Abstract
Background: Breech remains a topical issue in Obstetric practice mainly because of the high perinatal morbidity and mortality associated with its management. The management of term breech is controversial and varies among different clinicians even in the same institution.
Patients and Method: A retrospective study of breech deliveries at the FETH, Ido – Ekiti over a five year period. The records of all breech deliveries were collected. Information on age, parity, booking status, birth weight and management were extracted. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20.
Results: There were 2,333 deliveries during the study period of which one hundred and eighty one (181) were breech deliveries. However, one hundred and sixty-six (166) cases were available for analysis. The incidence of breech delivery was 7.8% for all gestational ages, the mean age of the patients was 30.26±5.39 years. The birth weights of most of the babies 99(56%) were within the normal range of 2.5 - 3.99kg. The caesarean section (C/S) rate was 72.9%, 57% of these were emergency. The perinatal mortality was significantly higher among the unbooked patients (9.5% vs. 29.3%, p=0.018) and among the babies delivered by vaginal delivery and emergency caesarean section compared to those delivered by planned caesarean section (p=0.000). The perinatal mortality was also higher among the babies that were delivered before 37weeks of gestation (p=0.004).
Conclusion: The perinatal mortality was significantly higher among the babies delivered either by vaginal route or emergency caesarean section compared to those delivered by planned caesarean section and among the preterm babies. The outcomes were comparable to results from other studies including those from the urban centres.
Keywords: Breech deliveries, perinatal morbidity and mortality.
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Corresponding Author
Adeniyi Augustine Adebayo
Department of Obstetrics and Gynaecology, Afe Babalola University, Ado Ekiti/Federal Teaching Hospital, Ido- Ekiti, Nigeria.
Phone number: +234 8037141492, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.; This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.231
