Breech presentation at term: outcomes and mode of delivery in a tertiary care teaching hospital In South India

Authors

  • Liji David Department of Obstetrics and Gynecology, Christian Medical College Hospital, Vellore, Tamil Nadu, India
  • Anuja Abraham Department of Obstetrics and Gynecology, Christian Medical College Hospital, Vellore, Tamil Nadu, India
  • Preethi Navaneethan Department of Obstetrics and Gynecology, Christian Medical College Hospital, Vellore, Tamil Nadu, India
  • Annie Regi Department of Obstetrics and Gynecology, Christian Medical College Hospital, Vellore, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194394

Keywords:

Assisted breech delivery, Caesarean section, Complete breech, External cephalic version, Frank breech, Successful ECV

Abstract

The aim of this study was to study the outcomes of all patients who presented with breech presentation at term (≥37 weeks), to assess what percentage of patients were offered External cephalic version (ECV), the rates of success of the procedure and the rates of vaginal delivery following successful ECV. It was a retrospective study of 669 patients diagnosed with breech at term, their clinical records were retrieved and data like age, BMI, parity, type of breech and scan findings noted. ECV was done in 256 patients and was successful in 35.5% of women with 51.1% being multigravidas and 26.8% in primigravidas. 76.9% of women with successful ECV delivered vaginally.  There was no significant fetal or maternal morbidity documented as a result of ECV in this study.  

References

Hickok DE, Gordon DC, Milberg JA, Williams MA, Daling JR. The frequency of breech presentation by gestational age at birth: a large population-based study. Am J Obstet Gynecol. 1992;166(3):851-2.

Albrechtsen S, Rasmussen S, Dalaker K, Irgens LM. Reproductive career after breech presentation: subsequent pregnancy rates, interpregnancy interval, and recurrence. Obstet Gynecol. 1998;92(3):345-50.

Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Term Breech Trial Collaborative Group. Lancet Lond Engl. 2000;356(9239):1375-83.

Hofmeyr GJ, Hannah ME. Planned caesarean section for term breech delivery. Cochrane Database Syst Rev. 2003;(3):CD000166.

Boucher M, Bujold E, Marquette GP, Vezina Y. The relationship between amniotic fluid index and successful external cephalic version: a 14-year experience. Am J Obstet Gynecol. 2003;189(3):751-4.

Kew N, DuPlessis J, La Paglia D, Williams K. Predictors of cephalic vaginal delivery following external cephalic version: an eight-year single-centre study of 447 cases. Obstet Gynecol Int. 2017;2017:3028398.

Obeidat N, Lataifeh I, Al-Khateeb M, Zayed F, Khriesat W, Amarin Z. Factors associated with the success of external cephalic version (ECV) of breech presentation at term. Clin Exp Obstet Gynecol. 2011;38(4):386-9.

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Published

2019-09-26

Issue

Section

Short Communication