Incidence, Mode of Delivery and Apgar Score in Breech Presentation

Abstract

A study was carried out at services Hospital Lahore affiliated with postgraduate medical institute Lahore, to find out incidence, mode of delivery and Apgar score in breech presentation. There were total 2432 deliveries of all types during the period of study and out of these 130 were full term breech deliveries, accounting for an incidence of 5.3%. Two groups were formed, Group A and Group B. group. Group A comprised of full term primigravidas with breech presentation and total number of patients was 55. Group B comprised of full term multigravidas with breech presentation and total number of patients was 75. In Group A 45 (81%) patients were delivered vaginally and Group B 60 patients (80%) were delivered vaginally. Incidence of non-elective caesarean section in Group A and B was 7.2% and 6% respectively. Total rate of elective caesarean section was 19%. Morbidity in Group A was 2% and Group B was 3.5%. There were no fetal complications, A trend of higher 5 minutes Apgar score was positively seen in 100% infants. Caesarean section group was fewer lower Apgar infants than groups delivered virginally.