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METHODS The cesarean section rate for term singleton breech babies in the Netherlands rose from 57 to 81% after the Term Breech Trial in 2000. The Dutch Maternal Mortality Committee registered and evaluated maternal mortality due to elective cesarean section for breech. RESULTS Four maternal deaths after elective cesarean section for breech presentation, from 2000 to 2002 inclusive, were registered, 7% of total direct maternal mortality in that period. Two women died due to massive pulmonary embolism, both were obese, and thromboprophylaxis was not adjusted to their weight. The other two women died from sepsis, one had not receive perioperative prophylactic antibiotics. The case fatality rate for elective cesarean section for breech presentation was 0.47/1,000 operations. No death after emergency cesarean section for breech presentation was registered at the committee. CONCLUSIONS Elective cesarean section does not guarantee the improved outcome of the child, but may increase risks for the mother, compared to vaginal delivery.
Joke M Schutte, and
Eric A P Steegers, and
Job G Santema, and
Nico W E Schuitemaker, and
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January 1982,
La Pediatria medica e chirurgica : Medical and surgical pediatrics,
Joke M Schutte, and
Eric A P Steegers, and
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Nico W E Schuitemaker, and
Jos van Roosmalen, and
July 1989,
American journal of obstetrics and gynecology,
Joke M Schutte, and
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Job G Santema, and
Nico W E Schuitemaker, and
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July 2002,
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians,
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January 2001,
Duodecim; laaketieteellinen aikakauskirja,
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Akusherstvo i ginekologiia,
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September 1961,
The Journal of the Kentucky Medical Association,
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November 1978,
Minerva ginecologica,
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January 2015,
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January 1952,
Ceskoslovenska gynekologie,
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August 2003,
The Australian & New Zealand journal of obstetrics & gynaecology,
