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Antenatal ultrasonography for breech delivery
1Department of Obstetrics and Gynecology, University of Ghana Medical School, Accra.
Objective:
We studied the role of sonography in the management of 370 breech presentations > or = 34 weeks maturity.
Method:
185 cases had sonographic confirmation of breech presentation prior to the delivery at the Korle Bu Teaching Hospital. A control group of 185 cases did not have prior scanning.
Results:
Significantly more elective cesarean sections were done in the study group, while the control group had more emergency sections (P = 0.008), and had more traumatic delivery. Birth asphyxia and perinatal mortality were significantly more common in the control group (P < 0.05).
Conclusion:
Sonography done before delivery improved neonatal outcome in breech presentation > or = 34 weeks maturity.