Professional paper
BREECH DELIVERY IN VARAŽDIN MATERNITY HOSPITAL IN THE 1998–2002 PERIOD
Aleksandra Špoljarić
Zoran Pitner
Abstract
. Objective. In a retrospective analysis (1998–2002) the influence of the mode of delivery on maternal and neonatal outcome of singleton breech infants was assessed. Material and method. Out of 275 fetuses studied, 115 term and 14 preterm were delivered vaginally, while 124 term and 22 preterm by caesarean section (CS). Results. The CS rate was 51,88% at term, and 61,11% for the premature breech. The main indication for CS was dystocia for term (44,35%) and immaturity for preterm infants (68,18%). Vaginal term birth turned out to be associated with a significantly higher incidence of birth asphyxia (16,81%) as compared to CS (6,50%); 2=6,17, p<0,05. A total of 5,82% of maternal uterine and 4,75% of fetal malformations was observed. The overall perinatal mortality rate was 4,36% (12/275); 3,11% (4/129) neonatal deaths occured among those delivered vaginally, versus 2,74% among abdominally delivered breech infants (2=0,03, p>0,05). Vaginal birth was associated with lower rates of endometritis (4,65%) and puerperal fever (3,10%) as compared to CS: 19,86% of endometritis; 2=14,25, p<0,01; 17,12% of puerperal fever; 2=14,27, p<0,01. No maternal death or severe maternal complications occured. Conclusion. Vaginal birth of term breech, without pathology of pregnancy, with appropriate pelvis, normal child’s weight, in connection with fetal monitoring and normal labour progress, does not present the higher risk of mortality and morbidity for the mother and child. In preterm infant, depending upon neonatal intensive care feasibility, the pregnancy termination by caesarean section should be more frequent.
Keywords
breech presentation; delivery mode
Hrčak ID:
15594
URI
Publication date:
1.9.2004.
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