Clinical audit on mode of delivery of breech at term

Abstract

Background and objective Persistent breech presentation may be associated with abnormalities of the baby, the amniotic fluid volume, the placental localization, or the uterus. This work was done to assess the quality of breech delivery at term at Women Health Hospital. Patients and methods A total of 334 women from those with breech presentation were enrolled in the study. General, abdominal, and obstetric examination was performed to all women with confirmation of viability by auscultation of fetal heart sound. If the woman was in labor, we did vaginal examination. Results Age range was between 18 and 47 years, and 59 cases complained of infertility. Normal vaginal delivery occurred in 73 (21.9%) women and cesarean section (CS) was done in 261 (78.1%) enrolled women, where urgent CS was done in 239 cases of such cases. Only two cases were counseled for external cephalic version. Conclusion In conclusion, C.S in such cases could reduce the short term perinatal and neonatal morbidity and mortality but it still has major events in future pregnancies as consequences of scared uterus and placenta accreta. So, C.S is savior for fetus than mother and this is difficult to be role in developing country, in which the rate of deliveries is high.