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Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia

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 perina...

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Autores principales: Assefa, Fanta, Girma, Woubishet, Woldie, Mirkuzie, Getachew, Biniam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637559/
https://www.ncbi.nlm.nih.gov/pubmed/31315636
http://dx.doi.org/10.1186/s13104-019-4442-6
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author Assefa, Fanta
Girma, Woubishet
Woldie, Mirkuzie
Getachew, Biniam
author_facet Assefa, Fanta
Girma, Woubishet
Woldie, Mirkuzie
Getachew, Biniam
author_sort Assefa, Fanta
collection PubMed
description 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13104-019-4442-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-66375592019-07-25 Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia Assefa, Fanta Girma, Woubishet Woldie, Mirkuzie Getachew, Biniam BMC Res Notes Research Note 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13104-019-4442-6) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-17 /pmc/articles/PMC6637559/ /pubmed/31315636 http://dx.doi.org/10.1186/s13104-019-4442-6 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Note
Assefa, Fanta
Girma, Woubishet
Woldie, Mirkuzie
Getachew, Biniam
Birth outcomes of singleton term breech deliveries in Jimma University Medical Center, Southwest Ethiopia
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 Research Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637559/
https://www.ncbi.nlm.nih.gov/pubmed/31315636
http://dx.doi.org/10.1186/s13104-019-4442-6
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