Relationship of mode of delivery of breech presentation with fetal and maternal outcome in a tertiary care hospital

Abstract

Objective:

Abstract   To find out the breech presentation's incidence as well as short term maternal and fetal outcomes in a tertiary care hospital.

Methods: At Lady Reading Hospital Peshawar Obstetrics and gynecology department, this study was carried out in a retrospective manner from l51 January 2021 till 3l51 December 2021.The sample size was 394. Details for demographic data, age of the patients, parity, period of gestation at birth, route of delivery, birth weight, neonatal admission, maternal and perinatal outcomes were collected from the hospitals records.

Results:  In this study, the incidence of breech was established as 394 (5%) out of 7617 cases of deliveries. Patients between age group of 20-35 years were 53% and patients >35 years of age were 32%. ln this study, primigravidas constitute 40%of cases. Majority were delivered vaginally (57%) vs caesarean section (43%).ln babies delivered vaginally perinatal morbidity was found to be (14.2%) which was higher than the patients who had caesarean section (6%).3.2% women had PPH.

Conclusion: In order to have successful vaginal breech delivery with good fetomaternal outcome and to decrease the percentage of caesareans being done for breech presentation it is very important to properly assess and select patients for breech vaginal delivery, strict fetal heart monitoring and implementing correct method of breech vaginal delivery.

key words: breech presentation,mode of delivery,perinatal outcome