Sobika Rana, Indra Bhati, Saroj Choudhary, Manisha, Priyanka, Divya
BACKGROUND
By definition breech presentation means foetal buttocks or the podalic pole of foetus is the presenting part, with sacrum being the denominator. Most newborns are born with cephalic presentation, but at the end of pregnancy around 2.5%-3% are found to be breech Before the end of pregnancy, the breech presentation is much more common about 20% of babies at 28 weeks are breech and 15% at 32 weeks. Caesarean section for breech presentation has been suggested as a way of reducing the associated perinatal problems in many institutions.
MATERIALS AND METHODS
This cross-sectional study was conducted in department of obstetrics and gynaecology of UMAID Hospital, Dr. S. N. Medical College Jodhpur, Rajasthan during a period of three month From July 01, 2017 to September 30, 2017. Studying breech presentation from the aspect of incidence, aaetiology, type along with maternal & perinatal outcome.
RESULTS
During given period there were 6153 deliveries. The study consisted of 172 cases of breech delivery out of them there were 106 term and preterm constituted 66 cases. Most women belonged to 21-25 years of age group. Prevalence of breech delivery in this study was 2.79% Breech presentation was more common in multipara having an incidence of 56.4%, while 43.6% were primiparas. Vaginal delivery occurred in 52.90% cases while caesarean section was done in 47.09% cases.
CONCLUSION
The present study confirms the higher association of breech presentation with multiparity. Various aetiological factors observed for breech presentation are – prematurity, oligohydramnios, polyhydramnios, placenta previa and foetopelvic disproportion. Perinatal morbidity and mortality was increased. Vaginal breech delivery is associated with increased perinatal morbidity and mortality than abdominal delivery. So, when the stakes are this much high one has to choose between the maternal risk of caesarean section and foetal risk of vaginal delivery to arrive at final decision.
