Planned vaginal delivery versus caesarean section for breech presentation in Ile-Ife, Nigeria

Eo, Orji; Ajenifuja, KO

doi:10.4314/eamj.v80i11.8769

Cited by 17 publications

(27 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study and in some others (9)(10)(11), the immediate neonatal outcomes (Apgar score) between those infants delivered by vaginal breech delivery and by Caesarean section were statistically significant but with little impact clinically. Only a small number of breeches recorded low Apgar score at five minutes and four out of six were delivered vaginally.…”

Section: Discussionsupporting

confidence: 39%

“…This allows the doctor to perfect their techniques and enhance confidence. Caesarean section was reserved only for the primigravida or the multiparous patients with reasonably safe (9)(10)(11). If all cases are delivered abdominally, soon the skills of vaginal delivery will be lost and will join the fate of the rotational forceps.This may lead to disaster when the doctor is called for an inevitable assisted breech delivery or a delay in delivery of a breech second twin (12).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Term Breech Trial and Its Consequences on Practice:a Retrospective Study of the Universityof Malaya Medical Centre's Experience

A¹,

Aniza²

2005

JUMMEC

View full text Add to dashboard Cite

footling breech or evidence of poor progress or fetal distress. Nowadays, after the published randomized trial in the Lancet (6), Caesarean section has become the delivery route of choice for most women with a breech presentation, regardless of parity and estimated fetal size. This will definitely increase the Caesarean section rate and cost to the already tight health budget of any government.Although the results of the trial and a few others (7-8) were supportive of elective Caesarean delivery, experience tells us that in properly selected cases and in experienced hands, assisted breech deliveries are

show abstract

Section: Discussionsupporting

confidence: 39%

Section: Introductionmentioning

confidence: 99%

Term Breech Trial and Its Consequences on Practice:a Retrospective Study of the Universityof Malaya Medical Centre's Experience

A¹,

Aniza²

2005

JUMMEC

View full text Add to dashboard Cite

show abstract

“…The few observational studies of breech delivery in sub-Saharan African Hospitals report a wide range of short-term outcomes, reflecting resource constraints and policy differences [6, 11–13]. There is a lack of continuous statistical surveillance in many busy hospital obstetrics units in low-income settings.…”

Section: Introductionmentioning

confidence: 99%

Breech delivery at a University Hospital in Tanzania

Högberg

Claeson

Krebs

et al. 2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundThere is a global increase in rates of Cesarean delivery (CD). A minor factor in this increase is a shift towards CD for breech presentation. The aim of this study was to analyze breech births by mode of delivery and investigate short-term fetal and maternal outcomes in a low-income setting.MethodsThe study design was cross-sectional and the setting was Muhimbili National Hospital (MNH), Dar-es-Salaam, Tanzania. Subjects were drawn from a clinical database (1999–2010) using the following inclusion criteria: breech presentation, birth weight ≥ 2,500 g, single pregnancy, fetal heart sound at admission, and absence of pregnancy-related complication as indication for CD. Of 2,765 mothers who had a breech delivery, 1,655 met the inclusion criteria. Analyses were stratified by mode of delivery, taking into account also other birth characteristics. The outcome measures were perinatal death (stillbirths + in-hospital neonatal deaths) and moderate asphyxia. Maternal outcomes, such as death, hemorrhage, and length of hospital stay, were also described.ResultsThe CD rate for breech presentation increased from 28 % in 1999 to 78 % in 2010. Perinatal deaths were associated with vaginal delivery (VD) (adjusted odds ratio (aOR) 6.2; 95 % confidence interval (CI) 3.0–12.6) and referral (aOR 2.1; 95 % CI 1.1–3.9), but not with parity, birth weight, or delivery year. Overall perinatal mortality was 5.8 % and this did not decline, due to an increase in stillbirths among vaginal breech deliveries. Mothers with CD had more hemorrhage compared to those with VD. One mother died in association with CD, and one died in association with VD.ConclusionA breech VD, compared to a breech CD, in this setting was associated with adverse perinatal outcome. However, despite a significant increase in CD rate, no overall improvement was observed due to an increase in stillbirths among VDs.

show abstract

“…This was attributed to the availability of qualified and proficient obstetricians round the clock to manage patients with malpresentations, as well as, the facility of intensive neonatal care available at our centre in the form of incubator, warmer, NICU and the presence of competent paediatricians in the labour room at the time of breech delivery. 4,6,9,[17][18][19] Chi-square value determined by epi-info software. Table 7 shows the probability of vaginal or caesarean delivery corresponding to the type of breech presentation.…”

Section: Discussionmentioning

confidence: 99%

Fetomaternal outcome in breech delivery

Airao

Zala

Vasava

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

INTRODUCTIONBreech Presentation is the commonest of all malpresentations. Vaginal delivery of the breech presentations at term is associated with a much higher perinatal mortality and morbidity than that of vertex presentation. An attempt to reduce the fetal hazards inherent in a vaginal breech delivery has resulted in a high caesarean section rate which has approached 90-95% in some centers. Breech presentation is the 3 rd important indication which has led to higher caesarean section rates in recent times all over the world 1 . Although CS drastically reduces the perinatal mortality associated with breech delivery, it has not eliminated the associated fetal and maternal morbidity; in fact, it has been quoted that the competency of any obstetric unit is inversely proportional to the perinatal mortality of breech deliveries conducted in that unit. Therefore, any change or improvement in the mode or technique of breech delivery should aim at improving the perinatal outcome and also at keeping the maternal morbidity and mortality rates low. It is the fetus who suffers the most rather than the mother. So, the fetal outcome decides the merit of the particular method for the management of labour in breech ABSTRACTBackground: Breech Presentation is the commonest of all malpresentations. Vaginal delivery of the breech presentations at term is associated with a much higher perinatal mortality and morbidity than that of vertex presentation. The objectives of the present study are to know the common causes leading to breech presentation. Further, to compare the different management protocols and outcome in different types of breech presentation. Also, to know the perinatal morbidity and mortality associated with different types of breech presentation nd comparison of perinatal morbidity and mortality with vaginal delivery against cesarean section. Methods: This is a retrospective study of randomized 100 cases of pregnant women in labour with breech presentations after 28 weeks or more attending C U Shah Medical College, Surendranagar, over a period of May 2012 to April 2014. Results: Out of 100 patients breech presentation was more common in booked patients and multigravida. In primi and multigravidae patients, caesarean delivery was more compared to assisted breech delivery. Perinatal outcome was good in majority of the patients in both extended and complete breech with an incidence of 94% and 88% respectively. perinatal outcome was good in caesarean section with 100% compared to assisted breech delivery 93%. Conclusions:The balanced decision about the mode of delivery on a case by case basis as well as conduct, training and regular drills of assisted breech delivery will go a long way to optimize the outcome of breech presentation like ours. Delivery of breech fetus when labor and delivery is supervised and or conducted by experienced obstetrician lowers maternal morbidity, neonatal morbidity and mortality.

show abstract

Planned vaginal delivery versus caesarean section for breech presentation in Ile-Ife, Nigeria

Cited by 17 publications

References 0 publications

Term Breech Trial and Its Consequences on Practice:a Retrospective Study of the Universityof Malaya Medical Centre's Experience

Term Breech Trial and Its Consequences on Practice:a Retrospective Study of the Universityof Malaya Medical Centre's Experience

Breech delivery at a University Hospital in Tanzania

Fetomaternal outcome in breech delivery

Contact Info

Product

Resources

About