A Study on Fetomaternal Outcome of Breech Presentation in a Tertiary Care Hospital

Abstract

Background: The aim of the study was to find out the incidence, maternal and fetal outcome of breech presentation in a tertiary care hospital. Methods: The present retrospective study was carried out in the department of Obstetrics and Gynaecology of IMS & SUM HOSPITAL, Bhubaneswar, Odisha from March 2016 to April 2018. Total 97 cases were included in this study. The demographic data like age, parity, gestational age, mode of delivery, maternal and perinatal outcome were noted from hospital records and studied. Results: The incidence of breech was found to be 2.6% in patients attending the IMS & SUM HOSPITAL. 47 % cases were in the age group of 20-25 years and 28% were in age group of 26-30 years. In the present study, primigravidas constitute 52%of cases. Most of the cases were delivered by caesarean section (88%) which were associated with PIH, oligohydramnious and PROM. Perinatal morbidity was seen to be higher in babies delivered vaginally (63%) as compared to 16 % in cases delivered by caesarean section. Conclusion: Breech presentation is associated with adverse maternal and fetal outcome. Caesarean section does not totally eliminate the associated maternal and perinatal morbidity. The mode of delivery in breech presentation should be specified based on type of breech, stage of labour, fetal wellbeing and availability of skilled obstetrician.