Vaginal delivery for breech presentation should be an option: experience in a tertiary care hospital

The study, conducted in the tertiary care hospital of Dhaka Bangladesh, describes the outcome of vaginal birth after caesarean section (VBAC) in women with a previous caesarean. A prospective study was carried out from 1st January 2007 to 31st December, 2007 on 126 women with one prior lower segment cesarean section (LSCS) for a nonrecurrent cause. All unbooked women and those with estimated fetal weight more than 3.5 kg, breech presentation, history of postoperative wound infection after previous LSCS, anemia (Hb < 10 gm%), pregnancy induced hypertension, diabetes, heart disease, renal disease, cephalopevic disproportion abnormal presentation and placenta praevia were excluded from the study. An informed consent was taken for allowing a trial of vaginal delivery. Spontaneous onset of labor was awaited up to 41 weeks. Induction of labor was considered only in highly selected cases. Labor was constantly supervised by competent staff and meticulously monitored by cardiotocography (CTG). Out of the 126 women enrolled for the study, 26 had to leave the station leaving a total of 100 patients; 72 patients underwent elective repeat C/S, 28 patients (28%) of these underwent trial of labour, among them 15 had successful vaginal delivery (53.57) but 13 patients failed the attempt and had to undergo emergency caesarean section. To assist in the 2nd stage of labour, 6 had ventouse application. In total 85 cases needed repeat caesarean section. Among the cases there was one case of scar dehiscence (6.6%), one case of cervical tear (6.6%), two cases of manual removal of placenta (13.3%), one case of post partum hemorrhage (6.6) and one case of puerperal pyrexia (6.6).Perinatal morbidity was comparable with the elective repeat C/S group. VBAC should be considered in cases of previous one cesarean delivery for nonrecurrent indication. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.15902 Medicine Today 2013 Vol.25(1): 14-17

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Clinical Presentation and Mortality of Women Presented with Puerperal Sepsis at Tertiary Care Hospital

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i3130926 ◽

2020 ◽

pp. 116-121

Author(s):

Erum Samreen ◽

Madiha Abbasi ◽

Naheed Parveen

Keyword(s):

Abdominal Pain ◽

Caesarean Section ◽

Vaginal Delivery ◽

Clinical Features ◽

Vaginal Discharge ◽

Clinical Presentation ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Puerperal Sepsis

Objective: To determine the clinical presentation and mortality of women presented with puerperal sepsis at tertiary care Hospital. Materials and Methods: This cross-sectional study was conducted at obstetrics and gynaecology department of Liaquat University of medical and health Sciences, from April 2018 to march 2019. Women having age more than 15 years and presented with sepsis after birth followed by spontaneous vaginal delivery, instrumental or episiotomy vaginal delivery or caesarean section were included. All the data including clinical features and mortality were recorded by study proforma. Data was analyzed by using SPSS version 20. Results: Most of the patients 46.6%, having age between 26 to 35 years. Majority of the patients 48.3% were delivered by normal vaginal delivery (NVD) and 37.9% underwent caesarean section, while 13.8% given birth as NVD with episiotomy. Almost all cases presented with fever and other common clinical features were abdominal pain, vaginal discharge, wound infection and breast tenderness. According to the maternal outcome 24.1% patients were shifted to intensive care unit (ICU), 34.5% had prolonged hospital stay and mortality rate was 10.3%. There was no significant difference in maternal outcome according to mod of delivery; p-values were quite insignificant. Conclusion: It was concluded that puerperal sepsis is a major contributing factor of maternal adverse outcome. Common clinical features were fever, abdominal pain and vaginal discharge.

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Postpartum urinary retention and its associated obstetric risk factors among women undergoing vaginal delivery in tertiary care hospital

Journal of Gynecology Obstetrics and Human Reproduction ◽

10.1016/j.jogoh.2020.101837 ◽

2020 ◽

pp. 101837

Author(s):

Qurrat ul Ain ◽

Nikil Shetty ◽

Supriya K

Keyword(s):

Risk Factors ◽

Urinary Retention ◽

Vaginal Delivery ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Postpartum Urinary Retention

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The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20171530 ◽

2017 ◽

Vol 6 (5) ◽

pp. 1786

Author(s):

Meeta Gupta ◽

Vineeta Garg

Keyword(s):

Caesarean Section ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Breech Presentation ◽

Morbidity And Mortality ◽

High Rate ◽

North India ◽

Care Hospital ◽

Failed Induction ◽

Evidenced Based

Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st Jan 2016 to 31st Dec 2016 at the Department of OBG, RUHS College of Medical Sciences, Jaipur (Rajasthan), North India. Data of patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 2959, out of which C-Sections were 931. The overall CS rate was 31.46%. Previous LSCS was the leading indication to the CS rate (36.52%) followed by arrest of labour (13.65%), CPD (12.03%), foetal distress (11.82%), breech presentation (7.52%), oligohydroamnios/IUGR (5.16%) and failed induction of labour (3.54%). 11.60% patients had various complications mainly infection (5.58%) and haemorrhage (3.98%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed. Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.

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A Study on Fetomaternal Outcome of Breech Presentation in a Tertiary Care Hospital

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v6i12.114 ◽

2018 ◽

Vol 6 (12) ◽

Author(s):

Pratibha Jena ◽

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Breech Presentation ◽

Care Hospital

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Management trend and safety of vaginal delivery for term breech fetuses in a tertiary care hospital of Karachi, Pakistan

Journal of Perinatal Medicine ◽

10.1515/jpm.2001.036 ◽

2001 ◽

Vol 29 (3) ◽

Cited By ~ 2

Author(s):

Nuruddin Badruddin Mohammed ◽

Rozina Noor Ali ◽

Chinnaiya Anandakumar ◽

Rahat Najam Qureshi ◽

Stephen Luby

Keyword(s):

Vaginal Delivery ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital

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Assessment Of Perinatal Outcome Of Breech Presentation At A Tertiary Care Hospital, Quetta

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2018098 ◽

2019 ◽

Vol 09 (03) ◽

pp. 218-221

Author(s):

Safia Bibi ◽

Khanda Gul ◽

Fozia Mohammad Bukhsh ◽

Palwasha Gul

Keyword(s):

Caesarean Section ◽

Perinatal Outcome ◽

Analytical Study ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Breech Presentation ◽

Care Hospital ◽

Breech Delivery ◽

Vaginal Breech Delivery ◽

Clinical Records

Objective: To review the mode of delivery and perinatal outcome in breech presentation in a tertiary care hospital. Study Design and Setting: Retrospective Analytical Study. Department of Obstetrics and Gynecology Unit-4, Bolan Medical Complex Hospital, Quetta, from 1st January 2012 to 31st December, 2016. Methodology: This retrospective analytical study included review of clinical records of all patients who delivered either vaginally or via caesarean section with breech presentation. Results: During the study period, 806 patients presented with breech (2.4%). Vaginal breech delivery was carried out in 71.8% patients and caesarean section was done in 28.2% patients. In vaginal breech group 30.7% patients were primigravida and 69.3% patients were multigravida. In caesarean section group 50.3% patients were primigravida and 49.7% were multigravida. Most common birth weight was between 2.5-3.5 kg in both group. Most common indication for cesarean section was breech with previous one LSCS. Conclusion: Like all vaginal births, vaginal breech delivery is not only beneficial in the chance of having a vaginal birth in future but also prevents from the complications of caesarean delivery.

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