ORIGINAL ARTICLE
Abstract

Objective: To study the frequency and outcome of singleton breech pregnancy beyond 28 weeks of gestation in a tertiary care hospital.
Study Design: Case series
Place and Duration of Study: Gynae / Obs. Department of Military Hospital, Rawalpindi from Jan 2009 till June 2009
Materials and Methods: A hundred and nine patients with singleton breech presentation after 28 weeks pregnancy were recruited from the antenatal clinic of MH Rawalpindi. Their pregnancy outcome were recorded in a specially designed proforma. Mode of delivery and neonatal outcome in terms of neonatal weight and APGAR score was recorded.
Results: Frequency of breech presentation was found to be 2.1%. Primigravida were 27.8% and second gravida 22.9%. 4.6% pregnancies were postdated, 50.4% at term and 36.7% were between 30-36 weeks of pregnancy. 65 emergency cesarean section were done. 14 were elective cesarean sections and vaginal delivery occurred in 30 patients. 60.6% infants had birth weight from 3.0 – 3.4 kg, 2.8% had weight greater than 3.5kg and 4.6% had a very low birth weight of 1.5 – 1.9kg. 83% infants had a normal APGAR score and were mostly delivered by cesarean section. 11% infants had APGAR score of 5/10 – 7/10 and were admitted in NICU. 6 % infants had very low APGAR score of 2/10 – 4/10.
Conclusion: Elective cesarean section remains the preferred mode of delivery and carries less neonatal morbidity and mortality. Perinatal morbidty and mortality is high in emergency cesarean sections, preterm breech deliveries and in unbooked cases. Vaginal delivery was done mostly in patients who presented in advanced labour.
Keywords: Breech, outcome, neonatal weight, APGAR score

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