Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital

Background: There are few neonatal complications of breech delivery including the low Apgar score, birth trauma, admission to neonatal unit and perinatal mortality. Objective: To review the short term complications and their associating factors among singleton term breech infants in relation to mode...

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Main Authors: Abdul Hamid, Habibah, Mohd Jamil, Amilia Afzan, A., Fatin Amirah, Hong, Y.T., Rejali, Zulida
Format: Article
Language:English
Published: Community Health Society Malaysia 2016
Online Access:http://psasir.upm.edu.my/id/eprint/53814/
http://psasir.upm.edu.my/id/eprint/53814/1/Short%20term%20neonatal%20outcomes%20of%20singleton%20term%20breech%20delivery.pdf
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author Abdul Hamid, Habibah
Mohd Jamil, Amilia Afzan
A., Fatin Amirah
Hong, Y.T.
Rejali, Zulida
author_facet Abdul Hamid, Habibah
Mohd Jamil, Amilia Afzan
A., Fatin Amirah
Hong, Y.T.
Rejali, Zulida
author_sort Abdul Hamid, Habibah
building UPM Institutional Repository
collection Online Access
description Background: There are few neonatal complications of breech delivery including the low Apgar score, birth trauma, admission to neonatal unit and perinatal mortality. Objective: To review the short term complications and their associating factors among singleton term breech infants in relation to mode of delivery. Methodology: This is a cross-sectional study that involves 294 term singleton pregnant women with breech presentation in Hospital Serdang, Malaysia from January 1, 2014 to December 31, 2015. Data abstracted from the delivery record book and the hospital database computerised system were used to compare the short term outcomes of singleton term breech infants born via vaginal breech delivery and pre-labour or in-labour caesarean section. Results: Out of 294 cases, 25% (n=73) displayed a successful vaginal delivery, whereas the remaining 75% (n=221) have undergone caesarean delivery. It was more common in multiparous women (64.3%) and frank-typed of breech (59.9%) is more prevalence compared to others. Nulliparity was found significantly predominant in caesarean section delivery (OR 2.38, 95% CI 1.114-5.084, p= 0.005), while the complete-typed of breech was significantly lesser in caesarean section group (OR 0.47, 95% CI 0.246-0.915, p= 0.026). However, there was no significant difference discovered in adverse neonatal outcome regarding the mode of delivery. Conclusion: Pre or in- labour caesarean section and vaginal delivery in terms of singleton breech presentation contains a similar risk of adverse neonatal outcome. According to this study, the main risk factors affecting the mode of delivery are parity and type of breech presentation.
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spelling upm-538142018-02-06T04:40:38Z http://psasir.upm.edu.my/id/eprint/53814/ Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital Abdul Hamid, Habibah Mohd Jamil, Amilia Afzan A., Fatin Amirah Hong, Y.T. Rejali, Zulida Background: There are few neonatal complications of breech delivery including the low Apgar score, birth trauma, admission to neonatal unit and perinatal mortality. Objective: To review the short term complications and their associating factors among singleton term breech infants in relation to mode of delivery. Methodology: This is a cross-sectional study that involves 294 term singleton pregnant women with breech presentation in Hospital Serdang, Malaysia from January 1, 2014 to December 31, 2015. Data abstracted from the delivery record book and the hospital database computerised system were used to compare the short term outcomes of singleton term breech infants born via vaginal breech delivery and pre-labour or in-labour caesarean section. Results: Out of 294 cases, 25% (n=73) displayed a successful vaginal delivery, whereas the remaining 75% (n=221) have undergone caesarean delivery. It was more common in multiparous women (64.3%) and frank-typed of breech (59.9%) is more prevalence compared to others. Nulliparity was found significantly predominant in caesarean section delivery (OR 2.38, 95% CI 1.114-5.084, p= 0.005), while the complete-typed of breech was significantly lesser in caesarean section group (OR 0.47, 95% CI 0.246-0.915, p= 0.026). However, there was no significant difference discovered in adverse neonatal outcome regarding the mode of delivery. Conclusion: Pre or in- labour caesarean section and vaginal delivery in terms of singleton breech presentation contains a similar risk of adverse neonatal outcome. According to this study, the main risk factors affecting the mode of delivery are parity and type of breech presentation. Community Health Society Malaysia 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/53814/1/Short%20term%20neonatal%20outcomes%20of%20singleton%20term%20breech%20delivery.pdf Abdul Hamid, Habibah and Mohd Jamil, Amilia Afzan and A., Fatin Amirah and Hong, Y.T. and Rejali, Zulida (2016) Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital. International Journal of Public Health and Clinical Sciences, 3 (5). pp. 86-94. ISSN 2289-7577 http://publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/338
spellingShingle Abdul Hamid, Habibah
Mohd Jamil, Amilia Afzan
A., Fatin Amirah
Hong, Y.T.
Rejali, Zulida
Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital
title Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital
title_full Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital
title_fullStr Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital
title_full_unstemmed Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital
title_short Short term neonatal outcomes of singleton term breech delivery: two year experiences in a Malaysian tertiary hospital
title_sort short term neonatal outcomes of singleton term breech delivery: two year experiences in a malaysian tertiary hospital
url http://psasir.upm.edu.my/id/eprint/53814/
http://psasir.upm.edu.my/id/eprint/53814/
http://psasir.upm.edu.my/id/eprint/53814/1/Short%20term%20neonatal%20outcomes%20of%20singleton%20term%20breech%20delivery.pdf