DELIVERY PLANNING: A CONTAMPORARY APPROACH TO BREECH PRESENTATION IN OBSTETRICS
DOI:
https://doi.org/10.11603/24116-4944.2018.1.8792Keywords:
breech position, conservative delivery, cesarean section, perinatal outcomes.Abstract
The aim of the study – to evaluate the effectiveness and the validity of individual delivery planning for breech presentations.
Materials and Methods. Pregnant patients were divided into two groups: 1) the main group (MG) (n=36) which included women with planned conservative deliveries for breech presentations; 2) the control group (CG) (n=33) which included women with planned cesarean deliveries for breech presentations.
Results and Discussion. Pregnancy completion in the majority of patients from both groups occurred in the planned way: MG – 27 (75 %), CG – 29 (87.8 %). The MG patients gave birth in the knee-elbow position – 11 (40.7 %) and with the help of Tsovianov method – 16 (53.9 %). There were 9 (25 %) cases of cesarean deliveries in the CG which were mainly classified as the 1st urgency category – 5 (55.5 %). The need for urgent cesarean section in the CG occurred in half as many cases – 4 (12.2 %) and most cases – 3 (75 %) – had the 3rd urgency category. Perinatal complications were more common among the children from the CG who had received manual help at birth: birth trauma – 8 (22.2 %), asphyxia – 3 (8.3 %), aspiration – 2 (5.55 %), hypoxicischemic brain damage – 3 (8.3 %).
Conclusions. The presented data indicate the lack of highly professional skills which require thorough execution and improvement of obstetrical manipulations by obstetricians and gynecologists.
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