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Re: breech in nuliparaFrom: bclaure (bclaure@club-internet.fr)Mon Dec 9 15:51:14 1996
William Graves, M.D. wrote: > > I'm afraid that I agree with Dr. Griffith's insofar as the influence of epidural in nulliparous women undertaking a vaginal delivery for breech. I would cite the largest study of breech deliveries (1,456 term breech presentations) in the English literature. 274 were nullparas: 175 received epidural and 98 did not. Cesarean section rates were 53% and 20% respectively.
> It's the largest study OK but it's a retrospective one. It's so natural to have a different attitude to manage the labour when the dilatation lasts a bit too long. If everything goes well you don't use epidural but if you have a stagnation you use it and then you say epidural is associated with a higher rate of CS. Association doesn't mean cause. Bernard Cristalli MD CNGOF Paris - France
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