Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery.
نویسنده
چکیده
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منابع مشابه
Optimal delivery for preterm breech fetuses: is there any consensus?
The optimal route for delivery of preterm breech-presenting fetuses remains a clinical dilemma. Available data from the literature are largely based on retrospective cohort studies, and randomised controlled trials are considered impossible to conduct. Consistently however, large population-based surveys have shown that planned caesarean sections for these fetuses were associated with better ne...
متن کاملMaternal and neonatal complications in term breech delivered vaginally.
OBJECTIVE To evaluate the maternal and neonatal complications in terms of genital tract trauma to mother, perinatal mortality, Apgar score at 5 minutes and neonatal trauma in all singleton term breech cases delivered vaginally. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynaecology, Bolan Medical Complex Hospital, Quetta, from May 2005 to March 2006. ...
متن کاملVaginal breech delivery: still a safe option.
BACKGROUND Elective caesarean section has replaced vaginal delivery for term breech foetuses due to fear of complications of vaginal breech delivery. This increasing rate of caesarean section worldwide is alarming. It has not only led to increase in adverse consequences in subsequent pregnancies and future fertility but also loss of skills for vaginal breech delivery. This study was conducted t...
متن کاملCardiotocography in breech versus vertex delivery: an examiner-blinded, cross-sectional nested case-control study
BACKGROUND The safety of vaginal breech delivery has been debated for decades. Although it has been shown to predispose infants to immediate depression, several observational studies have also shown that attempting vaginal breech delivery does not increase perinatal morbidity or low Apgar score at the age of five minutes. Cardiotocography monitoring is recommended during vaginal breech delivery...
متن کاملVaginal Breech Delivery; Still a Safe Mode of Delivery to Reduce the Rate of Cesarean Section
.. Objective: To determine the obstetric and perinatal outcome of pregnancies with singleton breech presentation, and to scrutinize the causes of increasing incidence of cesarean section in breech presentation. Design: Analytical Observational study. Place and duration: Department of obstetrics and gynecology Fatima hospital Baqai university campus from Jan 2010 to Oct 2011. Patients & Methods:...
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عنوان ژورنال:
- BMJ
دوره 329 7473 شماره
صفحات -
تاریخ انتشار 2004