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jsmc-10052


PERINATAL OUTCOME OF BREECH PRESENTATION AT THE MATERNITY TEACHING HOSPITAL IN ERBIL CITY


Shilan Youssif Abdulla * and Tariq Al-Hadithi **


*  Department of Anatomy; AlKindi College of Medicine; University of Baghdad.
** Department of Anatomy, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.


Submitted: 14/3/2013; Accepted: 17/9/2013


ABSTRACT

Background and Objectives

Increased perinatal mortality and morbidity with breech presentation is recognized. The objective of this study was to determine the perinatal outcome of breech presentation in Erbil Maternity Teaching Hospital.

Patients and Methods

This is a case-control study, conducted from the 1st of April 2010 to the 1st of April 2011. The sample size was 238 singleton breech deliveries (cases) and compared with 238 singleton cephalic deliveries. Main outcome measures were neonatal mortality and morbidity including admission to NICU and 5 minutes APGAR scores.

Results

A signi cantly higher overall perinatal mortality was documented among breech than cephalic deliveries 7.5% versus 2.5%. Low birth weight was signi cantly (P=0.001) higher among breech than cephalic deliveries. Five minutes APGAR score and neonatal intensive care unit admissions were signi cantly higher among breech than cephalic babies(P=0.026 and 0.001 respectively).

Conclusion

Breech babies had signi cantly higher overall perinatal mortality and a lower APGAR score at  ve minutes and admitted more frequently to NICU than cephalic babies.

KEYWORDS

Breech presentation, Cephalic presentation and perinatal outcome.