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We investigated maternal personality characteristics and coping style as potential risk factors for breech presentation in this case-control study. Mothers of cephalic presentation babies (n=72) and mothers of breech presentation babies (n=42) participated in a socio-demographic survey, the State Trait Personality Inventory (STPI), and an in-depth interview. In-depth interview results suggested mothers of breech presentation were more likely to be idealistic, analytical, overextended, and fearful; also less likely to be flexible. Similar differences are identified in the Chinese medicine and Ayurvedic medicine models of risk factors for breech presentation.


Albrechtsen, S., Rasmussen, S., Dalaker, K., & Irgens, L. M. (1998). The occurrence of breech presentation in Norway 1967-1994. Acta Obstetricia et Gynecologica Scandinavia, 77(4), 410-415.

Amiel-Tison, C, Cabrai, D., Denver, R., Jarreau, R-H., Papiernik, E., & Piazza, R V. (2004). Fetal adaptation to stress part II. evolutionary aspects; stress-induced hippocampal damage; long-term effects on behavior; consequences on adult health. Early Human Development, 78, 81-94.

Amoa, A. B., Saputi, M., & Klufio, C. A. (2001). Perinatal outcome and associated factors of persistent breech presentation at the Port Moresby General Hospital, Papua New Guinea. Papua and New Guinea Medical Journal, 44(1-2), 48-56.

Banks, M. (1998). Breech Birth: Woman-Wise. Hamilton, New Zealand: Birthspirit Books.

Barker, D. J., Osmond, C., Golding, J., Kuh, D., & Wadsworth, M. E. (1989). Growth in utero, blood pressure in childhood and adult life, and mortality from cardiovascular disease. British Medical Journal, 298, 564-567.

Bartlett, D. J., Okun, N B., Byrne, R J., Watt, J. M., & Piper, M. C. (2000). Early motor development of breech- and cephalic-presenting infants. Obstetrics & Gynecology, 95(3), 425-432.

Bartlett, D. J., Piper, M. C., Okun, N B., Byrne, R J., & Watt, J. (1997). Primitive reflexes and the determination of fetal presentation at birth. Early Human Development, 48(3), 261-273.

Beresford-Cooke, C. (2003). Shiatsu Theory and Practice: A Comprehensive Text for the Student and Professional (2nd ed.): Elsevier Churchill Livingstone.

Bergman, K., Sarkar, R, O'Connor, T. G., Modi, N, & Glover, V. (2007). Maternal stress during pregnancy predicts cognitive ability and fearfulness in infancy. Journal of the American Academy of Child & Adolescent Psychiatry, 46(11), 1454-1463.

Blackburn, S. (2009). Maternal-fetal thyroid interactions. Journal of Perinatal and Neonatal Nursing, 23(4), 312-313.

Boivin, J., Sanders, K., & Schmidt, L. (2006). Age and social position moderate the effect of stress on fertility. Evolution and Human Behavior, 27, 345-356.

Boklage, C. E. (2005). The epigenetic environment: secondary sex ratio depends on differential survival in embryogenesis. Human Reproduction, 20(3), 583-587.

Bowen, E. ( 1988). A program to facilitate prebirth bonding. In R Fedor-Freybergh & M. L. V. Vogel (Eds.), Prenatal and Perinatal Psychology and Medicine (pp. 267-271). Park Ridge, NJ: The Parthenon Publishing Group.

Bowlby, J. (1969). Attachment and Loss: Vol. 1. Attachment. New York: Basic Books.

Bruckner, T A., Catalano, R., & Ahern, J. (2010). Male fetal loss in the U.S. following the terrorist attacks of September 11, 2001. BMC Public Health, 10, 273.

Bryan, A. A. (2000). Enhancing parent-child interaction with a prenatal couple intervention. The American Journal of Maternal I Child Nursing, 25(3), 139-145.

Buhrman, S. (1996). Ayurvedic approaches to women's health. The Protocol Journal of Botanical Medicine, Spring, 2-7.

Cardini, F, & Weixin, H (1998). Moxibustion for correction of breech presentation: a randomised controlled trial. Journal of the American Medical Association, 280(18), 1580-1584.

Casey, B. M., Dashe, J. S., Wells, C. E., Mclntire, D. D., Byrd, W., Leveno, K J., & Gunningham, RG. (2005). Subclinical hypothyroidism and pregnancy outcomes. Obstetrics & Gynecology, 105, 239-245.

Cook, K, & Nunkoosing, K (2008). Maintaining dignity and managing stigma in the interview encounter: the challenge of paid-for participation. Qualitative Health Research, 18(3), 418-427.

Coyle, M. E., Smith, C. A., & Peat, B. (2008). Cephalic version by moxibustion for breech presentation. The Cochrane Library (4).

Cozolino, L. (2006). The Neuroscience of Human Relationships: Attachment and the Developing Social Brain. New York: W.W. Norton & Company.

Cunningham, F. G., Leveno, K L., Bloom, S. L., Hauth, J. C1 Gilstrap, L. C, & Wenstrom, K D. (2005). Williams Obstetrics, 22nd edition. New York: McGraw-Hill.

Czaja, R., & Blair, J. (2005). Designing Surveys: A Guide to Decisions and Procedures. Thousand Oaks: Pine Forge Press.

Damato, E. G. (2004). Prenatal attachment and other correlates of postnatal maternal attachment to twins. Advances in Neonatal Care, 4(5), 274-291.

Davis, E. P, & Sandman, C. A. (2010). The timing of prenatal exposure to maternal Cortisol and psychosocial stress is associated with human infant cognitive development. Child Development, 81(1), 131-148.

Faber-Nijholt, R., Huisjes, H. J., Touwen, B. C, & Fidler, V. J. (1983). Neurological followup of 281 children born in breech presentation: a controlled study. British Medical Journal, 286, 9-12.

Field, T, Diego, M., Hernandez-Reif, M., Figueiredo, B., Deeds, O., Ascendo, A., Schanberg, S., & Kuhn, C. (2010). Comorbid depression and anxiety effects on pregnancy and neonatal outcome. Infant Behavior & Development, 33(1), 23-29.

Friedman, M. J., Wang, S., Jalowiec, J. E., McHugo, G J., & McDonagh-Coyle, A (2005). Thyroid hormone alterations among women with posttraumatic stress disorder due to childhood sexual abuse. Biological Psychiatry, 57, 1186-1192.

Fukuda, M., Fukuda, K., Shimizu, T, & Moller, H. (1998). Decline in sex ratio at birth after Kobe earthquake. Human Reproduction, 13(8), 2321-2322.

Gau, M.-L., & Lee, T-Y (2003). Construct validity of the prenatal attachment inventory: a confirmatory factor analysis approach. Journal of Nursing Research, 11(3), 177-186.

Githens, P B., Glass, C. A., Sloan, E A., & Entman, S. S. (1993). Maternal recall and medical records: an examination of events during pregnancy, childbirth, and early infancy. Birth, 20(3), 136-141.

Gluckman, P D., Hanson, M. A., & Beedle, A. S. (2007). Early life events and their consequences for later disease: a life Hhistory and evolutionary perspective. American Journal of Human Biology, 19, 1-19.

Grant, D. (2010). Physician financial incentives and cesarean delivery: new conclusions from the healthcare cost and utilization project. Journal of Health Economics, 28, 244-250.

Grant, K-A., Austin, M.-P, Reilly, N, Leader, L., & Ah, S. (2009). Maternal prenatal anxiety, postnatal caregiving and infants' Cortisol responses to the stili-face procedure. Developmental Psychobiology , 51, 625-637.

Gumenick N (2005). Spirits of the points: the bladder official. Acupuncture Today, 6(4), 1-5.

Hammig, O., & Bauer, G. (2009). Work-life imbalance and mental health among male and female employees in Switzerland. International Journal of Public Health, 54, 88-95.

Hannah, M. E., Hannah, W. J., Hewson, S. ?., Hodnett, E. D., Saigal, S., & Willan, A. R. (2000). Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. The Lancet, 356, 1375-1383.

Hofmeyr, G. J., Sadan, 0., Myer, I. G., Galal, K C, & Simko, G (1986). External cephalic version and spontaneous version rates: ethnic and other determinants. British Journal of Obstetrics and Gynaecology, 93(1), 13-16.

Hopcroft, R. L. (2006). Sex, status, and reproductive success in the contemporary United States. Evolution and Human Behavior, 27, 104-120.

Hrdy, S. B. (1999). Mother Nature: Maternal Instincts and How they Shape the Human Species. New York: Ballantine Book Company.

Huizink, A. C, Robles de Medina, R G, Mulder, E. J. H., Visser, G H. ?., & Buitelaar, J. K. (2003). Stress during pregnancy is associated with developmental outcome in infancy. Journal of Child Psychology & Psychiatry, 44(6), 810-818.

Hutton, E. K, & Hofmeyr, G. J. (2009). External cephalic version for breech presentation before term. Cochrane Pregnancy and Childbirth Group Cochrane Database of Systematic Reviews, 1.

Jenkins, C, & Williams, A. (2008). The mother-baby prenatal group: nurturing reflective functioning in a methadone-maintenance clinic. Journal of Prenatal and Perinatal Psychology and Health, 22(3), 163-180.

Ji, E. S., & Han, H.-R. (2010). The effects of Qi exercise on maternal/fetal interaction and maternal well-being during pregnancy. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39, 310-318.

Jonas, O., & Roder, D. (1993). Breech presentation in South Australia, 1987-1989. Australia & New Zealand Journal of Obstetrics & Gynaecology, 33(1), 17-21.

Jundt, K, Haertl, K., Knobbe, A., Kaestner, R., Friese, K, & Peschers, U. M. (2009). Pregnant women after physical and sexual abuse in Germay Gynecologic and Obstetric Investigation, 68, 82-87.

Konstantinovsky, M. (2010). Ayurveda is Good for Health. SheKnows, LLC Retrieved 10/3/10

Kooistra, L., Kuppens, S. M. L, Hasaart, T H. M., Vader, H. L., Wijnen, H. A., Oei, S. G, & Pop, V.J. (2010). High thyrotrophin level at end term increase the risk of breech presentation. Clinical Endocrinology.

Rrishan, S. (2003). From blues to bliss: Ayurveda offers another method of dealing with menopause.

Kuppens, S. M. L, Kooistra, L., Wijnen, H. A., Crawford, S., Vader, H. L., Hasaart, T H. M., Ori, S. G, & Pop, VJ. (2010). Maternal thyroid function during gestation is related to breech presentation at term. Clinical Endocrinology, 72, 820-824.

Lad, V (1984). Ayurveda: A Practical Guide: The Science of Self -Healing. Twin Lakes, WI: Lotus Press.

LeCompte, M. D., & Schensul, J. J. (1999). Analyzing & Interpreting Ethnographic Data. Walnut Creek: AltaMira Press.

Leung, E., Tasker, S. L., Atkinson, L., TVaillancourt, T, Schulkin, J., & Schmidt, L. A (2010). Perceived maternal stress during pregnancy and its relation to infant stress reactivity at 2 days and 10 months of postnatal life. Clinical Pediatrics, 49(2), 158-165.

Linder, R. (2006). How women can carry their unborn babies to term - the prevention of premature birth through psychosomatic methods. Journal of Prenatal and Perinatal Psychology and Health, 20(4), 293-304.

Lobel, M., Cannella, D. L., DeVincent, C, & Schneider, J. (2008). Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology, 27(5), 604-615.

Lonsdorf, N., & Mishra, R. K (2002). A Woman's Best Medicine for Menopause: Your Personal Guide to Radiant Good Health Using Maharishi Ayurveda. New York: Contemporary Books.

Luterkort, M., Persson, P.-H., & Weidner, B.-M. (1984). Maternal and fetal factors in breech presentation. Obstetrics & Gynecology, 64(1), 55-59.

Luterkort, M., Polberger, S., Weldner, B.-M., Persson, R h., & Bjerre, I. (1986). Growth in breech presentation: ultrasound and post-partal assessment of growth in 225 fetuses presenting by the breech in the 33rd gestational week. Acta Obstétrica Gynecologica Scandinavica, 65, 157-160.

Maciocia, G. (1998). Obstetrics and Gynecology in Chinese Medicine. New York: Churchill Livingstone.

McGilvray, D. B. (1994). Sexual power and fertility in Sri Lanka: Batticaloa Tamils and Moors. In C. R MacCormack (Ed.), Ethnography of Fertility and Birth (2nd ed., pp. 15-64). Prospect Heights, Illinois: Waveland Press, Inc.

Melillo, R., & Leisman, G. (2009). Neurobehavcioral Disorders of Childhood: An Evolutionary Perspective. New York: Springer.

Mikulincer, M., & Shaver, R R. (2009). An attachment and behavioral systems perspective on social support. Journal of Social and Personal Relationships, 26(1), 7-19.

Miller, D. C, & Salkind, N J. (2002). Handbook of Research Design & Social Measurement 6th edition (6th ed.). Thousand Oaks, CA: Sage Publications.

Morrison, J. H. (1995). The Book of Ayurveda: A Holistic Approach to Health and Longevity. New York: Fireside.

Nordenmark M. (2004). Balancing work and family demands: do increasing demands increase strain? a longitudinal study. Scandinavian Journal of Public Health, 32, 450-455

Nordtveit, TL, Melve, KK, Albrechtsen, S., & Skjaerven, R. (2008). Maternal and paternal contribution to intergenerational recurrence of breech delivery: Population based cohort study. British Medical Journal 336(7649).

Null, G., & Seaman, B. (1999). For Women Only! Your Guide to Health Empowerment. New York: Seven Stories Press.

Obel, C, Henriksen, T B., Sécher, N J., Eskenazi, B., & Hedegaard, M. (2007). Psychological distress during early gestation and offspring sex ratio. Human Reproduction, 22(11), 3009-3012.

Onwuegbuzie, A J., & Teddlie, C. (2003). A framework for analyzing data in mixed methods research. InA. Tashakkori & C. Teddlie (Eds.), Handbook of Mixed Methods in Social and Behavioral Research, (pp. 351-383). Thousand Oaks, CA Sage.

Peterson, C. (2010). Are race and ethnicity risk factors for breech presentation? Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39, 277-281.

Pistiner, M., Gold, D. R., Abdulkerim, H., Hoffman, E., & Celedón, J. C. (2008). Birth by cesarean section, allergic rhinitis, and allergic sensitization among children with a parental history of atopy. Journal of Allergy and Clinical Immunology, 122(2), 274-279.

Pistoiese, R. A. (2002). The Webster Technique: a chiropractic technique with obstetric implications. Journal of Manipulative and Physiological Therapeutics, 25(6), El-9.

Plaza, A, Garcia-Esteve, L., Ascaso, C, Navarro, P, Gelabert, E., Halperin, L, Valdes, M., & Martin-Santos, R. (2010). Childhood sexual abuse and hypothalamus-pituitary-thyroid axis in postpartum major depression. Journal of Affective Disorders, 122, 159-163.

Pop, V. J., Brouwers, E. P., Wijnen, H., Oei, G., Essed, G. G, & Vader, H. L. (2004). Low concentrations of maternal thyroxin during early gestation: a risk factor of breech presentation? British Journal of Obstetrics & Gynaecology, 111(9), 925-930.

Rayl, J., Gibson, J., & Kickok, D. E. (1996). A population-based case-control study of risk factors for breech presentation. American Journal of Obstetrics and Gynecology, 174(1 Pt 1), 28-32.

Roberts, C. L., Algeri, C. S., Peat, B., & Henderson-Smart, D. (1999). Small fetal size: a risk factor for breech birth at term. International Journal of Gynecology & Obstetrics, 67(1), 1-8.

Rosenberg, K., & Trevathan, W. (2002). Birth, obstetrics and human evolution. BJOG: An International Journal of Obstetrics and Gynaecology, 109, 1199-1206.

Schensul, S. L., Schensul, J. J., & LeCompte, M. D. (1999). Essential Ethnographic Methods: Observations, Interviews, and Questionnaires. (Vol. 2). Walnut Creek: Alta Mira Press.

Sekulic, S. R. (2000). Possible explanation of cephalic and noncephalic presentation during pregnancy a theoretical approach. Medical Hypotheses, 55(5), 429-434.

Shin, K R., Kim, M. Y., & Chung, S. E. (2009). Methods and strategies utilized in published qualitative research. Qualitative Health Research, 19(G), 850-858.

Shkedi, A. (2005). Multiple Case narrative: A Qualitative Approach to Studying Multiple Populations. Philadelphia: John Benjamins Publishing Company.

Siddiqui, A., & Hagglof, B. (2000). Does maternal prenatal attachment predict postnatal mother-infant interaction? Early Human Development, 59, 13-25.

Siegel, D. J. (1999). The Developing Mind: Toward a Neurobiology of Interpersonal Experience. New York: The Guilford Press.

Sival, D. A., Prechtl, H. F. R., Sonder, G H. ?., & Touwen, B. C. L. (1993). The effect of intra-uterine breech position on postnatal motor functions of the lower limbs. Early Human Development, 32(2-3), 161-176.

Souza, J. P, Cecatti, J. G, Pacagnella, R. C, Giavarotti, T M., Parpinelli, M. A, Camargo, R. S., & Sousa, M.H. (2010). Development and validation of a questionnaire to identify severe maternal morbidity in epidemiological surveys. Reproductive Health, 7.

Spielberger, C. D. (nd). Preliminary Manual for the State-Trait Personality Inventory (SPTI) .Unpublished manuscript, Tampa, Florida.

Spielberger, C. D., & Reheiser, E. C. (2003). Measuring anxiety, anger, depression, and curiosity as emotional states and personality traits with the STAI, STAXI, and STPI. In M. J. Hilsenroth & D. L. Segal (Eds.), Comprehensive Handbook of Psychological Assessment, Vol. 2 (Vol. Vol. 2, pp. 70-86). Hoboken, N.J.: John Wiley & Sons, Inc.

Spielberger, C. D., Ritterband, L. M., Reheiser, E. C, & Brunner, T M. (2003). The nature and measurement of depression. International Journal of Clinical and Health Psychology, 3(2), 209-234.

Spielberger, C. D, Ritterband, L. M., Sydeman, S. J, Reheiser, E. C, & Unger, K K (1995). Assessment of emotional states and personality traits: measuring psychological vital signs. InJ. N Butcher (Ed.), Clinical Personality Assessment: Practical Approaches. New York: Oxford University Press.

Steptoe, A., Kunz-Ebrecht, S., Owen, N, Feldman, P J, Willemsen, G, Kirschbau, C, & Marmot, M. (2003). SES and stress-related biological responses over the working day. Psychosomatic Medicine, 65, 461-470.

Stewart, D. E., Ahmad, E, Cheung, A., Bergman, B., & Dell, D. (2000). Women physicians and stress. Journal of Women's Health and Gender-Based Medicine, 9, 185-190.

Troude, P., Foix L'Helias, L., Raison-Boulley, A.-M., Castel, C, Pichón, C, Bouyer, J., & de La Rouchebouchard, E. (2008). Perinatal factors reported by mothers: do they agree with medical records? European Journal of Epidemiology, 23(8), 557-564.

VenditteUi, E, Riviere, O., Crenn-Hebert, C, Rozan, M.-A., Maria, B., Jacquetin, B.; ADIPOG Sentinel Network. (2008). Is a breech presentation at term more frequent in women with a history of cesarean delivery? American Journal of Obstetrics and Gynecology, 198(5), 521.e521-521.e526.

Weeden, J., Abrams, M. J., Gree, M. C, & Sabini, J. (2006). Do high-status people really have fewer children? education, income, and fertility in the contemporary U.S. Human Nature, 17(4), 377-392.

Wilson, M., E., White, M. A., Cobb, B., Curry, R., Greene, D., & Popovich, D (2000). Family dynamics, parental-fetal attachment and infant temperament. Journal of Advanced Nursing, 31(1), 204-210.

Witkop, C. T., Zhang, J., Sun, W, & Troendle, J. (2008). Natural history of fetal position during pregnancy and risk of nonvertex delivery. Obstetrics and Gynecology, 111(4), 875-880.

Yow, V. R (1994). Recording Oral History: A Practical Guide for Social Scientists. Thousand Oaks: Sage Publications.

Zysk, K. G. (1993). The science of respiration and the doctrine of the bodily winds in ancient India. The Journal of the American Oriental Society, 113.

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JOURNAL OF PRENATAL AND PERINATAL PSYCHOLOGY AND HEALTH publishes research and clinical articles from the cutting edge of the science of prenatal and perinatal psychology and health. The journal, published quarterly since 1986, is dedicated to the in-depth exploration human reproduction and pregnancy and the mental and emotional development of the unborn and newborn child.

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