Journal of environmental and public health · 2017
Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study.
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Debero Mere Temesgen, Beyene Handiso Tilahun, Mekiso Abera Beyamo, Selamu Jifar Markos, Aliye Ibrahim Shabeza, Belato Degefe Tadele
Аннотация
BACKGROUND: Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.
OBJECTIVE: To determine prevalence and perinatal outcomes of singleton term breech delivery.
METHODS: Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descriptive and analytical statistics was used.
RESULT: A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women's age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14-6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25-0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25-11.6), and fetal weight of <2500 g (AOR = 6.77, 95% CI = 3.22-14.25).
CONCLUSION: Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality. Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.
OBJECTIVE: To determine prevalence and perinatal outcomes of singleton term breech delivery.
METHODS: Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descriptive and analytical statistics was used.
RESULT: A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women's age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14-6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25-0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25-11.6), and fetal weight of <2500 g (AOR = 6.77, 95% CI = 3.22-14.25).
CONCLUSION: Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality. Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.