Khurram Ahmad, Aisha Malik, Wasim Yusuf.
Incidence of Cesarean Section for Breech Presentation at Lady Willingdon Hospital.
Ann King Edward Med Uni Jan ;7(2):99-101.

Breech presentation is associated with high incidence of operative delivery, either due to the cause which leads to the breech presentation, fetal distress or fear of stucking the after coming head Our study is intended to look for the current rate of the operative delivery, cause for cesarean section, feto-maternal out come and options to reduce operative delivery in case of breech presentation . 685 out of the 939 breech cases in our study were delivered by the cesarean section. It means 72.9% being delivered by the operative approach which is exceptionally high. There were 15 pregnancy losses all in the unbooked cases (9 stillbirths, 5 early neonatal deaths and one late neonatal death) Recommendations are early booking, regular follow-up visits and ECV (external cephalic version) at 36 weeks. Elective cesarean section at 37 weeks in cases with absolute indication for operative delivery. Vaginal delivery by senior personnel in selected cribs (after ruling out the contra-indications). Later few suggestions in conclusion to reduce operative delivery and better feto-maternal out come.

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