RETROSPECTIVE ANALYSIS OF PERINATAL OUTCOME OF BREECH DELIVERY BY VAGINAL ROUTE IN MULTIPAROUS WOMEN.
Dr. S. V. Nachiketha* and Dr. Veena Hadi
Objective: This study was carried out to ascertain perinatal outcome of breech cases delivered by vaginal route in multiparous women. Methods: This was a retrospective observational study done in Kims HUBLI. The data was collected from the mother's medical records and neonatology records. Primary outcomes of study included neonatal mortality, morbidity and Low 5-minute Apgar score, admission to neonatal intensive care unit, maternal morbidity. Results: Out of 100 multigravida cases selected, who delivered vaginally. Perinatal mortality was 6%. Maternal morbidity was 2%, both patients had postpartum hemorrhage. Conclusions: Delivery of breech fetus when labor and delivery is supervised and conducted by experienced obstetrician lowers neonatal morbidity, maternal morbidity and mortality. We emphasise the need for specific precautions like close monitoring of labour and adequate anticipation for neonatal resuscitation in order to reduce complications.
Keywords: Breech, Vaginal delivery,Term breech trial(TBT).
[Full Text Article]