Study of Feto - Maternaloutcome of Breech Presentation With Singelton Pregnancy At Tertiary Care Hospital
Study of Feto-Maternaloutcome of Breech Presentation With Singelton Pregnancy At Tertiary Care Hospital
DOI:
https://doi.org/10.70284/njirm.v8i6.1323Keywords:
Breech presentation, feto-maternal outcome, Mode of deliveryAbstract
Background: The present study was undertaken to study the incidence, aetiology and obstetric outcome and fetal outcome of breech presentation in singlton pregnancy in a tertiary care hospital. Methods: This was a retrospective observational study conducted in the department of obstetrics and gynaecology attertiary care hospital from 1stJuly2016 to 30thJune 2017. 191 cases of breech presentation out of 9518patients registered for delivery were included in the study. Demographic data like age, parity, etiological factors of breech, mode of delivery, neonatal outcome were noted from case records. Results: The incidence of breech was 2.01% in pregnancies attending in our institute. Primi accounted for (39.27%) of the study group. Whereas, multipara accounted for (60.73%). Common etiologies of breech presentation were multipara (60.73%), Preterm(29.31%), oligohydramnios (8.37%) and uterine anomalies (1.57%).Neonatal outcome was good in breech delivered by caesarean section than in delivered vaginally. Conclusion: Breech delivery is a high risk pregnancy with adverse fetal outcomes during pregnancy and labour. Though caesarean section for breech presentation is not universally recommended, caesarean section can reduce the perinatal mortality and morbidity compared to vaginal birth for term breech pregnancy, but maternal morbidity was increased because of anaesthesia and operative interference. Mode of delivery should be decided based on the maternal and fetal condition and obstetrician’s skill. [Shital M NJIRM 2017; 8(6):11-15]
References
2. Lindqvist A, Nordén-Lindeberg S, Hanson U. Perinatal mortality and route of delivery in term breech presentations. Br J ObstetGynaecol. 1997;104(11):1288-91.
3. Hofmeyr GJ, Hannah M, Lawrie TA. Planned caesarean section for term breech delivery. Cochrane Database Syst Rev. 2015;7:CD000166.
4. Kotaska A, Menticoglou S, Gagnon R, Farine D, Basso M, Bos H, et al. Vaginal delivery of breech presentation. J ObstetGynaecol Can. 2009;31(6):557-66,567-78.
5. Pradhan P, Mohajer M, Deshpande S. Outcome of term breech births: 10-year experience at a district general hospital. BJOG. 2005;112(2):218-22.
6. Thorpe-Beeston JG, Banfield PJ, Saunders NJ. Outcome of breech delivery at term.BMJ. 1992;305(6856):746-7.
7. Berhan Y, Haileamlak A. The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies. BJOG. 2016;123(1):49-57.
8. saha and nandi : Int.Jour.Ob/Gy.37:77;1987.
9. Williams obstetrics, 24rd edition, chapter 28 : breech presentation and delivery, page 558-573
10. Oxorn – Foote’s Human Labor and Birth, 6thedition, chapter 15 : Breech Presentation, Page 472-513
11. Das S, Malik S, Bhurgri A. Is breech still being delivered vaginally? A comparative study.Int J ReprodContracepObstetGynaecol. 2014;3(1):1448.
12. Singh A, Mishra N, Dewangan R. Delivery in breech presentation: the decision making. J ObstetGynaecol India. 2012;62(4):401-5.
13. Elie N, Nelson FJ, Luc K, Chanchu NP. Outcome of breech deliveries in Cameroonian nulliparouswomen.JObstetGynaecol India. 2012,62(5):531-5.
14. kerbs L, langhoff– Roos J, Weber T. Breech at term mode of delivery ? A register-based study.Acta Obstet. Gynecol Scand 1995;74 (9):702_6.
15. Weissmann A, Hagay ZJ. Management of breech presentation : the 1993 Israeli census. European journal of Obstetrics and Gynecology and reproductive Biology1995;60(1) : 21-28.
16. Koike T, Minakami H, Sasaki M, Sayama M, Tamada T, sata I. The proble of relating fetal outcome with breech presentation to mode of delivery.ArchGynecolObstet. 1996;258(3) : 119-123.
17. Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Lancet. 2000;356:1375-83.
