Volume : VII, Issue : X, October - 2017

Maternal and Perinatal outcomes in term singleton malpresentations

Dr. Mamata Soren, Dr. Sudhanshu Sekhar Nath, Dr. Sangeeta Mishra

Abstract :

 Introduction: Malpresentation creates a mechanical problem in the delivery of fetus and thus associated with increased frequency of perinatal mortality and morbidity due to prematurity, congenital anomalies and birth trauma or asphyxia. Caesarean sections done to reduce these are associated with impaired maternal outcome, increased risks of uterine rupture, placenta previa and placenta increta in subsequent pregnancies. These observations are true in developing countries where poverty, lack of education, inadequate health resources and no antenatal follow–ups are main problems.  Keeping in view the above facts, maternal outcome study is also necessary to determine a proper delivery plan so that the complication can be reduced.

Aims and Objectives: – To find out the maternal & perinatal outcome in term singleton malpresentations and relationship of vaginal & CS deliveries in such cases.

Materials and Method: This prospective observational study carried out in the Department of Obstetrics & Gynecology, V.S.S. Medical College, Burla included all 171 consecutive term singleton malpresentations and their deliveries during a 20 month period, from Feb 2013 to October 2014 and analyzed in detail.

Results: We found 38.84% cases of eech, 63.6% cases of face were delivered vaginally whereas all cases of ow, shoulder, elbow and hand prolapse including 61.2% of eech and 36.4% of face presentation were delivered through CS.  Overall perinatal mortality was 11.69% and total neonatal mortality was 2.34%.

Conclusion: The policy of wholesome elective Caesarean Section for term singleton eech is contradicted because of its likely effect in maternal morbidity and no significant difference in perinatal outcome was observed. Offering a trial of vaginal delivery in eech & other malpresentation where the condition favors, to well counseled strictly selected patients remains an appropriate option.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Mamata Soren, Dr. Sudhanshu Sekhar Nath, Dr. Sangeeta Mishra, Maternal and Perinatal outcomes in term singleton malpresentations, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-10 | October-2017


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