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10. Safety Committee

Author

Vindiola, Argentina G, primary, Chechik, Eugene, additional, Williams, Sara M, additional, Henderson, Julie, additional, McCormack, Paul W, additional, Phillips, Robert W, additional, Hayes, Dermont, additional, Clark, David N, additional, Thompson, Christina Z, additional, and Gomez, Eduardo, additional

Published
2008
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11. Adhesions after abdominal surgery in children

Author

Grant, Hugh W., primary, Parker, Michael C., additional, Wilson, Malcolm S., additional, Menzies, Donald, additional, Sunderland, Graham, additional, Thompson, Jeremy N., additional, Clark, David N., additional, Knight, Alastair D., additional, Crowe, Alison M., additional, and Ellis, Harold, additional

Published
2008
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13. Thyroid Disease and Increased Cardiovascular Risk

Author

Nyirenda, Moffat J., primary, Clark, David N., additional, Finlayson, Alan R., additional, Read, Janey, additional, Elders, Andrew, additional, Bain, Marion, additional, Fox, Keith A.A., additional, and Toft, Anthony D., additional

Published
2005
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18. THEY ARE ALL CHEMICALS.

Author

Clark, David N.

Subjects
*LETTERS to the editor, *ESTROGEN
Abstract

A letter to the editor is presented in response to the article "Chemicals, Estrogens Targeted in Water" in the September 28, 2009 issue.

Published
2009

20. Educational outcomes following breech delivery: a record-linkage study of 456947 children.

Author

Mackay DF, Wood R, King A, Clark DN, Cooper SA, Smith GC, and Pell JP

Subjects
Adolescent, Cesarean Section, Child, Child Development, Child, Preschool, Educational Status, Female, Gestational Age, Humans, Infant, Infant Mortality, Male, Morbidity, Pregnancy, Retrospective Studies, Scotland epidemiology, Apgar Score, Breech Presentation epidemiology, Delivery, Obstetric adverse effects, Delivery, Obstetric methods, Intelligence
Abstract

Background: Obstetric management of term breech infants changed dramatically following the Term Breech Trial which suggested increased serious neonatal morbidity following trial of labour. Short-term morbidity is a poor proxy of long-term neurological sequelae. We determined whether vaginal breech delivery was associated with educational outcomes., Methods: We linked three Scotland-wide administrative databases at an individual level: the ScotXed school census; Scottish Qualifications Authority (SQA) examination results; and Scottish Morbidity Record (SMR02) maternity database. The linkage provided information on singleton children, born at term, attending Scottish schools between 2006 and 2011., Results: Of the 456 947 eligible children, 1574 (0.3%) had vaginal breech deliveries, 12 489 (2.7%) planned caesarean section for breech presentation and 442 090 (96.9%) vaginal cephalic deliveries. The percentage of term breech infants delivered vaginally fell from 23% to 7% among children who started school in 2006 and 2011, respectively. Of children born by vaginal breech delivery, 1.5% had a low 5-min Apgar score (≤3) compared with only 0.4% of those born by either breech caesarean section [adjusted odds ratio (OR) 6.16, 95% confidence interval (CI) 4.44-8.54, p<0.001] or cephalic vaginal delivery (adjusted OR 3.84, 95% CI 2.99-4.93, p<0.001). Children born by vaginal breech delivery had lower examination attainment than those born by either planned caesarean section for breech presentation (adjusted OR 1.16, 95% CI 1.02-1.32, p=0.020) or vaginal cephalic delivery (adjusted OR 1.14, 95% CI 1.01-1.28, p=0.029)., Conclusions: Vaginal delivery of term breech infants was associated with lower examination attainment, as well as poorer Apgar scores, suggesting that the adverse effects are not just short-term., (© The Author 2015; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.)

Published
2015
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