The New Indian Journal of OBGYN. 12(1):72-77

Study of effect of mode of delivery on maternofoetal outcome among patients of breech delivery: a comparative study

Vijayata Sangwan, Shivani Khandelwal, Pinkey Lakra, Preeti Raikwar, Mukesh Kumar Sangwan, Rajiv Mahendru

ABSTRACT

Objective: This study aimed to assess the maternofoetal outcome in term pregnant women with breech presentation delivered vaginally or abdominally and effect of mode of delivery on the developmental milestones of the newborn. The factors that remained determinant in deciding mode of delivery were also analysed in both the groups retrospectively. Materials & methods: This study was a cross sectional study conducted over a period of one year in a tertiary care center of rural Haryana. The study group included all the term pregnant women with breech presentation having no obstetrical and medical complications that might affect the milestones development. The study group was divided as, group 1 including all patients delivered by caesarean section and group 2 including all patients delivered vaginally. The outcome measures were intrapartum and postpartum complications, neonatal weight, Apgar score, NICU admission and development of milestones for one year. Results: The incidence of breech presentation at term was 7.04%. The rate of LSCS and vaginal delivery was 67.89% and 32.11%. Postpartum complications were noted in 4.13% patients. Most common indication for LSCS was primigravida with breech presentation. The Apgar score at 1 and 5 minutes was comparable in both the groups. 4.58% neonates in group 1 and 7.79% neonates in group 2 were admitted in nursery followed by one neonatal death in group 2 secondary to arrest of aftercoming head. The development of milestones was similar in both the groups. Conclusion: The maternal and foetal outcome was similar in both the group, and milestone development were also same in both the groups. Along with parity, foetal weight, the status of amniotic membranes and bishop score also played determining role for mode of delivery.