A Study on Fetomaternal Outcome of Breech Presentation in a Tertiary Care Hospital

Fetomaternal Outcome of Breech Presentation

Abstract

Background: The aim of the study was to find out the incidence, maternal and fetal outcome of breech presentation in a tertiary care hospital. Methods: The present retrospective study was carried out in the department of Obstetrics and Gynaecology in tertiary care system from 1st january2019 to 31st july2019. Total 97 cases were included in this study. The demographic data like age, parity, gestational age, mode of delivery, maternal and perinatal outcome were noted from hospital records and studied. Results: The incidence of breech was found to be 2.65% in patients attending tertiary care system. 47.42 % cases were in the age group of 20-25 years and 28.86% were in age group of 26-30 years. In the present study, primigravidas constitute 39.27%of cases. Perinatal morbidity was seen to be higher in babies delivered vaginally (25.49%) as compared to 17.39 % in cases delivered by caesarean section. 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. The mode of delivery in breech presentation should be specified based on type of breech, stage of labour, fetal wellbeing and availability of skilled obstetrician. [Mehta S Natl J Integr Res Med, 2019; 10(6):50-53]