BREECH PRESENTATION AT TERM;

FETAL OUTCOME IN PLANNED CESAREAN SECTION VERSUS PLANNED VAGINAL BIRTH

Abstract

Objective: To compare the fetal outcome of elective cesarean section with elective vaginal birth for Term Breech
presentation in terms of APGAR Score, Respiratory Distress Syndrome, Admission in Neonatology Unit and Neonatal mortality. Design:
Quasi experimental study. Setting: Department of Obstetrics & Gynaecololgy Bahawal Victoria Hospital, Bahawalpur. Methods: Total 120
cases were included in the study divided into two groups, each having 60 fulfilling the inclusion criteria. Group 'A' had those who delivered
by planned cesarean and Group 'B' comprised those having planned vaginal delivery. Results: It was found that neonatal mortality was
3.33 in vaginal and 0 in cesarean group. Mean APGAR Score at 1 and 5 minute was 8.47 and 9.53 in vaginal and 8.58 and 9.62 in
cesarean group. RDS was more in cesarean (5) than vaginal group (1.6). Admission in Neonatalogy Unit was more in vaginally delivered
group (8.33) as compared to the cesarean section group (5). Conclusion: Planned cesarean delivery in breech presentation at term is
associated with a reduction in neonatal mortality and morbidity as compared to the planned vaginal birth.