Prevalence and Factors Associated with Perinatal Outcome of Singleton Term Breech Deliveries at three Teaching Hospitals in Addis Ababa, Ethiopia: A Cross Sectional Study; 2023G.C
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Date
2023-09
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Addis Ababa University
Abstract
Background: Breech presentation is a type of mal-presentation where the foetal buttock and/or feet laid over the lower pole of the uterus, hence making it to be firstly delivered. It is themost common malpresentation at terms occurring in 3-4 % of deliveries. It is associated withconsiderable increase in perinatal morbidity and mortality.
Objective: To assess the prevalence and factors associated with perinatal outcomes ofsingleton term breech delivery in selected Hospitals in Addis Ababa, Ethiopia from October01/2022 to March 30 , 2023GC.
Methods: A hospital based prospective cross-sectional study was conducted. The studyparticipants were recruited using consecutive sampling method. Data related to sociodemographic and clinical variables were collected using structured questionnaire and checklist.Data processing and analysis was done using SPSS statistical software version 26. Bivariate and multiple logistic regressions analysis performed to assess the association between dependent and independent variables. The degree of association between dependent and independent variables were assessed using odds ratio with 95% confidence interval and P-value <0.05.
Result: The finding of the study revealed that the prevalence of singleton breech delivery was3.65% and 63% of the study participants with breech delivery had adverse composite perinataloutcome. Four (2.2%) of the participants had stillbirths and five (5.1%) had ENNDs. Twenty one(11.8%) had low 5th minute APGAR of <7 and 19.1% were admitted to NICU. Planned cesarean delivery was the only factor significantly associated with decreased adverse perinatal outcome with an adjusted OR of 0.20 (95% CI, 0.04-0.80).
Conclusion and Recommendation: the prevalence of singleton breech delivery at term was comparable to the commonly cited rate in the literature and adverse perinatal outcome inbreech deliveries in our institution was high especially in those participants who had a trial of labor. We recommend to updates national guidelines for the management of vaginal breech deliveries to reduce this high adverse perinatal outcome.
Keywords: Factors affecting perinatal outcome; Term breech delivery; Prevalence; Singleton;Ethiopia.
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Factors Affecting Perinatal outcome Term Breech Delivery Prevalence Singleton Ethiopia, , , ,