Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia

Assefa, Fanta; Girma, Woubishet; Woldie, Mirkuzie; Getachew, Biniam

doi:10.1186/s13104-019-4442-6

Cited by 6 publications

(7 citation statements)

References 14 publications

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“…However, in our study, nearly half of breech presentations both in nulliparous and multiparous women were delivered vaginally (Table 3 ). This is similar to the 40% vaginal breech delivery observed in another teaching hospital in southwest Ethiopia [ 30 ]. A more liberal national and institutional protocols that allow assisted vaginal breech delivery in selected women can explain these observations [ 22 ].…”

Section: Discussionsupporting

confidence: 86%

Analysis of cesarean section rates using Robson ten group classification system in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

Abubeker

Gashawbeza

Gebre

et al. 2020

BMC Pregnancy Childbirth

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Background Cesarean section (CS) is an important indicator of access to, and quality of maternal health services. The World Health Organization recommends the Robson ten group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. This study aimed to assess the rate of CS and perform an analysis based on Robson classification system. Methods A facility-based cross-sectional study was conducted at a tertiary hospital in Addis Ababa, Ethiopia. Data were collected from medical charts of all women who delivered from January-June 2018. The overall CS rate was calculated then women were categorized into one of the ten Robson groups. Relative size of each group, contribution of each group to the overall CS rate, and CS rate within each group were calculated. Results A total of 4,200 deliveries were analyzed. Of these 1,459 (34.7%) were CS. The largest contributors to the overall CS rate were Group 10 (19.1%), Group 2 (18.3%), Group 5 (17.1%), and Group 4 (15.8%). There was also a high rate of pre-labor CS in Group 2, Group 4, and Group 10. Conclusion Through implementation of the Robson ten group classification system, we identified the contribution of each group to the overall CS rate as well as the CS rate within each group. Group 10 was the leading contributor to the overall CS rate. This study also revealed a high rate of CS among low-risk groups. These target groups require more in-depth analysis to identify possible modifiable factors and to apply specific interventions to reduce the CS rate. Evaluation of existing management protocols and further studies into indications of CS and outcomes are needed to design tailored strategies and improve outcomes.

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Section: Discussionsupporting

confidence: 86%

Analysis of cesarean section rates using Robson ten group classification system in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

Abubeker

Gashawbeza

Gebre

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…However, in our study, nearly half of breech presentations both in nulliparous and multiparous women were delivered vaginally ( Table 3). This is similar to the 40% vaginal breech delivery observed in another teaching hospital in southwest Ethiopia [27]. A more liberal national and institutional protocols that allow assisted vaginal breech delivery in selected women can explain these observations [21].…”

Section: Discussionsupporting

confidence: 78%

Analysis of cesarean section rates using Robson Ten Group Classification System in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

Abubeker

Gashawbeza

Gebre

et al. 2020

Preprint

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Background: Cesarean section (CS) is an important indicator of access to, and quality of maternal health services. The World Health Organization recommends the Robson ten group classification system as a global standard for assessing, monitoring and comparing CS rates at all levels. This study aimed to assess the rate of CS and perform an analysis based on Robson classification system.Methods: A facility-based cross-sectional study was conducted at a tertiary hospital in Addis Ababa, Ethiopia. Data were collected from medical charts of all women who delivered from January-June 2018. The overall CS rate was calculated then women were categorized into one of the ten Robson groups. Relative size of each group, contribution of each group to the overall CS rate, and CS rate within each group were calculated.Results: A total of 4,200 deliveries were analyzed. Of these 1,459 (34.7%) were CS. The largest contributors to the overall CS rate were Group 10 (19.1%), Group 2 (18.3%), Group 5 (17.1%), and Group 4 (15.8%). There was also a high rate of pre-labor CS in Group 2, Group 4, and Group 10.Conclusion: Through implementation of the Robson ten group classification system, we identified the contribution of each group to the overall CS rate as well as the CS rate within each group. Group 10 was the leading contributor to the overall CS rate. This study also revealed a high rate of CS among low-risk groups. These target groups require more in-depth analysis to identify possible modifiable factors and to apply specific interventions to reduce the CS rate. Evaluation of existing management protocols and further studies into indications of CS and outcomes are needed to design tailored strategies and improve outcomes.

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“…[6][7][8][9] However Assefa et al reported 5.3% as the incidence of breech delivery in their study. 5 The high incidence of breech delivery in our study might be because the hospital is a tertiary care center where the abnormal presentation cases are referred and also there is no practice of external cephalic version in our center.…”

Section: Discussionmentioning

confidence: 85%

Breech Presentation and Maternal and Perinatal Outcome in a Tertiary Care Teaching Hospital of Central Nepal

Acarya

Kumar²,

Shrestha³

et al. 2020

J Coll Med Sci-Nepal

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Introduction: Breech is the commonest malpresentation. The objective of this study is to find out the prevalence of breech presentation at term. It also aims to present the mode of delivery conducted and to highlight the maternal and fetal complications associated with it. Methods: This was a descriptive cross-sectional study conducted in Department of Obstetrics and Gynaecology department of College of Medical Sciences done over a period of 2 years. All term pregnant women (≥ 37 weeks) aged 16 years and above, admitted to the maternity and labor ward with the diagnosis of singleton breech presentation during the study period were included in the study. Results: The incidence of breech presentation at term was 5.03%. Out of these, only 7 (18.92%) patients underwent breech vaginal delivery. Mean maternal age was 28.07 (± 11.56) years and majority were primigravidae. The mean birth weight of newborn was 2.8±0.5 kg. Conclusions: Breech presentation can result in both maternal and fetal complications. Skills related to conducting delivery in breech presentation must be learned by all those who manage pregnant women.

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Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia

Cited by 6 publications

References 14 publications

Analysis of cesarean section rates using Robson ten group classification system in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

Analysis of cesarean section rates using Robson ten group classification system in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

Analysis of cesarean section rates using Robson Ten Group Classification System in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study

Breech Presentation and Maternal and Perinatal Outcome in a Tertiary Care Teaching Hospital of Central Nepal

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