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Research Paper | Obstetrics and Gynaecology | India | Volume 13 Issue 10, October 2024 | Popularity: 5.3 / 10
A Prospective Observational Study on the Fetomateral Outcome in Term Pregnancies with Breech Presentation
Dr. Aparna Prakash Annapur, Dr. Veerendrakumar C M, Dr. Shailan P Hanchinal, Dr. Chandrashekar K
Abstract: Background: Breech presentation at term poses significant risks for both mother and child, often necessitating careful management to optimize outcomes. This study aimed to evaluate the fetomaternal outcomes associated with term pregnancies presenting with breech. Methods: A prospective observational study was conducted at the Department of Obstetrics and Gynaecology, BMCRC, Ballari, over a 6 month period. A total of 31 pregnant women with breech presentation at term were included. Data were collected on demographic characteristics, gestational age, mode of delivery, neonatal outcomes, and maternal complications. Statistical analysis was performed using IBM SPSS Version 23.0. Results: The majority of participants were between 21 - 25 years of age (74.2%), and 58.1% were primiparous. Most deliveries occurred between 37 - 39 weeks of gestation (51.6%). A significant portion (83.9%) of the deliveries were conducted via cesarean section (LSCS), with "primigravida with breech" being the most common indication (61.3%). Neonatal outcomes were favorable, with a mean Apgar score of 4.16 at 1 minute and 6.42 at 5 minutes. However, 41.9% of newborns required NICU admission. Maternal outcomes were positive, though 6.4% of women experienced postpartum hemorrhage. Conclusion: This study underscores the importance of cesarean delivery in managing breech presentations, particularly in primiparous women, to minimize risks and improve outcomes. While neonatal outcomes were generally favorable, the need for resuscitation and NICU admission highlights the challenges associated with breech deliveries.
Keywords: Breech presentation, Term pregnancy, Cesarean section, Neonatal outcomes, Maternal complications
Edition: Volume 13 Issue 10, October 2024
Pages: 162 - 167
DOI: https://www.doi.org/10.21275/SR24930150623
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