Route of delivery for the breech presentation: a conundrum
Article Abstract:
It is unlikely that a randomized controlled trial of vaginal versus cesarean delivery for breech presentation will ever take place although such a trial is sorely needed. Researchers presented a proposal for a randomized trial of preterm breech delivery to the Maternal-Fetal Medicine Units Network, a group of 11 academic centers that conducts multicenter clinical trials. A survey of the centers evaluated feasibility of the trial. Overall, about 514 births per year would have been eligible. However, the two centers that declined to participate accounted for 319 of those births, leaving too small a pool of candidates to start the trial. The centers that declined cited malpractice issues, difficulties recruiting participants, and inadequate training of medical staff in vaginal breech births. Over half of the total faculty thought residents were not adequately trained in vaginal breech birth. Based on survey results, a trial of breech delivery would be difficult regardless of gestational age.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
User Contributions:
Comment about this article or add new information about this topic:
Optimism for perilous times: a survey of American Association of Obstetricians and Gynecologists Foundation and Reproductive Scientist Development Program postdoctoral research fellows
Article Abstract:
Research training fellowships may be a way for obstetric and gynecologic professional groups to train gifted specialists in academic medicine. Researchers surveyed 54 past and current fellows participating in research fellowships sponsored by the American Association of Obstetricians and Gynecologists Foundation and the Reproductive Scientist Development Program. Forty-nine (91%) of fellows received academic appointments, with six becoming either division directors or departmental chairs. Twenty-three (59%) received extramural funding from the National Institutes of Health. Most fellows continue to pursue basic science research. An additional third year of funding may allow for more thorough research.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
User Contributions:
Comment about this article or add new information about this topic:
The distribution, practice, and attitudes of maternal-fetal medicine specialists
Article Abstract:
Most maternal-fetal medicine specialists enjoy their jobs, according to a survey of 847 members of the Society for Maternal-Fetal Medicine. The mid-Atlantic region has the most maternal-fetal specialists and the East South Central region has the fewest.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2001
User Contributions:
Comment about this article or add new information about this topic:
- Abstracts: Genetic models for CNS inflammation. A controlled trial of intratumoral ONYX-015, a selectively-replicating adenovirus, in combination with cisplatin and 5-fluorouracil in patients with recurrent head and neck cancer
- Abstracts: Adjuvant therapy for breast cancer: An additional hope. Breast cancer: early detection and prompt treatment are critical
- Abstracts: Manifestations and treatment of xerostomia and associated oral effects secondary to head and neck radiation therapy
- Abstracts: Group B streptococci during pregnancy: a comparison of two screening and treatment protocols. Optimal dosing of penicillin G in the third trimester of pregnancy for prophylaxis against group B Streptococcus
- Abstracts: What makes a good psychiatric nurse? Evidence-based pyschological interventions in mental health nursing. Detaining patients: a study of nurses' holding powers