COMPARISON OF PERINATAL MORTALITY IN BREECH PRESENTATION DELIVERED VAGINALY VERSUS CAESARIAN SECTION

Abstract

Introduction: Breech presentation is commonest malpresentation, occurs in 3–4% of term deliveries. Breech presentation is a longitudinal lie of the fetus with the caudal pole (buttock or lower extremity) occupying the lower part of the uterus and cephalic pole in the uterine fundus. Aims: A comparative study of the perinatal mortality in breech delivery between vaginal versus C section. Result: It was found that Antenatal work-up 1st visit was less in VD compared to LSCS which was statistically signicant and antenatal work-up was signicantly associated with VD. Antenatal work-up last visit was less in VD compared to LSCS which was statistically signicant. In our study, Good bishop score was more in VD compared to LSCS which was statistically signicant. We found that birth trauma was more in VD compared to LSCS which was statistically signicant. It was found that asphyxia was more in VD compared to LSCS which was statistically signicant. Vaginal maternal complications were more in VD compared to LSCS which was statistically signicant. Neonate NICU admission was more in LSCS compared to VD though it was not statistically signicant. Neonate duration of NICU stay was more in VD compared to LSCS which was statistically signicant. Poor APGAR SCORE was observed in VD compared to LSCS which was statistically signicant. Neonate neurological morbidity was higher in VD compared to LSCS which was statistically signicant. Neonate birth trauma was higher in VD compared to LSCS which was statistically signicant. Conclusion: We concluded that birth trauma birth asphyxia, maternal complications, Neonate NICU admission, Neonate birth trauma and neurological morbidity were more in VD compared to LSCS in breech presentation.