Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study.

Temesgen Debero Mere,Shabeza Aliye Ibrahim,Markos Selamu Jifar,Tilahun Beyene Handiso,Abera Beyamo Mekiso,Degefe Tadele Belato

doi:10.1155/2017/9413717

Abstract

Background Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery. Objective To determine prevalence and perinatal outcomes of singleton term breech delivery. Methods Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descriptive and analytical statistics was used. Result A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women's age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14–6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25–0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25–11.6), and fetal weight of <2500 g (AOR = 6.77, 95% CI = 3.22–14.25). Conclusion Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality. Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.

Highlights

Breech deliveries have always been topical issues in obstetrics
The breech fetus is at increased risk of harm during delivery because cord compression between the cervix and body must occur as the breech crowns and because the aftercoming shoulders, head, and arms are at greater risk of harm from dystocia
This study showed that the prevalence of singleton breech delivery was 3.8%; overall it is comparable with worldwide incidence of 3-4%

Summary

Introduction

Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have longterm morbidity up to the school age irrespective of mode of delivery. To determine prevalence and perinatal outcomes of singleton term breech delivery. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women’s age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14–6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25–0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25–11.6), and fetal weight of

Objectives

Methods

Findings

Conclusion