Perinatal outcome of singleton term breech delivery and Associated factors at mettu karl referal hospital, oromia Region and atat primary general hospital ,gurage zone in South west, Ethiopia

Abstract

Back ground. Breech deliveries have always been topical issues in obstetrics because of the very high perinatal mortality and morbidity. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery. Objective: To determine the prevalence and associated factors of adverse outcome of term singleton breech delivery at Mettu Karl Hospital. METHOD: Hospital based cross sectional study was conducted at Mettu Karl.and Atat generalhospital. from-December to July. All pregnant women who were presented on outcome of singloten term breech delivery.at Atat & Mettu Karl hospital was study population. Data were entered into Epideta version 3.1 and exported to SPSS version 21 for analysis. Logistic regrasion was done to identify factores associated with out come variabele. Result; The incidence of adverse outcome (death) among singleton breach delivered neonates at Metu & Karolina hospital is 6(2.9%). Mothers whose membrane ruptured early was 17.7 times (AOR=17.72; 95%; CI) more likely died neonate as compared to their counter parts. Mothers having >/=4 ANC visit was 0.13(AOR=0.13; 95%; CI) times less likely died neonates as compared to <4 ANC visit. Conclusion; The incidence of adverse outcome (death) among singleton breach delivered neonates at the study area was low as compared to other studies. ANC visit and membrane ruptured were factors independently associated with adverse outcomes of breach delivery.