SOP Vaginale Beckenendlagengeburt

In den letzten Jahren ist die vaginale Geburt aus Beckenendlage (BEL) aufgrund einer bevorzugten primären Sectio caesarea relativ selten geworden. Damit fehlt zunehmend die breitflächige Expertise zur vaginalen Geburt aus BEL. Zudem sind Schnittentbindungen mit eigenen Risiken behaftet. Das hier vorgestellte Konzept erlaubt in bis zu der Hälfte der Fälle eine spontane Geburt aus BEL, d. h. ohne jegliche Assistenz.

Schlüsselwörter

vaginale Beckenendlagegeburt - BEL

• Literatur

• 1 Berhan Y, Haileamlak A. The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies. BJOG 2016; 123: 49-57
• 2 Albrechtsen S, Rasmussen S, Irgens LM. Secular trends in peri- and neonatal mortality in breech presentation; Norway 1967–1994. Acta Obstet Gynecol Scand 2000; 79: 508-512
• 3 Vlemmix F, Bergenhenegouwen L, Schaaf JM. et al. Term breech deliveries in the Netherlands: did the increased cesarean rate affect neonatal outcome? A population-based cohort study. Acta Obstet Gynecol Scand 2014; 93: 888-896
• 4 Ekéus C, Norman M, Åberg K. et al. Vaginal breech delivery at term and neonatal morbidity and mortality – a population-based cohort study in Sweden. J Matern Fetal Neonatal Med 2019; 32: 265-270
• 5 Hannah ME, Hannah WJ, Hewson SA. et al. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multi-center trial. Term Breech Trial Collaborative Group. Lancet 2000; 356: 1375-1383
• 6 Whyte H, Hannah ME, Saigal S. Term Breech Trial Collaborative Group. et al. 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. Am J Obstet Gynecol 2004; 191: 864-871
• 7 Glezerman M. Five years to the term breech trial: the rise and fall of a randomized controlled trial. Am J Obstet Gynecol 2006; 194: 20-25
• 8 Post WM, Vlemmix F, de Hundt M. et al. Does vaginal breech delivery have a future despite low volumes for training? Results of a questionnaire. Eur J Obstet Gynecol Reprod Biol 2018; 229: 123-126
• 9 Walker S, Reading C, Silverwood-Cope O. et al. Physiological breech birth. Evaluation of a training programme for birth professionals. Pract Midwife 2017; 20: 25-28
• 10 Louwen F, Daviss BA, Johnson KC. et al. Does breech delivery in an upright position instead of on the back improve outcomes and avoid cesareans?. Int J Gynaecol Obstet 2017; 136: 151-161
• 11 Kielland-Kaisen U, Paul B, Jennewein L. et al. Maternal and neonatal outcome after vaginal breech delivery of nulliparous versus multiparous women of singletons at term-A prospective evaluation of the Frankfurt breech at term cohort (FRABAT). Eur J Obstet Gynecol Reprod Biol 2020; 252: 583-587
• 12 Borbolla Foster A, Bagust A, Bisits A. et al. Lessons to be learnt in managing the breech presentation at term: an 11-year single-centre retrospective study. Aust N Z J Obstet Gynaecol 2014; 54: 333-339
• 13 Mattiolo S, Spillane E, Walker S. Physiological breech birth training: An evaluation of clinical practice changes after a one-day training program. Birth 2021; 48: 558-565
• 14 Impey LWM, Murphy DJ, Griffiths M. Royal College of Obstetricians and Gynaecologists. et al. Management of Breech Presentation. BJOG on behalf of the 2017; 124: e151-e177
• 15 Royal College of Obstetricians & Gynaecologists. Breech baby at the end of pregnancy patient information leaflet. Zugriff am 15. Januar 2023 unter: https://www.rcog.org.uk/for-the-public/browse-all-patient-information-leaflets/breech-baby-at-the-end-of-pregnancy-patient-information-leaflet
• 16 Hehir MP, O’Connor HD, Kent EM. et al. Changes in vaginal breech delivery rates in a single large metropolitan area. Am J Obstet Gynecol 2012; 206: 498.e1-498.e4
• 17 Reitter A, Halliday A, Walker S. Practical insight into upright breech birth from birth videos: A structured analysis. Birth 2020; 47: 211-219
• 18 Goffinet F, Carayol M, Foidart J-M. et al. Is planned vaginal delivery for breech presentation at term still an option? Results of an observational prospective survey in France and Belgium. Am J Obstet Gynecol 2006; 194: 1002-1011
• 19 Klemt AS, Schulze S, Brüggmann D. et al. MRI-based pelvimetric measurements as predictors for a successful vaginal breech delivery in the Frankfurt Breech at term cohort (FRABAT). Eur J Obstet Gynecol Reprod Biol 2019; 232: 10-17
• 20 Franz M, von Bismarck A, Delius M. et al. MR pelvimetry: prognosis for successful vaginal delivery in patients with suspected fetopelvic disproportion or breech presentation at term. Arch Gynecol Obstet 2017; 295: 351-359
• 21 Reitter A, Daviss BA, Bisits A. et al. Does pregnancy and/or shift-ing positions create more room in a woman’s pelvis?. Am J Obstet Gynecol 2014; 211: 662.e1-662.e9
• 22 Bogner G, Strobl M, Schausberger C. et al. Breech delivery in the all fours position: a prospective observational comparative study with classic assistance. J Perinat Med 2015; 43: 707-713
• 23 Derisbourg S, Costa E, De Luca L. et al. Impact of implementation of a breech clinic in a tertiary hospital. BMC Pregnancy Childbirth 2020; 20: 435
• 24 Casteels M, Podevyn K, Vanoverschelde H. et al. Implementation of a breech program in a Belgian obstetric team. Int J Gynecol Obstet 2022; 158: 432-438
• 25 Reitter A, Doehring N, Maden Z. et al. Ist eine eigenständige Geburtshilfe in einem Haus der Grund- und Regelversorgung sinnvoll und führt sie zu messbaren Veränderungen in der Versorgung?. Z Geburtshilfe Neonatol 2019; 223: 147-156
• 26 Fernández-Carrasco FJ, Cristóbal-Cañadas D, Gómez-Salgado J. et al. Maternal and fetal risks of planned vaginal breech delivery vs planned caesarean section for term breech birth: A systematic review and meta-analysis. J Glob Health 2022; 12: 04055