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    BASIC RESEARCH JOURNALS OF MEDICINE AND CLINICAL SCIENCE ISSN 2315-6864 ISI IF 0.836
 

Basic Research Journal of Medicine and Clinical Sciences ISSN 2315-6864 Vol. 7(1): Pp 01-09 April 2018

Copyright© 2018 Basic Research Journals

International Scientific Indexing lSI Impact Factor (0.836)

 

Full Length Research Paper

 

Maternal and neonatal out come in breech delivery; Vaginal versus caesarean section

 

1Saud Taher, 2*Maida Shamdeen

 

1Lecturer Dohuk medical college

2Prof/Dohuk medical college, Consultant OBG /Azady teaching hospital

 

*Corresponding author email: maida_yousif@yahoo.com

 

Received 10 March, 2018; Accepted 22 April, 2018; Published 01 May, 2018

 

Abstract

 

Breech presentation (Br. Pr) when the entrance of fetal buttocks or the lower extremities enter to the maternal pelvic inlet, or the buttocks and / or lower extremities of fetus are presented to the bottom of uterus and the head is in the upper part of uterus. Br. Pr occurs in (3-4%) of all deliveries, the percentage decreases with advancing gestational age from 25% of birth prior to 28 weeks of gestation to 7% at 32 weeks, to (1-3.7%) of births at term. Aim: This study was conducted in women with breech delivery to compare the maternal and neonatal out come in relation to the mode of delivery. Design: This is a descriptive hospital population – based study, done in pregnant women with breech presentation at time of delivery (whether for vaginal delivery or elective caesarean section), in a period of 7 months. Patients and method: study on 200 pregnant women with breech presentation at time of delivery.  A total of (290) cases were seen, only (200) cases were included, those with normal singleton fetus, ≥37 weeks of gestation were divided into two groups, those delivered vaginaly and by Caesarean section. The Criteria for vaginal delivery were good condition for both mother and fetus. Results: In this study, most Primigravida were delivered by caesarean section (75%), vaginal delivery was only (25%). Conclusion: Elective caesarean section decreases the risk of adverse early neonatal death and total neonatal morbidity in nulliparous pregnant women with normal singleton term breech fetus, and fetuses estimated weight (≥3500g), with no significant effect in maternal outcomes.

 

Keywords: breech presentation, breech delivery

 

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