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Assisted breech delivery, is the art fading?
Samuel E Akinola1, Eric I Archibong, Karuna P Bhawani
1Department of Obstetrics and Gynecology, Khamis Civil Hospital, Khamis Mushayt, Kingdom of Saudi Arabia.
Saudi Medical Journal
|April 16, 2002
Summary
Cesarean delivery is increasingly preferred for breech births, leading to fewer assisted vaginal deliveries. This trend may reduce obstetricians' practical experience with assisted breech delivery techniques.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Neonatal Outcomes
Background:
- Breech presentation occurs in approximately 2.8% of deliveries.
- Historically, vaginal breech delivery was common, but cesarean delivery rates have risen.
Purpose of the Study:
- To review breech delivery modes over a 5-year period.
- To evaluate trends and complications of breech deliveries.
- To assess the impact of delivery mode on maternal and neonatal outcomes.
Main Methods:
- Retrospective analysis of delivery room records.
- Data collected from Khamis Civil Hospital, Kingdom of Saudi Arabia (1996-2000).
- Inclusion of all women with breech deliveries during the study period.
Main Results:
- 375 breech deliveries analyzed (2.8% of total).
- 82% of breech deliveries were by cesarean section; 18% by assisted vaginal delivery.
- Cesarean delivery showed lower morbidity compared to vaginal delivery; 2 neonatal deaths occurred in the vaginal delivery group.
Conclusions:
- Significant increase in cesarean delivery for breech presentation observed.
- Decreased exposure of obstetricians to assisted vaginal breech delivery techniques.
- The trend towards cesarean delivery may lead to a decline in the art of assisted breech delivery.