MODE OF DELIVERY AND PERINATAL OUTCOME IN BREECH PRESENTATION IN A TERTIARY CARE HOSPITAL A RECORD BASED STUDY

Abstract

Background: Because vaginal birth is linked with a higher risk of newborn death and morbidity, breech presentations 
are being delivered more frequently via Caesarean section. Even in low-income contexts when CD-associated 
maternal morbidity and death are a significant concern, vaginal birth is still advised. 
Aim: The aim of this study is to identify the different variables, style of delivery, and perinatal outcome associated 
with breech deliveries.  
Methods: A retrospective analysis was carried out on 191 pregnant patients who met the inclusion criteria and were 
brought to the hospital with a breech presentation after 28 weeks or longer. Age, parity, gestational age, type of breech 
presentation, mode of birth, perinatal and maternal outcome, and other factors will all be included in the analysis of 
the case data, which were all gathered from the medical records department and OT registries 
Results: When comparing aided breech delivery to interval-specific congenic strains, the perinatal outcome resulting 
from breech delivery was higher in our study. The perinatal outcome of vaginal breech deliveries in multiparous 
women was also found to be better than that of vaginal breech deliveries in primiparous women; however, comparable 
safety for the baby can be achieved with caesarean section if skilled obstetricians actively participate in the process 
and implement the necessary management protocols. 
Conclusion: Our results showed that assisted breech delivery resulted in a better perinatal outcome due to breech birth 
than interval-specific strains. Furthermore, it was noted that breech deliveries by multiparous women produced better 
perinatal outcomes than breech vaginal deliveries by primiparous women.