Incidence of Cesarean Section for Breech Presentation at Lady Willingdon Hospital

Abstract

Breech presentation is associated with high incidence of operative delivery, either due to the cause which leads to the breech Presentation, fetal distress or fear of stucking the after coming head Our study is intended to look for the current rate of the operative delivery, cause for cesarean section, feto-maternal out come and options to reduce operative delivery in case of breech Presentation. 685 out of the 939 breech cases ¡n our study were delivered by the cesarean section. It means 72.9% being delivered by the operative I)I) roach which is exceptionally high. There were 15 pregnancy losses alt in the unbooked cases (9 stillbirths, 5 early neonatal deaths and one late neonatal death) Recommendations arc early booking, regular follow-up visits and ECV (external cephalic version) at 36 weeks. Elective cesarean section at 37 weeks ¡n cases with absolute indication for operative delivery. Vaginal delivery by senior personnel in selected casts (after ruling out the contra-indications). Later few suggestions in conclusion to reduce operative delivery and better feto - maternal outcome.