Is breech still being delivered vaginally? A comparative study

Dars, Saira; Malik, Safia; Bhurgri, Aijaz

doi:10.5455/2320-1770.ijrcog20140328

Cited by 6 publications

(10 citation statements)

References 21 publications

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“…1 Consistent with the present study Dars S et al reported that primigravidas were more in ABD group, while multigravida predominates in VBD group. 4 Observation made by Pradeep MR et al that gestational age and foetal weight are significantly higher in ABD than VBD has concurrence with the present study findings. 3 In this study, Apgar score < 7 at 5 minutes was significantly higher (40.6%) among the planned VBD than the planned ABD group.…”

Section: Discussionsupporting

confidence: 92%

“…2 Dars S et al opined that prenatal mortality rate was significantly high in VBD (22.58% as compared to ABD 5.45%). 4 Igwegbe AO et al also showed high but insignificant neonatal mortality among VBD vs. ABD [(17.3% vs. 11.5%),  2 = 0.11, p= 0.38 at df 1; OR= 1.60 (0.35 -8.36)]. 5 Gilbert WM et al revealed that VBD in nulliparous women was associated with increased neonatal mortality [OR= 9.2 (3.3 -25.6)].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome of Term Breech Presentation in a Peripheral Tertiary Care Centre of West Bengal, India

Mandal¹,

Haldar²,

Ray³

et al. 2018

jemds

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Outcome of Term Breech Presentation in a Peripheral Tertiary Care Centre of West Bengal, India

Mandal¹,

Haldar²,

Ray³

et al. 2018

jemds

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“…1 Percentage of breech presentation and deliveries decreases with advancing gestational age, from 22% of births prior to 28 weeks to 7% of births at 32weeks to 1-3% of births at term. 1 Incidence decreases towards term due to spontaneous version. So, an active process is involved in limiting this spontaneous version and it results in breech presentation.…”

Section: Introductionmentioning

confidence: 99%

“…2 Breech presentation results from uterine anomalies, cornuofundal insertion of placenta, placenta previa, oligohydramnios, fetal getal growth restriction, prematurity, short umbilical cord, fetal anomalies like hydrocephalus, swellings in front of the neck. 1 Hence, we should look for the presence of uterine anomalies, site of placenta and fetal anomalies in all cases of breech presentation. Perinatal mortality is increased 3-4fold with breech presentation irrespective of the mode of delivery.…”

Section: Introductionmentioning

confidence: 99%

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

Kothapally

Uppu

Gillella

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONBreech is the common nonvertex presentation in 3-4% of pregnancies all over the world.1 Percentage of breech presentation and deliveries decreases with advancing gestational age, from 22% of births prior to 28 weeks to 7% of births at 32weeks to 1-3% of births at term. 1Incidence decreases towards term due to spontaneous version. So, an active process is involved in limiting this spontaneous version and it results in breech presentation. 2Breech presentation results from uterine anomalies, cornuofundal insertion of placenta, placenta previa, oligohydramnios, fetal getal growth restriction, prematurity, short umbilical cord, fetal anomalies like hydrocephalus, swellings in front of the neck.1 Hence, we should look for the presence of uterine anomalies, site of placenta and fetal anomalies in all cases of breech presentation. Perinatal mortality is increased 3-4fold with breech presentation irrespective of the mode of delivery. 1 Prematurity, cord prolapse and difficulties during vaginal breech delivery especially of the aftercoming head add to the increased perinatal mortality and morbidity following vaginal breech delivery.1 On the otherhand, through planned caesarean delivery, atleast at term, reduces the 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.

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“…Incidence is about 20% at 28 weeks of pregnancy and drops to 5% at 34 weeks. 1 Common etiological factors associated with breech pregnancy are prematurity, multiple pregnancy, congenital foetal and uterine malformation, foetal growth restriction, contracted pelvis, placenta praevia etc. 2 The management of breech delivery continues to be debatable.…”

Section: Introductionmentioning

confidence: 99%

A prospective observational study of breech pregnancy in a tertiary care centre

Kaul

Rami

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Breech presentation is the commonest of all mal presentations. Vaginal delivery of breech presentation at term is associated with a much higher perinatal mortality and morbidity than that of vertex presentation.Methods: This prospective study was carried out in the department of obstetrics and gynaecology, S. S. G. Hospital, Baroda for a period of six months from 1st May 2019 to 31st October 2019. Out of a total number of 4476 deliveries, 159 were breech pregnancy. It included all the women admitted in labour room or ward who delivered with clinical or ultrasound diagnosis of breech presentation after 20 weeks of gestation.Results: In the present study incidence of breech pregnancy was 3.6%. Authors observed the highest incidence of breech pregnancy in the age group of 20 to 25 years. Maximum (62.9%) cases delivered after 37 weeks of gestation. In our study 62.3% cases were primigravida and 37.7% were multigravida. Majority of cases (77.4%) delivered by caesarean section. Among all the babies born 50.6% were having birth weight of less than 2.5 kg.Conclusions: Authors need to study and analyse all cases of breech pregnancy individually to decide the management and mode of delivery depending on cases to case basis and expertise of the staff available. Delivery of breech foetus should be conducted by experience obstetrician after appropriate consent from pregnant women and her relatives.

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Is breech still being delivered vaginally? A comparative study

Cited by 6 publications

References 21 publications

Outcome of Term Breech Presentation in a Peripheral Tertiary Care Centre of West Bengal, India

Outcome of Term Breech Presentation in a Peripheral Tertiary Care Centre of West Bengal, India

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

A prospective observational study of breech pregnancy in a tertiary care centre

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