A new study conducted by researchers from Loyola University found that breach births increase complications for the pregnant mother and problems for the child.
When the water breaks early during breach birth, scientifically known as the early rupturing of the amniotic sac, it increases complications for both mother and child. These findings were presented Wednesday by a researcher from Loyola University Health System at the 79th Annual Meeting of the Central Association of Obstetricians and Gynecologists in Chicago.
"Until now, there has been limited information available to guide management decisions in pregnancies affected by a premature rupture of the amniotic sac when the baby is breech," said Jean Goodman, MD, lead investigator and division director of Maternal-Fetal Medicine at Loyola University Health System, and professor of Obstetrics & Gynecology at Loyola University Chicago Stritch School of Medicine. "We know now that fetal position affects outcomes for the mother and baby when a woman's water breaks prematurely."
This study included the evaluation of 569 women who had their water break for various reasons between 24 to 34 weeks' gestation; 458 of these women didn't have breach births while the reminder did.
"Both groups had similar characteristics, including age, race, medical and social history.The breech group was significantly more likely to have low amniotic fluid (68 percent versus 50 percent), and deliver at a significantly earlier gestational age (30.05 weeks versus 31.52 weeks)," the report stated. "Breech pregnancies also were significantly more likely to have an abruption where the placental lining separates from the uterus causing serious complications (23 percent versus 12 percent). This group also was more likely to have the fetus die in utero (3 percent versus 0 percent). Neonatal outcomes were strikingly worse in the breech group with increased occurrence of respiratory distress syndrome (53 percent versus 31 percent), necrotizing enterocolitis (NEC), a life-threatening intestinal issue (15 percent versus 6 percent) and neonatal death (9 percent versus 3 percent)."
"This study provides valuable information for counseling and managing women with such high-risk pregnancies," Dr. Goodman said. "Additional research will be necessary to continue to guide our care for these women."
