Abstract

Breech delivery is associated with increased perinatal morbidity and mortality. The optimal management remains generally contentious. This study evaluated term singleton breech delivery in other to highlight its contribution to adverse perinatal and maternal outcome in order to audit the practice and suggest changes to improve materno-foetal outcome. This was a retrospective study involving 345 term singleton breech deliveries at the University of Benin Teaching Hospital between January 2000 to December 2007. The relevant information was extracted from obstetric data sheets, labour ward and labour ward theatre records and patients� case notes. The incidence of term singleton breech deliveries was 2.6% with a caesarean section rate of 69.9%. The leading indication was nullipara breech. Perinatal mortality rate was 118.8 per 1000 with cord prolapse as the leading cause. There is high perinatal mortality and morbidity among term breech deliveries. Caesarean section offers better perinatal outcome than assisted breech delivery though an with increased maternal morbidity.

Keywords:

Breech materno-fetal outcome,

References

Competing interests

The authors have no competing interests.

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The authors have no competing interests.