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Related Experiment Videos

Outcome of term breech presentation.

K Mahomed, R Seeras, R Coulson

    East African Medical Journal
    |December 1, 1989
    PubMed
    Summary

    Caesarean sections offer good fetal outcomes for breech presentation. Vaginal breech delivery carries high risks, including significant perinatal mortality and neonatal unit admissions, necessitating improved management protocols.

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    Area of Science:

    • Obstetrics and Gynecology
    • Perinatal Medicine
    • Maternal-Fetal Medicine

    Background:

    • Breech presentation complicates a significant number of deliveries.
    • Optimal delivery method for breech presentation remains a critical clinical question, especially in resource-limited settings.
    • Previous studies highlight potential risks associated with vaginal breech delivery.

    Purpose of the Study:

    • To evaluate fetal outcomes based on delivery mode for breech presentation.
    • To identify factors contributing to high perinatal morbidity and mortality in vaginal breech deliveries.
    • To propose a management protocol for breech presentation in a developing country context.

    Main Methods:

    • Retrospective analysis of 395 breech presentation cases at Harare Maternity Hospital.
    • Comparison of perinatal mortality and morbidity rates between caesarean section and vaginal breech delivery.
    • Assessment of neonatal outcomes, including Apgar scores and Neonatal Unit admissions.

    Main Results:

    • Caesarean section (elective or in labor) was associated with favorable fetal outcomes.
    • Vaginal breech delivery resulted in a perinatal mortality rate of 74 per 1,000 live births.
    • 25% of vaginally delivered infants required Neonatal Unit admission, with 13 having low Apgar scores.

    Conclusions:

    • Caesarean section is a safer option for breech presentation, ensuring better fetal outcomes.
    • High rates of perinatal mortality and morbidity underscore the risks of vaginal breech delivery in this setting.
    • A management protocol, including external cephalic version, is recommended to improve outcomes for breech presentation.

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