Transverse lie

Gary Hankins, T. L. Hammond, Russell Snyder, L. C. Gilstrap

Research output: Contribution to journalArticle

9 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
StatePublished - 1990
Externally publishedYes

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ASJC Scopus subject areas

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

Cite this

Hankins, G., Hammond, T. L., Snyder, R., & Gilstrap, L. C. (1990). Transverse lie. American Journal of Perinatology, 7(1), 66-70.