Effects of caesarean section on the perinatal outcome in Singleton Breech deliveries in Ibadan
AbstractObjective: The aim of the study was to ascertain whether or not abdominal delivery is associated with less perinatal mortality and morbidity than vaginal delivery in singleton fetuses with breech presentation.
Materials and Method: Data from patients with singleton breech fetuses in a teaching hospital in the south-western part of Nigeria over the ten year period between 1st January, 1990 and 31st December 1999 were analysed. Perinatal mortality and morbidity data in those having vaginal deliveries were compared with those having caesarean section.
Results: Seven hundred and forty nine singleton breech fetuses were delivered in the study period, giving an incidence of 5.7%. There was no significant difference in the mean age of the two groups. Caesarean section was associated with lower perinatal mortality in nullipara, patient who did not register for antenatal care, and in preterm and term deliveries. Fetuses with birth weights greater than 3.5kg at birth had lower perinatal mortality rates when delivered abdominally. No measurable difference in the frequency of asphyxia was detected between the two modes of delivery.
Conclusion: Caesarean section is associated with lower perinatal mortality in the study population. Formulation and strict adherence to delivery protocol concerning breech presentation is advised.
[Nig J Clinical Practice Vol.5(1) 2002: 41-44]