Prevalence and fetal outcome of singleton breech delivery at tercha general hospital, snnprs, dawuro, Ethiopia

Abstract

Introduction: Breech deliveries have always been major issues in obstetrics because of the very high perinatal mortality and morbidity. However, there is paucity of information in the incidence and outcome of breech deliveries in the current study area Objective: To assess the prevalence and fetal outcome of singleton breech deliveries at Tercha General Hospital Methods: Institution based cross sectional retrospective study was conducted to assess the prevalence and outcome of singleton breech delivery utilizing a five years data from January 1, 2009 to December 31, 2013 at Tercha General Hospital. Records of all mothers who gave birth in Tercha General hospital and all hospital records of pregnant women with a clinical diagnosis of breech presentation and gave birth in this hospital of this five years period was used as a source population and sample size respectively. Sampling technique is in such a way that, first, Obstetrics and operative records from obstetric ward and major operation registry book in the operation room was reviewed to identify women who present with breech presentation and delivered in the specified period. Next, using card no. of patients, cards was collected from the card room. Finally, based on the inclusion and exclusion criteria of the study cards was selected, the collected data was checked for its completeness, entered into SPSS-16 database program for analysis. Result: The prevalence of singleton breech deliveries was 3.1% (106 out of 3565 deliveries). Out of the total breech deliveries 90(84.9%) born alive and 16(15.1%) were dead indicating that the perinatal mortality rate to be 151 per 1000 breech deliveries. Among alive ones 62(68.9%) were born healthy, 24(26.7%) asphyxiated and 4(4.4%) born with birth injury. The documented possible causes of death in this study were entrapment of after coming head 4 (25%), birth asphyxia 6 (37.5%), cord prolapse 2(12.5%) and intrauterine death of unknown cause 4 (25%). Vaginal delivery has significant statistical association with poor(dead) fetal outcome of breech delivery (p=0.038). ANC has significant statistical association with fetal outco