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Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study

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Background.Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.Objective. To determine prevalence and perinatal outcomes of singleton term breech delivery.Methods. Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descriptive and analytical statistics was used.Result. A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women’s age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14–6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25–0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25–11.6), and fetal weight of <2500 g (AOR = 6.77, 95% CI = 3.22–14.25).Conclusion. Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality. Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.
Title: Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study
Description:
Background.
Breech deliveries have always been topical issues in obstetrics.
Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.
Objective.
To determine prevalence and perinatal outcomes of singleton term breech delivery.
Methods.
Hospital based cross-sectional study was conducted on 384 participants retrospectively.
Descriptive and analytical statistics was used.
Result.
A total of 384 breech deliveries were included.
Prevalence of singleton breech deliveries in the hospital was 3.
4%.
The perinatal outcome of breech deliveries was 322 (83.
9%).
Adverse perinatal outcome of singleton term breech delivery was significantly associated with women’s age of greater than or equal to 35 years (AOR = 2.
62, 95% CI = 1.
14–6.
03), fully dilated cervix (AOR = 0.
48, 95% CI = 0.
25–0.
91), ruptured membrane (AOR = 5.
11, 95% CI = 2.
25–11.
6), and fetal weight of <2500 g (AOR = 6.
77, 95% CI = 3.
22–14.
25).
Conclusion.
Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality.
Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.

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