Route of Delivery for Term Breech Presentation; Vaginal Versus Caesarean Section; Comparative Analysis;

2014 
route of delivery for term breech presentation either by abdominal route or vaginally is a dilemma in obstetric practice. To asses mode of delivery influencing on neonatal outcome,We conducted a prospective study done in department of obstetrics and gynecology at mandya institute of medical sciences for one and half years. Out of 273 term breech presentations 134 met our criteria. 72.3% had successful assisted breech delivery. vaginal breech delivery was associated with significantly low Apgar score(<7) at birth,compared to caesarean births. There is no significant difference in neonatal mortality or maternal mortality between two groups. Assisted breech delivery can be a route of choice in selected patients in a low resource set up.
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