Outcome of Breech Vaginal Delivery in Females Presenting at Term

Abstract

Background: Rate of fetal and maternal complications and death also increase with breech delivery. Objective: To assess the outcome of neonates of vaginal breech delivery in females undergoing vaginal trial for breech pregnancy at term, and to determine the morbidities associated with breech delivery and their effects on the health of neonates either long term or short term. Methodology: It was analytical cross-sectional study, done at the Department of Obstetrics & Gynecology, Services hospital, Lahore for 6 months i.e. 1st August 2016 to 1st February 2017. About 150 females fulfilled the inclusion criteria for vaginal breech delivery were included and underwent trial of labour for breech pregnancy. If successful vaginal delivery achieved, then it was labelled. Data were entered & analyzed on SPSS v. 20. Results: The mean age of females was 29.85 ± 6.60 years, the mean gestational age at delivery was 40.09 ± 1.42 weeks. The normal vaginal delivery was done in 86 (57.3%) patients. The poor Apgar score was noted in 21 (24.42%) patients. NICU admission was noted in 31 (36%) patients. Conclusion: Thus, normal vaginal delivery can be achieved in >50% females of breech presentation though the frequency of adverse outcomes are not ignorable but it is associated with short term morbidity only which can be easily managed and no long term morbidity is seen.