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Open Access
Peer-reviewed
Research Article
Effect of caesarean birth on perinatal mortality for singleton breech presentation in spontaneous preterm labour—A target trial emulation using Scottish health record data
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Robin Alexander ,
Contributed equally to this work with: Robin Alexander, Swetha Bhaskar
Roles Data curation, Formal analysis, Methodology, Validation, Visualization, Writing – original draft
* E-mail: rnaa1@st-andrews.ac.uk (RA); holger.unger@menzies.edu.au (HWU)
Affiliation Research Fellow in Medical Statistics, Division of Population and Behavioural Sciences, School of Medicine, University of St Andrews, St Andrews, United Kingdom
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Swetha Bhaskar ,
Contributed equally to this work with: Robin Alexander, Swetha Bhaskar
Roles Conceptualization, Funding acquisition, Methodology, Project administration, Supervision, Validation, Writing – review & editing
Affiliations Consultant Obstetrician and Gynaecologist, Victoria Hospital, Kirkcaldy, United Kingdom, Senior Lecturer, School of Medicine, St Andrews University, St Andrews, United Kingdom, Honorary Lecturer, School of Medicine, University of Dundee, Dundee, United Kingdom
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Amaya Azcoaga-Lorenzo,
Roles Supervision, Writing – review & editing, Methodology
Affiliations Honorary Senior Lecturer, Division of Population and Behavioural Sciences, School of Medicine, University of St Andrews, St Andrews, United Kingdom, General Practitioner, Los Pintores Primary Health Center (SERMAS), Madrid, Spain, Health Research Institute-Fundación Jiménez Díaz University Hospital, Universidad Autónoma de Madrid (IIS-FJD, UAM), Madrid, Spain
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Adeniyi Francis Fagbamigbe,
Roles Formal analysis, Writing – review & editing, Data curation
Affiliation Associate Professor in Medical Statistics, Centre for Healthcare and Community, Coventry University, Coventry, United Kingdom
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Clarine Y.C. Chow,
Roles Data curation, Writing – review & editing
Affiliation Resident Doctor, Stockport NHS Foundation Trust, Stockport, United Kingdom
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Kevin K. W. Kuan,
Roles Investigation, Validation, Writing – review & editing, Data curation
Affiliation Resident Physician, Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Canada
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Sarah J. Stock,
Roles Methodology, Supervision, Writing – review & editing, Conceptualization
Affiliation Honorary Professor in Maternal and Fetal Health, Usher Institute, Centre for Medical Informatics, University of Edinburgh, Edinburgh, United Kingdom
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Stefan A. Unger,
Roles Supervision, Validation, Writing – review & editing, Methodology
Affiliations Honorary Professor in Maternal and Fetal Health, Usher Institute, Centre for Medical Informatics, University of Edinburgh, Edinburgh, United Kingdom, Honorary Senior Clinical Lecturer, Department of Child Life and Health, University of Edinburgh, Edinburgh, United Kingdom, Paediatric Respiratory Consultant, Department of Respiratory Medicine, Royal Hospital for Children and Young People, NHS Lothian, Edinburgh, United Kingdom
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Ben Swallow,
Roles Methodology, Supervision, Writing – review & editing, Formal analysis
Affiliation Lecturer in Statistics, School of Mathematics and Statistics, University of St Andrews, St Andrews, United Kingdom
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Colin McCowan,
Roles Formal analysis, Methodology, Project administration, Resources, Supervision, Validation, Writing – review & editing, Data curation
Affiliation Professor in Health Data Science, Division of Population and Behavioural Sciences, School of Medicine, University of St Andrews, St Andrews, United Kingdom
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Holger W. Unger
Roles Conceptualization, Funding acquisition, Methodology, Project administration, Writing – original draft
* E-mail: rnaa1@st-andrews.ac.uk (RA); holger.unger@menzies.edu.au (HWU)
Affiliations Associate Professor, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia, Honorary Senior Clinical Lecturer, Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom, Honorary Senior Research Fellow, Department of Infectious Diseases, Doherty Institute, University of Melbourne, Melbourne, Victoria, Australia, Consultant Obstetrician and Gynaecologist, Department of Obstetrics and Gynaecology, Royal Darwin Hospital, Darwin, Australia
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Effect of caesarean birth on perinatal mortality for singleton breech presentation in spontaneous preterm labour—A target trial emulation using Scottish health record data
- Robin Alexander,
- Swetha Bhaskar,
- Amaya Azcoaga-Lorenzo,
- Adeniyi Francis Fagbamigbe,
- Clarine Y.C. Chow,
- Kevin K. W. Kuan,
- Sarah J. Stock,
- Stefan A. Unger,
- Ben Swallow,
- Colin McCowan
- Published: July 21, 2025
- https://doi.org/10.1371/journal.pone.0326001