Review Article
Volume 11 Issue 1 - 2022
Management of Breech Presentation in Contemporary Times
SK Kathpalia1*, Poonam TM2, Miss Gouri Gaur3, Shilpa Krishagar4, Jayashree Kulkarni4 and Swapnali Sansare4
1Professor, Obstetrics and Gynecology, Dr D Y Patil Medical College Hospital and Research Centre, Dr D Y Patil Vidyapeeth, Pune, India
2Resident, Obstetrics and Gynecology, Dr D Y Patil Medical College Hospital and Research Centre, Dr D Y Patil Vidyapeeth Pune, India
3Dr D Y Patil Medical College Hospital and Research Centre, Dr D Y Patil Vidyapeeth Pune, India
4Associate Professor, Obstetrics and Gynecology, Dr D Y Patil Medical College Hospital and Research Centre, Dr D Y Patil Vidyapeeth Pune, India
*Corresponding Author: SK Kathpalia, Professor, Obstetrics and Gynecology, Dr D Y Patil Medical College Hospital and Research Centre, Dr D Y Patil Vidyapeeth, Pune, India.
Received: December 01, 2021; Published: December 30, 2021




Abstract

Introduction: Incidence of breech presentation goes on decreasing as the pregnancy advances. It is risky due to the various detrimental outcomes, especially for the baby. Vaginal Deliveries in such cases require skill and maneuvers. To reduce maternal and fetal morbidity and mortality most of these cases result in Caesarean Delivery. The ideal management of breech presentation remains a matter of intense debate. A study was undertaken to find out the management in contemporary times.

Materials and Methods: This retrospective observational study was conducted by going through the records for one year. The labour room and operation theatre records were collected, compiled, analyzed and compared with literature.

Results and Observations: 4553 deliveries occurred during the period of one year; among these 159 were breech cases. Of all the breech cases only 5 delivered vaginally; one case had neural tube defect. No planned breech vaginal delivery occurred. Complications were noticed among cesarean cases. Only one case had undergone external cephalic version.

Discussion: To prevent neonatal morbidity and mortality; the obstetricians have been resorting to elective cesarean for breech presentation. The rate of vaginal delivery has steadily declined in the last few decades. It is possible that the unfavorable outcome in fetuses that remain in the breech presentation may be linked to antenatal or underlying disorders that may be associated with breech and not solely due to mode of delivery. All efforts should be made to diagnose breech presentation before the onset of labour to reduce the incidence of emergency cesarean. External cephalic version should be offered if not contraindicated. Vaginal delivery of breech presentation still remains an option and should be individualized.

Keywords: Breech Presentation; External Cephalic Version; Cesarean Delivery

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Citation: SK Kathpalia., et al. “Management of Breech Presentation in Contemporary Times”. EC Gynaecology 11.1 (2022): 50-57.

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