Study of the obstetric outcome of breech presentation in pregnancy in a tertiary hospital in a rural area in Telangana, India

Authors

  • Kavitha Kothapally Department of Obstetrics and Gynecology, Bhaskar Medical College and Bhaskar General Hospital, Yenkepally, Moinabad, Telangana, India
  • Archana Uppu Department of Obstetrics and Gynecology, Bhaskar Medical College and Bhaskar General Hospital, Yenkepally, Moinabad, Telangana, India
  • Vijayalakshmi Gillella Department of Obstetrics and Gynecology, Bhaskar Medical College and Bhaskar General Hospital, Yenkepally, Moinabad, Telangana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171973

Keywords:

Breech presentation, Maternal and fetal outcome, Mode of delivery

Abstract

Background: The present study was undertaken to study the incidence, aetiology and obstetric outcome of breech presentation in pregnancy in a teaching hospital in a rural area.

Methods: The present retrospective observational study was conducted in the department of obstetrics and gynaecology at Bhaskar Medical College and Bhaskar General Hospital, Yenkepally, Telangana from May 2014 to March 2017. 50 cases of breech presentation were included in the study. Demographic data like age, parity, gestational age of first detection of breech, aetiological factors of breech, mode of delivery, neonatal outcome were noted from case records.

Results: The incidence of breech was 1.4% in pregnancies attending Bhaskar general hospital. 74% were in the age group of 20-24yrs & 20% were in the age group of 25-29yrs. Primis accounted for 62% of the study group. Common etiologies of breech presentation were oligohydramnios (28%) and uterine anomalies (28%). No obvious fetal anomalies were noted. Majority (96%) of cases were delivered by caesarean section for breech associated with oligohydramnios, gestational hypertension, intrauterine fetal growth restriction and preterm. Neonatal outcome was good in breech delivered by caesarean section.

Conclusions: Breech delivery is a high risk pregnancy with adverse fetal outcomes during pregnancy and labour. Though caesarean section for breech presentation is not universally recommended, caesarean section can reduce the perinatal mortality and morbidity compared to vaginal birth for term breech pregnancy. Mode of delivery should be decided based on the case and obstetrician’s skill.

References

Dars S, Malik S, Bhurgri A. Is breech still being delivered vaginally? A comparative study. Int J Reprod Contracep Obstet Gynaecol. 2014;3(1):144-8.

Gaikwad S, Rokade R. Study of maternal and perinatal outcome of breech in vaginal and operative delivery in a university hospital. Int Med J. 2014;1(6):252-8.

Singh A, Mishra N, Dewangan R. Delivery in breech presentation: the decision making. J Obstet Gynaecol India. 2012;62(4):401-5.

Elie N, Nelson FJ, Luc K, Chanchu NP. Outcome of breech deliveries in Cameroonian nulliparous women. J Obstet Gynaecol India. 2012,62(5):531-5.

Zubor P. Repetitive breech presentation at term. Slovakia case report. 2013:628572.

Sanjivani, Wanjani A. Breech delivery a changing scenario. Int J Reprod Contracep Obstet Gynaecol. 2015;2:384-7.

Nordin MN. An audit of singleton breech deliveries in a hospital with a high rate of vaginal delivery. Malays J Med Sci. 2007;14(1):28-37.

Dongol A, Regmi S, Manandhar S, Kc S. Breech presentation among nullipara at term: an indication for caesarean section. Kathmandu Univ Med J. 2012;10(4):66-9.

Duke AO, Duke CO, Onyegbule OA, Amajuoyi CC, Madu PI, Enyinnaya EB. Outcome of single breech term deliveries at the Federal Medical Centre, Owerri, South Eastern Nigeria: a five year review. Int J Res Med Sci. 2014;2:527-31.

Mostello D, Chang JJ, Bai F, Wang J. Breech presentation at delivery, a marker for congenital anomaly. J Perinatol. 2014;34(11-15).

Abduljabbar HSO, Fetyani DM, Sait HK, Almagrabi FJ, Alsaggaf AE. Breech presentation: prevalence, outcome, review of 512 cases of breech. ARC J Gynaecol Obstet. 2016;1(2):2-6.

Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Lancet. 2000;356:1375-83.

Vistad I, Cvancarova M, Hustad BL, Henriksen T. Vaginal breech delivery: results of a prospective registration study. BMC Pregnancy and Childbirth. 2013;13:153.

RCOG. The management of breech presentation. guidelines No. 20b;2006. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/gtg-no-20b-breech-presentation.pdf

Nahid F. Outcome of singleton term breech cases in the pretext of mode of delivery. J Pak Med Assoc. 2000;50:81-5.

Ranzcog coll. Management of breech presentation at term. Obst 11: college statement. Ranzcog; 2013.

Downloads

Published

2017-04-27

Issue

Section

Original Research Articles