Abstract
Objective
To optimize the fetomaternal oucome using different modes of delivery in breech presentation.
Materials and Methods
265 women with different parity and gestational age having singleton breech were studied during Jan 2007 to Sep 2009 at Pt. J.N.M. Medical College and associated Dr. B.R.A.M. Hospital Raipur Chhattisgarh and were assigned to either planned or emergency cesarean section or trial of vaginal delivery after counseling. Fetomaternal outcome was compared in various modes of delivery.
Observations
Incidence of breech presentation was 2.1 %, prematurity was the most common cause. 113 (42.6 %) women delivered vaginally. 54 (20.4 %) were planned for cesarean section. Emergency cesarean section was done in 98 (37 %). Although perinatal morbidity and mortality was lower in caesarean section group as compared to vaginal delivery group, but the difference became statistically insignificant after adjustment for confounding factors. (p = 0.14)
Conclusion
In view of insignificant difference in the fetomaternal outcome balanced decision about mode of delivery on a case by case basis will go a long way in improving both foetal and maternal outcome. Regular drill and conduct of vaginal breech delivery should be pursued in all maternity hospitals.
This is a preview of subscription content, log in via an institution to check access.
References
Hannah ME, Hannah WJ. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomized multicentre trial. Lancet. 2000;356:1375–83.
Glezerman, Marek MD. Five years of the term breech trial: the rise and fall of a randomized controlled trial. Am J Obstet Gynecol. 2006;194:20–5.
Warke HS, Saraogi RM, Sanjanwalla SM. Should a preterm breech go for vaginal delivery or cesarean section. J Postgrad Med. 1999;45:1–4.
Meye JF, Mayi S, Zue AS, et al. Neonatal prognosis for breech infants delivered vaginally at the Josephine Bongo Maternity hospital in Libreville Garbon. Sante Avril. 2003;13:81–4.
Abasiattai AM, Etuk SJ, Asuquo EEJ, et al. Perinatal outcome following singleton vaginal breech delivery in the University of Calabar Teaching Hospital, Calabar: a 10 year review. Mary Slessor J Med. 2004;4:81–5.
Gilbert WM, Hicks SM. Vaginal versus cesarean delivery for breech presentation in California: a population-based study. Obstet Gynaecol. 2003;102:911–7.
Bushra R, Tayyaba A. Maternal and perinatal outcome in term singleton breech presentation. J Postgrad Med Inst. 2004;18:373–9.
Nordin NM. An audit of singleton breech deliveries in a hospital with a high rate of vaginal delivery. Malays J Med Sci. 2007;14:28–37.
Giuliani A, Scholl WMJ, Basver A, et al. Mode of delivery and outcome of 699 term singleton breech deliveries at a single center. AJOG. 2002;187:1664–8.
Bassaw B, Ramprasad N, Roopnarainesingh S, et al. Correlation of fetal outcome with mode of delivery for breech presentation. J Obstet Gynaecol. 2004;24:254–8.
Goffinet F, Carayol M, Foidart JM, et al. Is planned vaginal delivery for breech presentation at term still an option. Am J Obset Gynecol. 2006;194:1002–11.
Uotila J, Tuimala R, Kirkinen P. Good perinatal outcome in selective vaginal breech delivery at term. Acta Obstet Gynecol Scand. 2005;84:578–83.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Singh, A., Mishra, N. & Dewangan, R. Delivery in Breech Presentation: The Decision Making. J Obstet Gynecol India 62, 401–405 (2012). https://doi.org/10.1007/s13224-012-0289-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13224-012-0289-7