Medicinski Glasnik (Feb 2005)
Breech deliveries in the Cantonal Hospital Zenica in the five-yearperiod(1999-2003)
Abstract
In this retrospective study we analysed the influence of gestation age,parity and the way of a delivery completion on postpartum vitality of new born infants in breech deliveries of singleton fetal pregnancies and none-malformed fetuses in the five-yearperiod.Out of the total number of 13431 deliveries, 502 ofthem(3.7%)were completed by breech delivery in the period from 1999 to 2003. Breech deliveries are classified according to gestation age,parity and the way of delivery completion. Each delivery is further classified in one of the three groups of postpartum vitality, according to the method of Virginia Apgar (regular Apgar, mild and heavy hypoxia). Out of 502 breech deliveries, 211 (42%) were delivered vaginally, and 291 (58%) in sectio Caesarean. 98 (19,5%) new born babies were delivered in mild hypoxia, and 33 (6.6%) in heavier hypoxia. All infants with heavier hypoxia, 24 of them (72.7%), were delivered vaginally. Preterm born infants made 78,8% of children who were born in heavy hypoxia. Analysis based on parity does not show any significant difference in postpartum vitality of new born infants. Sectio Caesarea participated in significantly better postpartum vitality of newborn childrenin particular gestational age and parity groups. It should be preferred at term breech deliveries of the primiparas, and preterm breech deliveries of 33-37 weeks of gestational age regardless of parity.
