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UC Davis Medicine - Logo
The institution's principal publication for alumni, friends and physicians.
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  N E W S  
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"" New Gamma Knife for Brain Surgery ""
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"" Cancer Center Wins Role in Clinical Trials Campaign ""
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  New Formula for Lower CT Radiation Dose for Children  
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  Medical Center Rated Top Hospital For 5th Year in a Row  
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  Artificial Implants Replace Damaged Cervical Discs  
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  UC Davis Study Finds C-Section Safer for Breech Births  
     
  UC Davis Medical Center Among Top 50 Hospitals  
     
  Grant Aims to Improve Care of Chronic Illness  
     
  Patients' Requests Influence Doctors' Behavior  
     
  Career Satisfaction Down in Ob/Gyn Nationally  
     
  Cancer Center First in Clinical Trials Enrollment  
     
  New Chronic Disease Management Program  
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Fall 2003 Issue
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NEWS
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UC Davis study finds C-section safer for breech births

A UC Davis Medical Center study that appeared in the journal Obstetrics and Gynecology found that mothers facing a breech birth are better off scheduling a Caesarean section delivery because a vaginal breech delivery can be dangerous to the infant. A breech birth means the baby is not aligned in the womb for a head-first delivery.

"It's been debated for some time which type of delivery is safer," said William Gilbert, professor and vice chair of the Department of Obstetrics and Gynecology and lead author of the study. "What we found is that no breech baby should really be delivered vaginally."

Gilbert's research examined more than 3.2 million births in California between 1991 and 1999. Of the 100,000 breech presentations identified, 4,952 women delivered vaginally. Previous studies had found that vaginal breech deliveries were probably not safe, but Gilbert further refined his group.

"We know that first babies are a little more difficult deliveries than second, third and fourth babies," said Gilbert. "Other studies found that infant mortality increases with vaginal breech delivery, but we found that this risk is only significant if it is the mother's first baby." Further, babies were more likely to be injured during a vaginal breech birth.

"I hope this study will put a nail in the coffin of those arguments that say we need to do vaginal breech deliveries," he said.


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UC DAVIS SCHOOL OF MEDICINE
PUBLIC AFFAIRS
4900 Broadway, Suite #1200
Sacramento, CA 95820

ucdavismedicine@ucdmc.ucdavis.edu

© 2003 UC Regents. All rights reserved.

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