[The clininal management of breech presentation]

Area of Science:

• Obstetrics and Gynaecology
• Perinatal Medicine
• Neonatal Outcomes

Context:

• Analysis of 7933 deliveries at a tertiary care center between 1969-1973.
• Focus on 328 breech presentations, including 260 singletons.
• Comparison of Cesarean section and perinatal mortality rates for breech versus general obstetric population.

Purpose:

• To evaluate the incidence and outcomes of breech presentations.
• To determine the rate of Cesarean sections for breech deliveries.
• To assess the perinatal mortality associated with breech presentations.

Summary:

• Breech presentations accounted for 4.13% of deliveries, with a Cesarean section rate of 16.6%, four times higher than the clinic average.
• Premature deliveries were frequent (18.46%) in breech cases, contributing to a substantial sub/post-partum mortality of 5.67%.
• The net perinatal mortality rate for breech presentations was calculated at 1.15%.

Impact:

• Highlights the increased obstetric intervention and adverse outcomes associated with breech presentations.
• Underscores the critical role of prematurity in breech presentation-related perinatal mortality.
• Provides historical data on breech delivery management and outcomes, informing contemporary obstetric practices.