Effect of caesarean birth on perinatal mortality for singleton breech presentation in spontaneous preterm labour-A target trial emulation using Scottish health record data.

ABSTRACT:

Background

The effects of mode of birth for women in preterm breech labour could not be successfully determined in randomised trials. We aimed to explore the effect of caesarean birth on perinatal mortality for women in spontaneous-onset preterm labour with a singleton baby presenting breech through target trial emulation.

Methods

A target trial emulation of a parallel group randomised controlled trial using routinely collected Scottish electronic health record data was performed. Participants were pregnant women at 24-36 gestational weeks with a singleton breech baby, no prior caesarean birth, in spontaneous labour with a live baby at labour onset (1 January 1997 to 31 December 2019). We compared caesarean birth (intervention) to vaginal breech birth (control) in a per-prot

SUBMITTER: Alexander R 

PROVIDER: S-EPMC12279104 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature