Abstract :
Introduction: This is a prospective study of Maternal and Perinatal outcome done at GIMS Kalaburagi.
Materials and Methods: A Prospective observational study was conducted for period of 6 months in
department of Obstetrics and Gynaecology at Gulbarga Institute of Medical Sciences, Kalaburagi. 100
cases were studied during this period. History was taken in detail, examination was done, Maternal and
Perinatal outcome were studied.
Results: 100 cases were studied. The incidence of term Breech was 1.3%. Most common age group
was 20-24yrs (61%). Majority of cases were Primigravida (6 3%). Majority were delivered by Caesarean
section (92%), 8% delivered by assisted vaginal delivery. 63% had complicating factors. Incidence of
referred cases was 37%. Uterine anomaly seen in 9%, Fetal anomaly seen in 1%. Perinatal mortality was
4%.
Conclusion: Breech delivery is associated with adverse fetal outcome during labour. Though caesarean
section can reduce the perinatal mortality and morbidity compared to vaginal birth for term breech
pregnancy, it is not universally accepted. Hence in selected cases of breech presentation, vaginal breech
delivery should be attempted with patient’s consent, availability of a skilled obstetrician.
Keyword :
Breech presentation, Maternal and perinatal outcome, Mode of delivery.