Affiliations Maternal and neonatal complications in term breech delivered vaginally Samina Jadoon et al. J Coll Physicians Surg Pak. 2008 Sep.
Abstract Objective: To evaluate the maternal and neonatal complications in terms of genital tract trauma to mother, perinatal mortality, Apgar score at 5 minutes and neonatal trauma in all singleton term breech cases delivered vaginally. Study design: Case series. Place and duration of study: Department of Obstetrics and Gynaecology, Bolan Medical Complex
Hospital, Quetta, from May 2005 to March 2006. Methodology: A 100 consecutive patients with singleton breech presentation, whether booked or unbooked, were admitted and delivered vaginally in hospital during the study period. They were studied for maternal and neonatal complications. Maternal complication included any genital tract trauma during delivery while neonatal complications were perinatal mortality, low Apgar score (less than eight at 5 minutes) and birth
trauma. Results: There were a total 3977 deliveries during this study period, 145 breech presentation (incidence 3.6%). Out of those, 100 were included in the study. All were unbooked cases, 87% were multigravida while 13% were primigravida. An Apgar score of eight was recorded in 87% babies while 10% had an Apgar score of less than eight after 5 minutes. There were 3 still births and one neonatal death. Aggregated perinatal mortality rate was 40/1000 live births. Only
one baby had birth trauma (Erb's paralysis) during vaginal breech delivery. Ninety seven (97%) mothers had no complications while only 3 (3%) had complications. Out of these, one had cervical tear and 2 had vaginal tears. Conclusion: Offering a trial of vaginal breech delivery to strictly selected and well-counselled patients remains an appropriate option without compromising perinatal and maternal outcome. It also decreases the rate of operative delivery for this
malpresentation. Similar articles Breech delivery and foetal outcome: a review of 291 cases. Mekbib TA. Mekbib TA. Ethiop Med J. 1995 Jul;33(3):175-82.
Ethiop Med J. 1995. PMID: 7588656 Management trend and safety of vaginal delivery for term breech fetuses in a tertiary care hospital of Karachi, Pakistan. Mohammed NB, NoorAli R, Anandakumar C, Qureshi
RN, Luby S. Mohammed NB, et al. J Perinat Med. 2001;29(3):250-9. doi: 10.1515/JPM.2001.036. J Perinat Med. 2001. PMID: 11447931 Review. Singleton vaginal breech delivery at
term: still a safe option. Alarab M, Regan C, O'Connell MP, Keane DP, O'Herlihy C, Foley ME. Alarab M, et al. Obstet Gynecol. 2004 Mar;103(3):407-12. doi: 10.1097/01.AOG.0000113625.29073.4c. Obstet Gynecol. 2004. PMID: 14990399 Outcome of 496 term singleton breech deliveries in a tertiary center. Daniel Y, Fait G, Lessing JB, Jaffa A, David MP, Kupferminc MJ. Daniel Y, et al. Am J Perinatol. 1998 Feb;15(2):97-101. doi: 10.1055/s-2007-993906. Am J Perinatol.
1998. PMID: 9514133 Breech delivery at term: a critical review of the literature. Cheng M, Hannah M. Cheng M, et al. Obstet Gynecol. 1993 Oct;82(4 Pt 1):605-18. Obstet
Gynecol. 1993. PMID: 8377990 Review.
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What are the risk factors for breech presentation?
Risk factors for breech presentation. Lax uterus (usually associated with high maternal parity).. Uterine anomalies (eg, bicornuate or septate uterus) or tumour.. Placenta praevia.. Abnormal pelvic brim.. Maternal smoking.. Maternal diabetes.. Fetal malformation (eg, hydrocephalus).. Multiple pregnancy..
What are the risks of a breech baby?
In general, breech pregnancies aren't dangerous until it's time for the baby to be born. With breech deliveries, there is a higher risk for the baby to get stuck in the birth canal and for the baby's oxygen supply through the umbilical cord to get cut off.
What is the four types of breech presentation?
Types of breeches
Frank breech (50-70%) - Hips flexed, knees extended (pike position) Complete breech (5-10%) - Hips flexed, knees flexed (cannonball position) Footling or incomplete (10-30%) - One or both hips extended, foot presenting.
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