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Undiagnosed term breech: management and outcome
Z A Babay1, L A Al-Nuaim, M H Addar
1Department of Obstetrics and Gynecology, King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia.
Saudi Medical Journal
|August 14, 2001
Summary
Undiagnosed breech at term deliveries showed no increased risk for cesarean section or adverse maternal and fetal outcomes compared to diagnosed cases. Key risk factors for cesarean section included footling presentation and hypertension.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Maternal-Fetal Medicine
Background:
- Breech presentation at term requires careful management to optimize maternal and neonatal outcomes.
- Timely diagnosis of breech presentation is crucial for planning delivery and minimizing complications.
Purpose of the Study:
- To evaluate antenatal and intrapartum risk factors for undiagnosed breech presentation at term.
- To compare outcomes of undiagnosed term breech deliveries with those diagnosed antenatally.
- To identify determinants for cesarean section in breech presentations.
Main Methods:
- A case-control study was conducted.
- Included 183 cases of undiagnosed term breech deliveries.
- Compared outcomes with term breech deliveries diagnosed before labor.
Main Results:
- No significant differences in maternal or neonatal outcomes between diagnosed and undiagnosed term breech deliveries.
- Cesarean section incidence was similar between the two groups.
- Footling breech presentation, maternal hypertension, and missed antenatal visits were independent risk factors for cesarean section.
Conclusions:
- Undiagnosed breech presentation at term does not confer an increased risk of cesarean section.
- There is no additional maternal or fetal morbidity associated with undiagnosed term breech deliveries.
- Risk factors for cesarean section in breech presentation include footling presentation, hypertension, and poor antenatal care attendance.