MODE OF DELIVERY AND NEONATAL OUTCOME IN BREECH PRESENTATION

Abstract

Background: Breech presentation is the commonest malpresentation with incidence of 3-4% at term. This study was done with the objective of studying the mode of delivery in breech presentation and to compare the neonatal outcome in women delivered vaginally to those delivered by cesarean section.

Methods: This prospective observational study was conducted in obstetric and gynaecology department of SMS Medical College, Jaipur (Rajasthan). In this study group 100 women with breech presentation were included who were studied with respect to their gestational age, birth weight, type of breech, mode of delivery and neonatal outcome.

Results:  100 women with breech presentation, 60% women delivered by cesarean section and 40% women delivered by vaginal delivery. APGAR score was less than 5 at 1 min. in 17.50% of vaginally delivered newborns and 6.66% in cesarean section delivered newborns(p value = 0.171). Admission to NICU were 25% in normal vaginal delivered newborns and 13.33% in cesarean section delivered newborns (p value =0.05). There was no perinatal mortality noted in both groups.

Conclusion: Although APGAR at 1 & 5 minute were low in newborns delivered by vaginal delivery as compared to cesarean section but the difference was not much significant. So vaginal delivery is still a safe option for breech babies with proper selection and when conducted by a skilled obstetrician.