Outcome of Breech Deliveries in  Nulliparous Women at Tertiary Care  Centre

Dr. Raxita D. Patel; Dr. Akshay C. Shah; Dr. Riddhi B. Shah; Dr. Ishita Mishra

Volume : II, Issue : VIII, August - 2013

Outcome of Breech Deliveries in Nulliparous Women at Tertiary Care Centre

Dr. Raxita D. Patel, Dr. Akshay C. Shah, Dr. Riddhi B. Shah, Dr. Ishita Mishra

Abstract :

Objective : To evaluate eech delivery so as to determine prognostic factors for an unsafe vaginal delivery(VD) in nulliparous women. Methods : This retrospective study was carried out in the S.C.L. General Hospital from April 2010 to March 2013.230 Nulliparous women with singleton eech presentation and normal fetal heart rate at a gestational age ≥ 32 weeks were reviewed with a trial of VD ordered in 184. The parameters recorded were mother�s age, mode of delivery, birth weight, 5th minute Apgar scores, neonatal outcome and use of episiotomy. Results : The results showed that 128(69.56%) had a successful VD. Failure of VD or poor Apgar score after VD observed if fetal weight ≥ 3,500gms or ≤ 1,800gms, footling eech, maternal age > 28, post term and rigid cervix. Conclusion : Elective cesarean section should be systemic if the unsafe circumstances above mentioned are present.