5 research outputs found
Factors associated with adverse perinatal outcome in the Term Breech Trial
Caroline Crowther is listed as a member of the Term Breech Trial Collaborative GroupMin Su, Lynne McLeod, Susan Ross, Andrew Willan, Walter J Hannah, Eileen Hutton, Sheila Hewson; Mary E Hannah for The Term Breech Trial Collaborative Grouphttp://www.elsevier.com/wps/find/journaldescription.cws_home/623277/description#descriptio
External cephalic version beginning at 34 weeks' gestation versus 37 weeks' gestation: A randomized multicenter trial
Caroline Crowther is listed as a member of the Early External Cephalic Version Trial Grouphttp://www.elsevier.com/wps/find/journaldescription.cws_home/623277/description#descriptio
Outcomes at 3 Months After Planned Cesarean vs Planned Vaginal Delivery for Breech Presentation at Term
Caroline Crowther is listed as a member of the Term Breech Trial 3-Month Follow-up Collaborative Group in the article.Mary E. Hannah; Walter J. Hannah; Ellen D. Hodnett; Beverley Chalmers; Rose Kung; Andrew Willan; Kofi Amankwah; Mary Cheng; Michael Helewa; Sheila Hewson; Saroj Saigal; Hilary Whyte; Amiram Gafni; for the Term Breech Trial 3-Month Follow-up Collaborative Grou
Outcomes of children at 2 years after planned cesarean birth versus planned vaginal birth for breech presentation at term: The international randomized Term Breech Trial.
Caroline Crowther is listed as a contributor to the 2 year infant follow-up Term Breech Trial Collaborative GroupHilary Whyte, Mary E. Hannah, Saroj Saigal, Walter J. Hannah, Sheila Hewson, Kofi Amankwah, Mary Cheng, Amiram Gafni, Patricia Guselle, Michael Helewa, Ellen D. Hodnett, Eileen Hutton, Rose Kung, Darren McKay, Susan Ross, Andrew Willan, for the 2-year infant follow-up Term Breech Trial Collaborative Grouphttp://www.elsevier.com/wps/find/journaldescription.cws_home/623277/description#descriptio
A randomized trial of planned cesarean or vaginal delivery for twin pregnancy
Background: Twin birth is associated with a higher risk of adverse perinatal outcomes than singleton birth. It is unclear whether planned cesarean section results in a lower risk of adverse outcomes than planned vaginal delivery in twin pregnancy.\ud
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Methods: We randomly assigned women between 32 weeks 0 days and 38 weeks 6 days of gestation with twin pregnancy and with the first twin in the cephalic presentation to planned cesarean section or planned vaginal delivery with cesarean only if indicated. Elective delivery was planned between 37 weeks 5 days and 38 weeks 6 days of gestation. The primary outcome was a composite of fetal or neonatal death or serious neonatal morbidity, with the fetus or infant as the unit of analysis for the statistical comparison.\ud
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Results: A total of 1398 women (2795 fetuses) were randomly assigned to planned cesarean delivery and 1406 women (2812 fetuses) to planned vaginal delivery. The rate of cesarean delivery was 90.7% in the planned-cesarean-delivery group and 43.8% in the planned-vaginal-delivery group. Women in the planned-cesarean-delivery group delivered earlier than did those in the planned-vaginal-delivery group (mean number of days from randomization to delivery, 12.4 vs. 13.3; P = 0.04). There was no significant difference in the composite primary outcome between the planned-cesarean-delivery group and the planned-vaginal-delivery group (2.2% and 1.9%, respectively; odds ratio with planned cesarean delivery, 1.16; 95% confidence interval, 0.77 to 1.74; P = 0.49).\ud
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Conclusion: In twin pregnancy between 32 weeks 0 days and 38 weeks 6 days of gestation, with the first twin in the cephalic presentation, planned cesarean delivery did not significantly decrease or increase the risk of fetal or neonatal death or serious neonatal morbidity, as compared with planned vaginal delivery