Termination of the breech presentaion pregnancies in one year period

Breech presentation occurs 3 to 4% of all deliveries. The term pregnancy with breech presentation may be managed by cesarean section or a trial of vaginal delivery. İn past, studies have shown an increase of perinatal mortality and morbidity with vaginal breech delivery. İn many centers is dramatic increase in cesarean section rate for breech presentation, ranging from 80 to 100%. The aim of this study was to analyse termination of breech presentation pregnancies in one-year period, at OB/GYN Clinic in Tuzla.

Yöntem

İn retrospective study we analyzed 222 deliveries with breech presentation performed in year 2000. Pregnant women with breech presentation of fetus were divided in two groups: primiparas and multiparas. Out of 222 deliveries we had 120 primiparas and 102 multiparas. The state of neonates we evaluated with the value of Apgar score at the birth. We used test of proportion in statistical management of datas.

Bulgular

 Out of 4748 deliveries there were 222 (4,67%) deliveries with breech presentation. Cesarean section was performed in 75 (62,5%) primiparas and in 55 (50,98%) multiparas. Vaginal delivery was performed in 45 (37,5%) primiparas and in 50 (49,01%) multiparas. We found statistical difference between the number of cesarean section in deliveries with breech presentation both in group of primiparas and multiparas, the value of test of proportion was 1,75 (p<0,05). Apgar score 8-10 was in 66 (55%)) neonates of all cases born with cesarean section in primiparas versus in 38 (37,25%) in multiparas. in the neonates wich were born with vaginal delivery Apgar score 8-10 was 35 (29,16%) in primiparas versus in 31 (30,39%) in multiparas.

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Anahtar Kelimeler

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