Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia
Abstract Objective Breech delivery is generally associated with higher perinatal morbidity and mortality than cephalic presentation. Hence describing the outcomes of singleton term breech deliveries in Jimma University Medical Center (JUMC), Southwest Ethiopia addresses in recommendation of improvin...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | BMC Research Notes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13104-019-4442-6 |
| _version_ | 1818279970098642944 |
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| author | Fanta Assefa Woubishet Girma Mirkuzie Woldie Biniam Getachew |
| author_facet | Fanta Assefa Woubishet Girma Mirkuzie Woldie Biniam Getachew |
| author_sort | Fanta Assefa |
| collection | DOAJ |
| description | Abstract Objective Breech delivery is generally associated with higher perinatal morbidity and mortality than cephalic presentation. Hence describing the outcomes of singleton term breech deliveries in Jimma University Medical Center (JUMC), Southwest Ethiopia addresses in recommendation of improving perinatal outcomes and developing protocols in selecting eligible women. Results The incidence of singleton term breech delivery was 5.3%. Majority, (52.8%) of them had undergone emergency cesarean delivery (C/D), and 38.9% had vaginal breech delivery. There were 14 (13.9%) intrapartum fetal deaths of whom 5.6% were recorded at JUMC. A quarter (25%) of the neonates required admission to the neonatal intensive care unit; 40.7% had perinatal asphyxia, and there were 3 early onset neonatal deaths making up a perinatal mortality rate of 157.4 per 1000 breech births. The incidence of breech delivery was relatively high. Vaginal breech delivery was lower. Significant proportions of adverse perinatal outcomes were recorded. Introduction of a protocol for managing breech deliveries to select eligible women for trial of breech delivery and strengthen training of junior health professionals regularly on how to conduct assisted vaginal breech delivery to improve perinatal outcome is recommended. Further studies to identify determinants of perinatal outcomes is recommended. |
| first_indexed | 2024-12-12T23:41:47Z |
| format | Article |
| id | doaj.art-3641a753d5554c3984d0d949d8a2cebc |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-12-12T23:41:47Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-3641a753d5554c3984d0d949d8a2cebc2022-12-22T00:07:05ZengBMCBMC Research Notes1756-05002019-07-011211610.1186/s13104-019-4442-6Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest EthiopiaFanta Assefa0Woubishet Girma1Mirkuzie Woldie2Biniam Getachew3Department of Gynecology and Obstetrics, Medical Faculty, Jimma UniversityDepartment of Gynecology and Obstetrics, Medical Faculty, Jimma UniversityDepartment of Health Policy and Management, Faculty of Public Health, Jimma UniversityIndependent Public Health ConsultantAbstract Objective Breech delivery is generally associated with higher perinatal morbidity and mortality than cephalic presentation. Hence describing the outcomes of singleton term breech deliveries in Jimma University Medical Center (JUMC), Southwest Ethiopia addresses in recommendation of improving perinatal outcomes and developing protocols in selecting eligible women. Results The incidence of singleton term breech delivery was 5.3%. Majority, (52.8%) of them had undergone emergency cesarean delivery (C/D), and 38.9% had vaginal breech delivery. There were 14 (13.9%) intrapartum fetal deaths of whom 5.6% were recorded at JUMC. A quarter (25%) of the neonates required admission to the neonatal intensive care unit; 40.7% had perinatal asphyxia, and there were 3 early onset neonatal deaths making up a perinatal mortality rate of 157.4 per 1000 breech births. The incidence of breech delivery was relatively high. Vaginal breech delivery was lower. Significant proportions of adverse perinatal outcomes were recorded. Introduction of a protocol for managing breech deliveries to select eligible women for trial of breech delivery and strengthen training of junior health professionals regularly on how to conduct assisted vaginal breech delivery to improve perinatal outcome is recommended. Further studies to identify determinants of perinatal outcomes is recommended.http://link.springer.com/article/10.1186/s13104-019-4442-6Term breech deliveryPerinatal outcome |
| spellingShingle | Fanta Assefa Woubishet Girma Mirkuzie Woldie Biniam Getachew Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia BMC Research Notes Term breech delivery Perinatal outcome |
| title | Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia |
| title_full | Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia |
| title_fullStr | Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia |
| title_full_unstemmed | Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia |
| title_short | Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia |
| title_sort | birth outcomes of singleton term breech deliveries in jimma university medical center southwest ethiopia |
| topic | Term breech delivery Perinatal outcome |
| url | http://link.springer.com/article/10.1186/s13104-019-4442-6 |
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