CAESAREAN SECTION IN BREECH PRESENTATION

`

Abstract

OBJECTIVES: To determine the impact of mode of delivery on perinatal maternal outcome in breech
presentation. To scrutinize the causes of increasing incidence of caesarean section in breech presentation. DESIGN:
Prospective study. PERIOD: The study was conducted in Department of Obstetrics and Gynaecology Unit I (PMC)
Allied Hospital Faisalabad and completed in two years. SUBJECTS & METHODS: This study includes 5022
patients admitted in antenatal and labour ward, out of them 255 were with breech presentation, who were analyzed
in detail with help of proforma. Final out come regarding mother and fetus was compared in both groups of vaginal
and abdominal delivery. Ante-partum deaths and congenital anomalies were excluded. RESULTS: 103 (39.6%)
patients were delivered by caesarean section much higher than Vertex (12%), 154 were delivered vaginally. Perinatal
outcome was slightly higher in vaginal group. While maternal morbidity was significantly low in those delivered
vaginally. CONCLUSION: We concluded that with goods antenatal care vaginal breech deliveries at term are
relatively safe if selected on basis of set protocol and rising incidence of caesarean section in breech presentation can
be reduced.