STUDY ON FETO-MATERNAL OUTCOME OF BREECH PRESENTATION IN A TERTIARY CARE HOSPITAL

Abstract

Aims:To evaluate the incidence, maternal and fetal outcome of breech presentation in a tertiary care hospital. Methods: st st A retrospective study was conducted in the department of Obstetrics and Gynaecology in tertiary care center from 1 July 2019 to 31 June 2020. Total 82 cases were included. The demographic data like age, parity, gestational age, mode of delivery, maternal and perinatal outcome were noted from hospital records and studied. Results: The incidence was 2.8 %. 62.1% cases were among 20-25 years and 26.8 % cases were among 26-30 years. Primigravida constitutes 56.09%. Most were by caesarean section (74.3 %) & were associated with PROM, GHTH, oligohydramnios, PPH & APH. Majority of perinatal morbidity was due to preterm birth (30.4%). Discussion: The Breech presentation incidence was 2.8% in our study. This is similar to a study by Ratan et al where incidence of breech was 2.65%. Most common age group associated with breech as per this study is 20-25 years which had 62% cases which is similar to study by Ratan et al. Conclusion: Breech delivery is a high-risk pregnancy, associated with adverse fetal and maternal outcomes during pregnancy and labor. The mode of delivery should be based on parity, gestational age, birth weight, sonographic ndings, stage of labor and confounding factors affecting health of mother and fetus. Caesarean section does not totally eliminate the associated maternal and perinatal morbidity