The Prevalence and Outcome of Singleton Breech Delivery in Abakaliki South-East Nigeria
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 5
Abstract
Background: Breech delivery is associated with maternal morbidity and perinatal morbidity and mortalit y especially in unplanned vaginal route. It is therefore very pertinent to carefully choose the route of delivery during antenatal care or early labour. This is even more important in our environment where there is strong aversion to caesarean section. Objective: To determine the incidence and outcome of singleton breech delivery among parturients who delivered at Mile Four Hospital, Abakaliki. Methods: A- 5 year retrospective study of the clinical records and delivery registers of all parturients who delivered at Mile Four Hospital, Abakaliki between January 1, 2007 and December 31, 2011. Results: The incidence of singleton breech delivery was 4.45%. 60.8% of parturients had assisted Obuna JA et al JMSCR Volume 2 Issue 5 May 2014 Page 1012 JMSCR Volume||2||Issue||5||Pages 1011-1022||May 2014 2014 vaginal delivery, 51.7% of which were primigravidae. 74.5% of neonates who weighed less than 2.5kg were delivered via vaginal route, while all neonates who weighed more than 4.5kg were delivered per abdomen. Maternal mortality ratio was 529.1/100,000 births. All the women that died were unbooked. The perinatal mortality rate was 8.5/1000 births. Two percent, 7.2% and 16.8% of neonates suffered severe, mild and moderate birth asphyxia respectively. All the neonates who died or suffered severe birth asphyxia were delivered via vaginal route. Complications observed were cervical tear (0.9%), perinear tear (9.7%) and primary postpartum haemorrhage (1.6%). Conclusion: The incidence of singleton breech delivery in this study falls within the widely reported range of 3-4%. More parturients had assisted vaginal delivery. The proportion of primigravidae who had assisted vaginal breech delivery was quite high. Breech delivery in the unbooked was associated with higher maternal/perinatal morbidity and mortality
Authors and Affiliations
Obuna JA
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