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Outcome of Singleton Breech Delivery in Wesley Guild Hospital, Ilesa, Nigeria
Abstract
Objective: The aim of this study is to evaluate the impact of antenatal care and delivery in a specialist care unit on fetal outcome in singleton breech delivery
Study Design, Setting and Subjects: This was a case-control study of singleton breech delivery occurring at the Wesley Guild Hospital, Ilesa, an arm of Obafemi Awolowo University Teaching Hospitals Complex, from 1st January 1998 to 31st December 2001. The booked antenatal cases served as the subjects of study and unbooked cases received in labour served as the controls.
Main Outcome Measures: Incidence of singleton breech delivery, perinatal mortality rates, Apgar scores, birth asphyxia rates, arrest of the after-coming head and operative delivery rates.
Results: The results revealed 98 singleton breech deliveries among a total of 4,015 deliveries, giving an incidence of 2.44%. All the perinatal deaths were encountered in the unbooked patients who also had worse Apgar scores, higher persistent birth asphyxia, higher rates of cord prolapse, higher risk of arrest of the after -coming head and increased caesarean section rates when compared to booked patients.
Conclusion: Antenatal care and delivery in a specialist care unit may hold the key to changing the prevailing outlook of perinatal outcome in breech delivery in Nigeria and other developing countries.
Key Words: Singleton, Breech, Outcome, Perinatal Mortality
[Trop J Obstet Gynaecol, 2003, 20: 59-62]
