For A Singleton Breech Presentation Vaginal Delivery Should Be an Option A Review Over One Year in A Tertiary Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Breech is commonest malpresentation, with incidence ranging from 3 to 4% in term gestations. Perinatal mortality is increased 2-4 fold with breech presentation regardless of mode of delivery. Offering a trial of vaginal breech delivery to a well counselled strictly selected patients remains an appropriate option. Aims and Objectives 1. To study the maternal complications like genital tract trauma after term breech delivered vaginally. 2. To study the neonatal complications in terms of perinatal mortality, apgar score at 5 minutes, and neonatal trauma in all singleton term breech delivered vaginally. Material and Methods: Hundred patients with singleton term breech presentation delivered vaginally during the year 2015, were studied retrospectively, for maternal and neonatal complications. maternal complications include genital tract trauma and neonatal complications include perinatal mortality, apgar score at 5 minutes, and neonatal trauma Results: Hundred patients with singleton term breech presentation admitted and delivered vaginally were studied retrospectively. All were unbooked cases in labour. 90% were multigravidae and 10 % were primigravidae. An apgar score of >\=8 at 5 minutes was observed in 91% of cases while 4% had apgar score <8 at 5 minutes. there were 5 still births and 2 neonatal deaths. None of the baby had birth trauma. Only 2% of mothers had genital tract trauma (cervical tears). Conclusion: Offering a trial of vaginal breech delivery to selected and well counselled women is an appropriate option without compromising perinatal and maternal outcome. Thus contributing in decreasing the rising caesarean section rate.
Authors and Affiliations
Dr Anees Aisha
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