Transverse lie

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

Research output: Contribution to journalArticle

9 Citations (Scopus)

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

Fingerprint

Gestational Age
Induced Labor
Breech Presentation
Control Groups
Acidosis
Anesthesia
Mothers
Parturition
Wounds and Injuries

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.

Transverse lie. / Hankins, Gary; Hammond, T. L.; Snyder, Russell; Gilstrap, L. C.

In: American Journal of Perinatology, Vol. 7, No. 1, 1990, p. 66-70.

Research output: Contribution to journalArticle

Hankins, G, Hammond, TL, Snyder, R & Gilstrap, LC 1990, 'Transverse lie', American Journal of Perinatology, vol. 7, no. 1, pp. 66-70.
Hankins G, Hammond TL, Snyder R, Gilstrap LC. Transverse lie. American Journal of Perinatology. 1990;7(1):66-70.
Hankins, Gary ; Hammond, T. L. ; Snyder, Russell ; Gilstrap, L. C. / Transverse lie. In: American Journal of Perinatology. 1990 ; Vol. 7, No. 1. pp. 66-70.
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