Affiliation:
1. Ginekološko-akušerska klinika, Klinički centar, Kragujevac
2. Prirodno-matematički fakultet, Kragujevac
Abstract
Introduction. Term breech presentation occurs in 3-4% of all deliveries. Most
obstetricians are completely sure how to end delivery when the foetus is in
breech presentation, by caesarean section as the only option. Objective. The
main goal of the paper was to present the method of delivery for term breech
presentation analyzed at the Hospital of Gynaecology and Obstetrics and
Clinical Centre in Kragujevac, and parameters that influenced the decision on
the method of choice to perform delivery with the foetus in breech position.
Methods. During a three-year prospective study, the course and outcome of all
term breech deliveries were under follow-up. The study involved only
deliveries in breech presentation, with a trial of labour ending by vaginal
delivery, while elective caesarean section due to breech presentation of the
foetus was not included in the study. The following parameters were compared:
body mass, newborn?s first minute Apgar score and head circumference,
gestational maturity, gestational age, delivery duration, maternal level of
education and maternal parity. Results. Of total 6,470 deliveries, 653
(10.10%) were finalized by caesarean section. Of these, there were 202
(3.12%) term breech presentations, of which 72 (35.64%) women had caesarean
and 130 (64.36%) vaginal delivery. A difference was detected in newborn?s
body mass and head circumference, delivery duration, maternal level of
education and parity between pregnancies terminated surgically in comparison
to vaginal delivery, while pregnancy duration, maternal age, first minute
Apgar score, and most significantly, perinatal morbidity did not show any
difference regardless of the method of delivery for term breech presentation.
Conclusion. With respect of all known parameters, vaginal delivery in breech
presentation is also accepted.
Publisher
National Library of Serbia
Cited by
1 articles.
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