Abstract:
Objective: To review the mode of delivery and perinatal outcome in breech presentation in a tertiary care hospital.
Study Design and Setting: Retrospective Analytical Study. Department of Obstetrics and Gynecology Unit-4, Bolan
Medical Complex Hospital, Quetta, from 1st January 2012 to 31st December, 2016.
Methodology: This retrospective analytical study included review of clinical records of all patients who delivered either
vaginally or via caesarean section with breech presentation.
Results: During the study period, 806 patients presented with breech (2.4%). Vaginal breech delivery was carried out in
71.8% patients and caesarean section was done in 28.2% patients. In vaginal breech group 30.7% patients were primigravida
and 69.3% patients were multigravida. In caesarean section group 50.3% patients were primigravida and 49.7% were
multigravida. Most common birth weight was between 2.5-3.5 kg in both group. Most common indication for cesarean
section was breech with previous one LSCS.
Conclusion: Like all vaginal births, vaginal breech delivery is not only beneficial in the chance of having a vaginal birth
in future but also prevents from the complications of caesarean delivery
