 deliveries per year in The Netherlands. All infants in breech position are born under secondary care, and the registry covers almost 100% of these births. The study population included infants in breech presentation who were delivered at term (between 37 and 42 weeks of gestation) with birth weights