OUTCOME OF TERM BREECH PRESENTATION IN A PERIPHERAL TERTIARY CARE CENTRE OF WEST BENGAL, INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 31
Abstract
BACKGROUND Choosing the mode of delivery in case of term breech pregnancy is controversial. The aim of this study is to find out the mode of delivery in term breech presentation and to describe the foetomaternal outcomes. MATERIALS AND METHODS A descriptive follow-up study was conducted from 1st July 2013 to 30th June 2014 in the In-Patient’s Department (IPD) of Obstetrics, BSMCH, West Bengal, India involving 196 pregnant women with singleton term breech presentation and grouped them into vaginal breech delivery group and abdominal breech delivery group. Data was collected via interview, clinical examination and laboratory investigation including imaging. Data analysis was done by describing variables using mean, standard deviation, proportion and displaying data via tables and chart. Statistical tests like unpaired t-test, Chi-square/ Fisher’s exact test, Odd’s ratio with its 95% confidence interval were used for drawing inference about the relation of variables. RESULTS Overall, average estimated age was 22.27 ± 3.41 (mean ± SD) years without any between group variation. Around seventy one percent (71.42%) participants were nullipara. Significantly, higher proportion of babies with low Apgar score at 5 minutes, admission in Special Newborn Care Unit (SNCU) and birth asphyxia was found among women who delivered vaginally. Significant difference with regard to genital tract trauma was also found to be higher in planned vaginal delivery group. CONCLUSION Study results support abdominal delivery of term breech presentation, which needs to be cautiously interpreted in our resource poor setting. Potentiality of vaginal delivery among carefully selected patients following specially designed protocol may be tried.
Authors and Affiliations
Anirban Mandal, Dibakar Haldar, Nita Ray, Shib Sankar Murmu, Debdulal Mandal
Keywords
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- EP ID EP541001
- DOI 10.14260/jemds/2018/783
- Views 73
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