Abstract
OBJECTIVE: To investigate the relation between breech at term and epilepsy in childhood, and identify risk factors for epilepsy in term breech infants.
STUDY DESIGN: Register-based study of all (n = 7514) singleton term infants without malformations, born between 1980 and 1994 and hospitalised with epilepsy until year 1996. For each case delivered in breech presentation (n = 290), the two subsequent deliveries of non-malformed, singleton infants delivered in breech presentation at term at the same hospital were selected as controls (n = 580).
RESULTS: Breech presentation was a risk factor for epilepsy (OR: 1.2 [95% CI: 1.1, 1.3]). Breech infants with epilepsy were more often small for gestational age (9.7%) than breech infants without epilepsy (4.7%). Vaginal delivery was associated with low Apgar score, but mode of delivery and low Apgar score were not related to epilepsy.
CONCLUSION: The increased risk of epilepsy in term breech infants is not related to intrapartum events, but to growth restriction in pregnancy.
| Original language | English |
|---|---|
| Journal | European Journal of Obstetrics & Gynecology and Reproductive Biology |
| Volume | 127 |
| Issue number | 1 |
| Pages (from-to) | 26-8 |
| Number of pages | 3 |
| ISSN | 0301-2115 |
| DOIs | |
| Publication status | Published - Jul 2006 |
Keywords
- Birth Weight
- Breech Presentation
- Case-Control Studies
- Child, Preschool
- Denmark
- Epilepsy
- Female
- Fetal Growth Retardation
- Humans
- Infant
- Infant, Newborn
- Infant, Small for Gestational Age
- Multivariate Analysis
- Odds Ratio
- Pregnancy
- Prevalence
- Risk Factors
- Journal Article
- Research Support, Non-U.S. Gov't