VAGINAL DELIVERY VERSUS CESAREAN SECTION

BIRTH OUTCOME IN PRIMI GRAVDAE BREECH

Authors

  • BUSHRA SHER ZAMAN Bahawal Victoria Hospital, Bahawalpur
  • Ali Zulqarnain Bahawal Victoria Hospital, Bahawalpur
  • RASHAD QAMAR Bahawal Victoria Hospital, Bahawalpur
  • Anza Saleem Bahawal Victoria Hospital, Bahawalpur
  • SUMERA SIDDIQUE Bahawal Victoria Hospital, Bahawalpur

DOI:

https://doi.org/10.29309/TPMJ/2010.17.02.2434

Keywords:

APGAR Score, Respiratory Distress Syndrome, Neonatal morbidity

Abstract

Objective: It is to compare neonatal morbidity in terms of birth trauma, respiratory distress syndrome, APGAR score in Primigravida with breech presentation delivered vaginally and emergency cesarean section. Design: Cross-sectional comparative study. Place and Duration of Study: Obstetrics and Gynaecology Unit-I, Bahawal Victoria Hospital, Bahawalpur from 1-5-2007 to 30-4-2008. Patients and Method: The study was carried out on all Primigravida with breech presentation reported through emergency in labour delivered
vaginally and by emergency cesarean section. The variable analyzed were birth trauma, respiratory distress syndrome and APGAR score at 1 and 5 minutes. Students-t test was used for comparison between means and chi square test for comparison between percentages. Significance was taken at P<0.05. Results: It was found that mean APGAR score at 1 and 5 minutes is 7.31 and 9.066 in vaginal and 8.533 and 9.644 in
cesarean group. Respiratory distress syndrome is more in cesarean (4.4%) than vaginal group (2.2%). Observed neonatal trauma is more in vaginal group (6.7%) than cesarean section (2.2%). Conclusion: Neonatal morbidity appears to be more in vaginal breech delivery than cesarean section for Primigravida with breech presentation at term. 

Author Biographies

BUSHRA SHER ZAMAN, Bahawal Victoria Hospital, Bahawalpur

Assistant Professor 

Obstetrics & Gynaecology Unit-I,

Ali Zulqarnain, Bahawal Victoria Hospital, Bahawalpur

MBBS Obstetrics & Gynaecology Unit-I,

RASHAD QAMAR, Bahawal Victoria Hospital, Bahawalpur

FCPS Associate Professor

Obstetrics & Gynaecology Unit-I,

Anza Saleem, Bahawal Victoria Hospital, Bahawalpur

MBBS Obstetrics & Gynaecology Unit-I,

SUMERA SIDDIQUE, Bahawal Victoria Hospital, Bahawalpur

FCPS Obstetrics & Gynaecology Unit-I,

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Published

2010-06-10