Embedded Files
PERINATAL OUTCOME OF BREECH PRESENTATION AT THE MATERNITY TEACHING HOSPITAL IN ERBIL CITY
PERINATAL OUTCOME OF BREECH PRESENTATION AT THE MATERNITY TEACHING HOSPITAL IN ERBIL CITY
Shilan Youssif Abdulla * and Tariq Al-Hadithi **
* Department of Anatomy; AlKindi College of Medicine; University of Baghdad.
** Department of Anatomy, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.
Submitted: 14/3/2013; Accepted: 17/9/2013; Published 1/12/2014
DOI Link: https://doi.org/10.17656/jsmc.10052
ABSTRACT
Background and Objectives
Increased perinatal mortality and morbidity with breech presentation is recognized. The objective of this study was to determine the perinatal outcome of breech presentation in Erbil Maternity Teaching Hospital.
Patients and Methods
This is a case-control study, conducted from the 1st of April 2010 to the 1st of April 2011. The sample size was 238 singleton breech deliveries (cases) and compared with 238 singleton cephalic deliveries. Main outcome measures were neonatal mortality and morbidity including admission to NICU and 5 minutes APGAR scores.
Results
A signi cantly higher overall perinatal mortality was documented among breech than cephalic deliveries 7.5% versus 2.5%. Low birth weight was signi cantly (P=0.001) higher among breech than cephalic deliveries. Five minutes APGAR score and neonatal intensive care unit admissions were signi cantly higher among breech than cephalic babies(P=0.026 and 0.001 respectively).
Conclusion
Breech babies had signi cantly higher overall perinatal mortality and a lower APGAR score at ve minutes and admitted more frequently to NICU than cephalic babies.
KEYWORDS
Breech presentation, Cephalic presentation and perinatal outcome.
References
1. Bell J, Hussein J, Jentsch B, Scotland G, Bullough C, Graham WJ. Improving skilled attendance at delivery: A preliminary report of the SAFE Strategy Development Tool.Birth [internet] 2003 [cited Jun 2010]; 30(4): [8 pages]. Available from:www.jstor.org/stable.
2- Hickok DE, Gordon DC, Milberg JA, Daling JR. The frequency of breech presentation by gestation age at birth: a large population-based study. Am J Obstet Gynecol 1992; 166(3):851-2.
3- Arulkumaran S. Malpresentation, malposition, cephalopelvic disproportion and obstetric procedures. In: Edmonds DK, editor. Dewhurst`s textbook of obstetrics and gynecology. 7th ed. London: Blackwell; 2007. p. 214-2.
4-Westgren M, Edvall H, Nordstrom L, Svalenius E , Ranstam J. Spantaneous cephalic version of breech presentation in the last trimester. BJOG 1985; 92:19-22.
5- Hamadamen SK, Mode of delivery and perinatal mortality in primigravida with breech presentation. M.Sc. thesis. Hawler-Medical Univerisity. Iraq; 2005.
6- Lumley J. Defining the problem: The epidemiology of preterm birth. BJOG 2003; 110(20):3- 7.
7- Backer P N, Johnson J, Jones G, Kean L, Kenny L, Mires G, etal. Labour. In: Campbell S, Lees C, editors. Obstetrics by ten teachers. 18th ed. London: Edward Arnold; 2006. P.245-310.
8- Swedish Collaborative Breech Study Group, Perinatal-ARG (Perinatal working Group Swedish Society of Obstetrics and Gynecology). Term breech delivery in Sweden: mortality relative to fetal presentation and planned mode of delivery. Acta Obstet Gynecol Scand 2005 ;84:593– 601.
9-Kusiako T, Ronsmans C, Van der paal L. Perinatal mortality attributable to complications of children in Matlab, Bangladesh. Bull World Health Org 2000;78 (5):622-3.
10- Mavalankar DV, Trivedi CR, Gray RH. Levels and risk factors for Perinatal mortality in Ahmedabad, India. Bull World Health Org 1991 69:435-42.
11- Bartlett A, Bocaletti MA. Reducing perinatal mortality in developing countries: high risk or improved labor management? Health Policy and Planning 1993; 8:360-8.
12- Orji EO, Ajenifuja KO. Planned vaginal delivery versus Caesarean section for breech presentation in Ile-Ife, Nigeria. East Afr Med J 2003; 80(11):589-91.13-Igwegbe AO, Monago EN, Ugboaja JO. Caesarean versus vaginal delivery for term breech presentation: A comparative analysis Af J Biomed 2010;13:15-8.
14-Fawole AO, Adeyemi AS, Adewole IF, Omigbodun AO. A ten-year review of breech deliveries at Ibadan, Nigeria. Afr J Med Med Sci 2001;30 (2):87-90.
15-Gimovsky ML, Wallace RL, Schifrin BS, Paul RH. Randomized management of the nonfrank breech presentation at term: a preliminary report. Am J Obstet Gynecol 1983;146: 34-40.
16- Scheer K, Nubar J. Variation of fetal presentation with gestational age. Am J Obstet Gynecol 1979;125:269-70.
17- Amoa AB, Sapur M, Klufio CA. Perinatal outcome and associated factors of persistent breech presentation. PNG Med J 2001; 44(2):48- 56.
© The Authors, published by University of Sulaimani, College of Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Page updated
Report abuse