Short Term Neonatal Outcomes of Singleton Term Breech Delivery: Two Year Experiences in a Malaysian Tertiary Hospital (original) (raw)
Related papers
Journal of Patan Academy of Health Sciences, 2016
Introductions: Obstetricians have long debated the role of caesarean section as a potentially safer mode of delivery for the fetus with breech presentation. However, the experience of the health care provider remains a critical element in the decision to pursue a vaginal breech delivery, and it may still be a viable option. The aim of this study is to determine the incidence of breech delivery at Patan Hospital and compare maternal and neonatal outcomes subjected to either vaginal or caesarean section.Methods: This was a five-year retrospective study of breech deliveries covering the year 2010 to 2014. Patient’s charts were retrieved from the medical record section and reviewed.Results: There were 896 breech deliveries out of a total 44,842 deliveries giving an incidence of 1.99%. One hundred thirteen (12.61%) of breech deliveries were through vaginal route while 431 (48.10%) and 352 (39.28%) were through emergency and elective caesarean sections respectively. There were 154 (17.18%...
Perinatal outcome of singleton term breech deliveries
European Journal of Obstetrics & Gynecology and Reproductive Biology, 1998
Objective: To assess neonatal morbidity and mortality in singleton term infants delivered in breech presentation and to find a possible correlation between outcome and mode of delivery. Study design: Case study of 306 singleton, term (37-42 weeks), breech deliveries, that took place between 1989 and 1994 in one perinatal centre. Results: 170 infants were delivered vaginally, 72 by elective and 64 by secondary cesarean section. Even after application of strict selection criteria -i.e. prior pelvic assessment by staff obstetricians, an estimated birth weight of 2500-4000 g -and with staff supervision, vaginal delivery turned out to be associated with a significantly higher incidence of low umbilical artery pH values and neonatal care unit admissions as compared to elective cesarean section. Five infants suffered mechanical trauma. One neonatal death occurred in the vaginal delivery group. Conclusion: The results of this retrospective study of 306 singleton term breech deliveries imply that even after strict selection of patients, vaginal delivery is associated with increased neonatal morbidity in comparison to elective cesarean section.
Comparison of Perinatal Outcome of Breech Presentation between Vaginal Delivery and Cesarean Section
Journal of Lumbini Medical College, 2016
Introduction: Many times, parturient opt for labour and vaginal breech delivery even after informing increased perinatal risks. Vaginal breech deliveries are undertaken with the reasons like avoidance of cesarean section in next pregnancy, null risk of operative and anesthetic hazards, ability to resume early all household works after vaginal birth, etc. The purpose of this study is to compare the perinatal outcome of breech deliveries in singleton breech presentation between vaginal breech delivery and cesarean section. Methods: A retrospective study was done in Lumbini Medical College Teaching Hospital for the duration of one year (December 2014 to November 2015). Data of perinatal outcome of breech deliveries were collected from the hospital records. The records of neonatal examination were also collected. The primary outcomes included were neonatal morbidity and mortality. Results: Out of 80 selected women with breech presentation, 42 of them had vaginal deliveries and 38 wo...
Journal of women's health care, 2016
Introduction: Breech deliveries have always been topical issues in obstetrics because of the very high perinatal mortality and morbidity. These are due to combination of trauma, birth asphyxia, prematurity and malformation. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery. Objective: To determine the perinatal outcome of singleton term breech deliveries and identify associated factors at Mizan Aman General Hospital. Methods: Hospital based cross-sectional study was conducted. Data on Socio-demographic, obstetric conditions and outcome of singleton breech deliveries of all pregnant women was collected from January 01, 2012 to December 31, 2014 GC. The collected Data was entered to SPSS version-20 for analysis. Descriptive statistics was run and the association between independent and dependent variables was measured using logistic regression model and p-value < 0.05 statistically significant. Result: During the 3 years study period, a total of 126 singleton term breech deliveries were recorded out of 3729 deliveries giving the prevalence of singleton breech deliveries in the hospital to be 3.4%. The perinatal outcome of breech deliveries were 104(88%) born alive and 14(12%) were dead indicating that the perinatal mortality rate to be 120 per 1000 term breech presentations. The possible causes of death for dead delivered fetus were entrapment of head 5(35.7%), prolapsed cord 4(28.6%), birth asphyxia 3(21.4%) and intrauterine death with unknown cause 2(14.3%). Birth weight greater than 3500 gm have 26% chance of fetal loss when compared with fetal weight 2500-3499 gm. Vaginal breech delivery have significant statistical association with perinatal loss than abdominal route. Conclusion and Recommendation: Perinatal mortality rate, of 120 per 1000 breech deliveries. Which indicate that breech vaginal delivery is associated with an increased perinatal mortality and morbidity than caesarean delivery. Birth weight ≥ 3500 gm increase risk perinatal loss than fetal weight between 2500-3500 gm.
Moderate neonatal morbidity after vaginal term breech delivery
Journal of Maternal-Fetal and Neonatal Medicine, 2004
Objective: Comparison of the results of term breech births in our clinic with the Term Breech Trial (TBT). Material and Methods: During the investigation period prospective data were collected on all deliveries of a term baby in breech presentation. Some pregnant women were included in the TBT and randomized in a planned cesarean section (CS)-group and a planned vaginal birth (VB)-group. The remaining non-randomized women were divided into a primary CS-group and a started VBgroup. Neonatal and maternal mortality and morbidity were analyzed retrospectively, according to the intended mode of delivery. Results: Neonatal or maternal mortality occurred in none of the groups. Neither in the randomized group nor in the non-randomized group were significant differences in serious neonatal and maternal morbidity observed between the intended cesarean section-group and the group that started vaginal delivery. However, in the non-randomized group, moderate neonatal morbidity was significantly lower in the primary CS-group than in the started VB-group. Conclusion: The differences in moderate neonatal morbidity support the conclusion of the TBT, that primary cesarean section may be safer for the term breech baby than a trial of vaginal labor.
Mode of delivery and neonatal death in 17 587 infants presenting by the breech
BJOG: An International Journal of Obstetrics and Gynaecology, 1991
Objective-To study thc effects of caesarean section on neonatal mortality in infants presenting by the breech. Design-Population-based non-experimental comparison of infants prcscnting by the breech born vaginally with those born by cacsarcan scction. Neonatal mortality rates were calculated for 250 g birthweight intervals. Weight-spccific relative risks (RRs) were further adjusted for birthweight in 50 g catcgorics. Setting-New York City, 1978-1983. Data came from the Departrncnt of Health's computerized vital records on livebirths and infant dcaths. Subjects-17 587 singleton breech livebirths 2500 g birthwcight, with congenital anomaly deaths excluded. 6178 were born vaginally and 11409 were born by caesarean section. Main outcome measures-Birthweight-specific and birthweight-adjusted neonatal mortality. Results-At birthwcights of 501 to 1750 g, the risk of neonatal dcath for breech infants born vaginally was significantly higher than the risk for those born by caesarean section (.weight-adjusted RR= 1.7). For breech infants with birthweights over 3000 g, the weight-adjustcd risk was 5.6 times greater for a vaginal birth compared with caesarean section. Thc addition of 16 additional control variables in multiple logistic rcgrcssion analyses did not change these RRs. Conclusion-Population-based studies indicatc that an increase in the caesarean section rate among breech singletons may be associatcd with increased neonatal survival, but a large multicentrc randomized trial of managemcnt of brccch presentation would answcr the question much more dcfinitivcly. This is a report of the results of an analysis o f whether babies presenting by the breech who are born vaginally arc at higher risk of neonatal mortality than those who are born by caesarean section. The data were non-expcrimental, that is, pregnant women were not randomly allocatcd to
Vaginal birth in singleton breech:revisited
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Background: The purpose of the study was to analyze maternal and perinatal outcome according to mode of delivery in singleton breech presentation retrospectively in a tertiary care center. Methods: This was a retrospective observational study done in KEM Hospital, during 2012 to 2013. Maternal and perinatal outcome was studied retrospectively. The data was collected from the mother's medical records. The neonatology records were also examined. Primary outcomes included neonatal mortality, morbidity and maternal morbidity. Results: Out of 100 selected patients; 27 delivered vaginally and 73 underwent lower segment caesarean section (LSCS). Perinatal mortality was 3%. Two out of 3 were delivered vaginally and 1 underwent LSCS. Perinatal morbidity was 1% in vaginal delivery. Maternal morbidity was 2%, both patients underwent emergency LSCS. There was no maternal mortality in the study. Conclusions: Delivery of breech fetus when labor and delivery is supervised and or conducted by experienced obstetrician lowers maternal morbidity, neonatal morbidity and mortality.
2021
Objective: In this study our main goal is to evaluate the predictive factors and maternal and foetal outcome of breech delivery in Rangpur medical college hospital. Method: This prospective observational study was carried out at Rangpur medical college hospital. From July 2019-Deccember 2019 where 51 singleton uncomplicated breech presentation admitted for delivery were included in the study. Results: During the study, mean umbilical cord length in LSCS and vaginal delivery group was 55.3±3.8 cm and 56.2±3.7 cm respectively. Mean placental weight in breech deliveries in LUCS and vaginal delivery group was 645±132 gram and 599±212 respectively. Cornu-fundus position of placental localization was the commonest in both the groups. Regarding the fetal outcome, 42.1% neonates suffered birth asphyxia in vaginal group while 37.5% suffered same problem in LUCS group. Higher (62.5%) percentage of children was born in LUCS group without any complications compared to 52.6% in vaginal group. Hi...