Abstract
Introduction: Breech pregnancy refers to the condition where podalic pole over lies pelvic brim. It constitutes 3%of all pregnancies. It is of two types complete and incomplete. It is more in multigravidas. Most common cause of breech is prematurity. Incidence of breech before 28 weeks is 7% and 1-3% at term.
Methodology: This is a prospective study in our hospital over a period of one year July 2017-sep 2019
Results: Incidence of breech in our study was 3.4%.
Breech was more in multigravidas, most common cause of breech was prematurity. Most common type of breech in our study was complete breech. Main mode of delivery was lscs. Fetal complications in our study was low birth weight babies followed by prematurity.
Conclusion: Breech pregnancy is considered as high risk pregnancy, but it can be reduced if antenatal cases are properly registered and planned mode of delivery instituted for them.
Keywords: breech, prematurity, complete, multigravidas.
References
- Das S, Malik S, Bhurgri A. Is breech still being delivered vaginally? A comparative study Int J Reprod contracep obstet Gynaecol .2014:3(1):144-8.
- Gaikwad S, Rokade R. Study of maternal and perinatal outcome of breech in vaginal and operative delivery in a university hospital. Int Med J.2014;1(6):252-8.
- Williams obstetrics, 24th edition, chapter 28: breech presentation and delivery page 558-573.
- Oxorn-Foote's Human Labour and Birth ,6th edition , chapter 15:: breech presentation, page 472-513
- American college of obstetricians and gynecologists(2001)ACOG committee opinion No.265:mode of term singleton breech delivery. obstetrics and Gynaecology,98:1189-90
- Royal college of obstetricians and gynecologists (2001) The management of breech presentation. RCOG Green Top Guidelines: Guideline no.20.
- Royal college of obstetricians and gynecologists (2006) ACOG committee opinion no.340.Mode of singleton breech delivery. obstetrics and Gynaecology, 108:235.
- Royal college of obstetricians and gynecologists (2006).The management of breech .RCOG guideline no.20b.
- Elie N, Nelson FJ, Luc K, chanchu NP. Outcome of breech in cameroonian nulliparous women. J obstet Gynaecol India .2012,62(5):531-5.
- Singh A, Mishra N, Dewangan R. Delivery in breech presentation: the decision making J obstet Gynaecol India 2012 ,62(4)401-5.
- Saha and Nandi: Int .jour.ob/Gy. 37:77,1987.
- Sanjivani, wanjani A. Breech delivery a changing Scenario.Int J Reprod Contracep obstet Gynaecol.2015;2:384-7.
- Kerbs L, Langhoff-Roos J, weber T. Breech at term mode of delivery ?A register based study .Acta obstet . Gynaecol Scand 1995:74(9):702-6.
- Weissmann A, Hagay Zj. Managment of breech presentation: the 1993 Israeli census. European journal of obstetrics and Gynaecology and reproductive biology 1995;60(1):21-28.
- Zubor P. Repetitive breech presentation at ter . Slovakia case report .2013:6285726.
- Hannah ME, Hannah Mj, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned cesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentric trail Lancet, 2000;356:1375-83.
- Nordin MN. An audit of singleton breech deliveries in a hospital with high rate of vaginal delivery Malays J Med SCI.2007:14(1):28-37.
Corresponding Author
Dr Shazia Nisar
Senior Resident Department of Obstetrics and Gynaecology Skims Soura, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.89
