Article Sidebar
Article Details
The entire contents of the Tropical Journal of Obstetrics and Gynaecology are protected under Indian and international copyrights. The Journal, however, grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also grants the right to make small numbers of printed copies for their personal non-commercial use.
This journal content is distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Main Article Content
Outcome of Term Singleton Breech Deliveries in a Tertiary Health Care Centre
Abstract
Objective:The aim of this study was to evaluate the perinatal and maternal morbidity and mortality associated with term breech delivery, with a view to identifying ways of improving the outcome.
Study Design, Setting and Subjects:This was a retrospective study involving 222 term singleton breeches out of 11,571 deliveries conducted at Jos University Teaching Hospital between January 1994 and December 1998
Results:The incidence of singleton breech delivery at term was 1.9%. This statistically rose with increasing age and parity of the mothers (p<0.001). Singleton breech delivery significantly had higher perinatal mortality compared with singleton cephalic presentation (p<0.001). Babies delivered by caesarean section were more likely to have Apgar scores greater than 7 compared to those delivered vaginally(p<0.001). The incidence of caesarean section was 41%. Footling breech, big breech, failure of progress in labour and previous caesarean section led to 83.5% of the caesarean sections. The perinatal mortality rate was 189.2/1000 with birth asphyxia contributing about 85.6/1000 of the perinatal loss. The incidence of maternal morbidity associated with caesarean section was 7.7% compared with incidence of 1.5% associated with assisted breech delivery. There was no maternal mortality.
Conclusion:High perinatal mortality and morbidity were found amongst babies delivered by assisted breech delivery and caesarean section was found to offer better perinatal outcome, albeit with a significant increase in maternal morbidity.
Key Words: Term Breech, Fetal, Maternal Outcome, Parturient.
[Trop J Obstet Gynaecol, 2003, 20: 129-133]
