Transverse Lie

Gary D.V. Hankins, Terry L. Hammond, Russell R. Snyder, Larry C. Gilstrap

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

To assess the impact of transverse lie on fetal and neonatal outcome, 14 mother and infant pairs with transverse lie were matched to 28 pairs with a vertex and 28 with a breech presentation. The control groups were matched for gestational age, route of delivery, type of anesthesia, and presence of labor. Infants in transverse lie were found to have a lower absolute arterial pH (7.21 versus 7.27, p < 0.05) as well as more frequent severe acidosis (pH < 7.1, 3 of 14 versus 0 of 56, p < 0.04). Their birthweight was also less (2798 gm versus 3251 gm, p < 0.05) and they sustained more birth trauma and long-term residual effects than either the breech (5 of 14 versus 1 of 28, p = 0.01) or vertex control groups (5 of 14 versus 2 of 28, p = 0.03). Based on these results, we recommend active intervention at 38 weeks' gestational age, via external version followed by labor induction, or failing this, cesarean delivery.

Original languageEnglish (US)
Pages (from-to)66-70
Number of pages5
JournalAmerican Journal of Perinatology
Volume7
Issue number1
DOIs
StatePublished - Jan 1990

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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