Maryam Shoaib, Uzma Afridi, Zille Huma, Sohail Tareen.
Maternal and Fetal Complications Associated With Full Term Breech Delivery in Sandeman Provincial Hospital, Quetta.
Pak J Med Health Sci Jan ;6(3):620-2.

Objective: To identify the complications and risk to the mother and fetus. Patients and Methods: This study was comprised 137 pregnant women. It was carried in the Department of Gynae & Obstetrics, Sandeman Provincial Hospital, Quetta between January 2006 to December 2007. All booked and non-booked patients with breech presentation were meticulously evaluated. Patients who conformed to set criterion for vaginal delivery were carefully scrutinized during the course of labour. Caesarean section was performed in both booked and non-booked cases, depending upon the conditions with which the patient present itself. Results: In this study, breech presentation was more common in multigravida. Incidence of breech presentation at term was high. Most of the cases were singleton breech deliveries. Out of 105 cases of breech presentation delivered vaginally, 75 (71.4%) were assisted breech deliveries. Twenty one (20%) of the patients had spontaneous delivery. The maternal complication of vaginal delivery were seen in 8 patients as extended episiotomy in 2 cases, cervical tear in 2 cases, vaginal laceration in 3 cases and post-partum haemorrahge due to retained placenta in only one case. A total of 38 perinatal deaths occurred in the study, of which 35 occurred among vaginally delivered infants and 3 among infants delivered by caesarean section. Conclusion: The perinatal and maternal morbidity was high among emergency cases. There was high incidence of congenital anomalies associated with breech presentation.

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