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Global Research Journal of Medical Sciences Vol. 3(1) pp. 7 – 11 June 2013
Available online http://www.globalresearchjournals.org/journal/grjms
Copyright ©2013 Global Research Journals
Case Study
BREECH DELIVERY IN A TERTIARY HEALTH INSTITUTION IN NORTH CENTRAL, NIGERIA
BY
Jibrin AD 1, Isah AY 2
1Department of Obstetrics & Gynaecology, Federal Medical Centre, Bida.
2Department of Obstetrics & Gynaecology, University of Abuja Teaching Hospital, Abuja.
Corresponding author’s email: aliyuisah69@gmail.com
| Abstract |
Background: Beech Delivery has always being a topical subject in obstetrics because of its attendant high perinatal morbidity and mortality. A wide range of management policies have been instituted with the aim of reducing perinatal morbidity and mortality.
Aim: To determine the incidence, and perinatal outcome of breech delivery in Federal Medical Centre, Bida.
Methods: A 3-year retrospective study of breech deliveries that were conducted in the labour ward between January 2008 and December 2010.
Information on social-demographic characteristics, presentation, mode of delivery and neonatal outcome were obtained from labour ward and case notes retrieved from the Medical health information Department.
Result: There were 75 breech deliveries out of a total of 4,655 deliveries during the study period giving an incidence of 1.61. Twenty three (60.53%) of breech deliveries were conducted as assisted vaginal deliveries while 15 (39.47%) were via emergency caesarean section. There were 10 perinatal deaths. These included 4 (40%) intrauterine death prior to presentation and, six (60%) that were fresh still births and early neonatal death. Fifty per cent of the perinatal deaths occurred in unbooked mothers. The perinatal mortality rate was 250 /1000 deliveries.
Conclusion: Breech delivery was common and was associated with high perinatal morbidity and mortality.
Keywords: Breech delivery, perinatal outcome, Bida.