Volume No. :   4

Issue No. :  2

Year :  2012

ISSN Print :  0975-4407

ISSN Online :  2321-5836


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Impact on Maternal and Neonatal Outcome of Caesarean Section and Vaginal Delivery in Breech Presentation



Address:   Bansal A.,Viswanadham K.K., Shrivastava P.K. Thakur Amit K. and Dwivedi S.K.
Govt. Medical College, Jagdalpur ( Bastar ) – 494001 INDIA.
*Corresponding Author
DOI No: Not Available

ABSTRACT:
Back ground: Breech presentation is always at a greater risk than Cephalic presentation with respect to perinatal morbidity and perinatal mortality. Research Question : effects of Caesarean section and vaginal delivery on perinatal and maternal mortality and morbidity in breech presentation? Material and Methods: One hundred cases with breech presentation that have undergone delivery (Caesarean / Vaginal) were included in the study. Study design: Analytic study. Setting: Hospital based. Study Variables: birth weight, mode of delivery, Apgar score. Statistical analysis: Chi-square test, simple proportion. Results: All babies with Apgar score less than 5 died .Only 5 babies with Apgar score between 5-7 died .100 % of the babies with Apgar score more than 7 were alive at the end of first post natal week. There were higher percentages of babies with low Apgar scores in vaginal delivery as compared to C-section babies. Perinatal mortality rate for C-section was 2.18 % in comparison to their counterparts, 39.62 % in vaginal delivery. These results were highly significant. Of the total 22 perinatal deaths, 18 were premature constituting 81.18%. There was no maternal mortality. In the present study there was 14.9%maternal morbidity associated with C-section as compared to 7.5 %with vaginal delivery. Conclusion: Thus prematurity was the most important factor towards perinatal mortality in breech presentation. This shows that the breech baby is likely to be benefited by C-section and morbidity from trauma and asphyxia can be reduced by the mere liberal use of C-section in selected cases. The authors recommended C-section for all breech presentation with expected birth weight above 3000 g..
KEYWORDS:
Prematurity, Apgar score,
Cite:
Bansal A,Viswanadham KK, Shrivastava PK Thakur Amit K , Dwivedi SK. Impact on Maternal and Neonatal Outcome of Caesarean Section and Vaginal Delivery in Breech Presentation. Research J. Pharmacology and Pharmacodynamics. 2012; 4(2): 122-125.
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