Trend in breech delivery in Saudi Arabia

An analysis of 2,168 consecutive singleton breech deliveries showed significant improvement in neonatal mortality and morbidity rates for babies delivered by Caesarean section (CS) compared with vaginal delivery (p less than 0.001). The CS rate was 19%. The uncorrected perinatal mortality (PNM) rate...

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Bibliographic Details
Published inAustralian & New Zealand journal of obstetrics & gynaecology Vol. 27; no. 2; p. 111
Main Authors Chattopadhyay, S K, Sengupta, B S, Zaidi, M H, Edrees, Y B
Format Journal Article
LanguageEnglish
Published Australia 01.05.1987
Subjects
Adolescent
Adult
Breech Presentation
Cesarean Section - mortality
Delivery, Obstetric
Female
Fetal Death
Humans
Infant Mortality
Pregnancy
Saudi Arabia
Saudi Arabia
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Summary:An analysis of 2,168 consecutive singleton breech deliveries showed significant improvement in neonatal mortality and morbidity rates for babies delivered by Caesarean section (CS) compared with vaginal delivery (p less than 0.001). The CS rate was 19%. The uncorrected perinatal mortality (PNM) rate was 90.4/1,000 which was 2.5 times higher than the overall hospital PNM rate. In the vaginal delivery group the neonatal death (NND) rate of 206/1,000 among low birth-weight infants (less than 2,500 g) was significantly higher than that of 18/1,000 among babies of greater than 2,500 g (p greater than 0.001). There was no significant difference in the NND rate between these 2 birth-weight groups delivered by CS (p greater than 0.3). Social conservatism, large family size and limited neonatal care facilities were deterrents to an increase in the Caesarean section rate.
ISSN:0004-8666
DOI:10.1111/j.1479-828X.1987.tb00956.x