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Research Article

Singleton term breech presentation: planned vaginal delivery vs elective caesarean section at Aminu Kano Teaching Hospital

Authors:

Omole-Ohonsi Abiodun ,

Department of Obstetrics and Gynaecology, Bayero University, Aminu Kano Teaching Hospital, Kano, NG
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Umoru Joseph,

Department of Obstetrics and Gynaecology, Bayero University, Aminu Kano Teaching Hospital, Kano, NG
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Aiyedun Tajudeen

Federal Medical Centre, Gusau, NG
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Abstract

Background: In developed countries, elective caesarean section is employed in nearly all the cases of singleton breech presentation at term, because of the safety of the procedure. However, in developing countries, where the safety and acceptance of caesarean delivery is poor, a study of the acceptable mode of delivery is needed.

Objective: To compare the pregnancy outcomes of planned vaginal delivery and elective caesarean section, among booked women with singleton term breech presentation, at Aminu Kano Teaching Hospital, Kano, Nigeria.

Methods: A 3-year cross sectional study of 135 cases of singleton term breech deliveries.

Results: The period prevalence of singleton term breech delivery among booked patients was 2.1% of the total deliveries. Elective caesarean section was used significantly more among teenagers and primigravida, while planned vaginal breech delivery was used significantly more among the women in the 25-29 and 30-34 years age group and multigravida. Maternal and neonatal morbidity did not show any significant difference between the two groups, and there was no maternal or perinatal mortality in the two groups.

Conclusion: The mode of delivery among booked patients with singleton term breech presentation at Aminu Kano Teaching Hospital should still be individualized.

DOI: http://dx.doi.org/10.4038/sljog.v34i2.4826

Sri Lanka Journal of Obstetrics and Gynaecology 2012; 34: 45-50

DOI: http://doi.org/10.4038/sljog.v34i2.4826
How to Cite: Abiodun, O.-O., Joseph, U. & Tajudeen, A., (2012). Singleton term breech presentation: planned vaginal delivery vs elective caesarean section at Aminu Kano Teaching Hospital. Sri Lanka Journal of Obstetrics and Gynaecology. 34(2), pp.45–50. DOI: http://doi.org/10.4038/sljog.v34i2.4826
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Published on 26 Oct 2012.
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