EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database ,

ISSN 2394-3211

Impact Factor: 6.222

ICV - 79.57

Abstract

THE MANAGEMENT AND SAFETY OF VAGINAL DELIVERY FOR TERM BREECH FETUSES IN A TERTIARY CARE HOSPITAL

Dr. Sonali Rani Mustofi*, Professor Dr. Ranjit Basak, Professor Dr. Ferdousi Sultana and Dr. Abu Zafar Al Murad

ABSTRACT

Objective: In this study our main goal is to evaluate the management and safety of vaginal delivery for term breech fetuses in a tertiary care hospital. Method: This cross-sectional study was carried out at tertiary medical college and hospital where we studied 120 pregnancies with 37 completed weeks of gestation and with a live singleton baby presenting as breech. Various pre-delivery maternal and neonatal characteristics were compared for three groups of patients: those delivered by planned cesarean section without undergoing a trial of labor (elective cesarean section) n=40, those allowed a trial of labor but were subsequently delivered by cesarean section (emergency cesarean section) n=40, and those given a trial of labor that culminated in a vaginal delivery (vaginal delivery) n=40. Results: During the study, in all group multiparous cases were common (vaginal delivery= 51%, Emergency cesarian delivery= 52% and elective cesarian delivery=56%). In term of breech cases completing cases were common (vaginal delivery=80%, Emergency cesarian delivery= 60% and elective cesarian delivery=90%). In vaginal delivery group 13% neonatal needs intensive care admissions whereas for emergency cesarian delivery there was no neonatal need intensive care and elective cesarean delivery cases 6% neonatal needs intensive care admissions. The cesarean section groups had on an average; a significantly longer hospital stay (7 days) compared to the vaginally delivered group (3days). Conclusion: From our result we can conclude that, women and their obstetricians may consider elective cesarean delivery as a reasonable option for term breech fetuses, which might result in loss of skills of young obstetricians in conducting vaginal breech deliveries and in the antecedent implications of repeat cesarean section.

Keywords: Vaginal delivery, breech fetuses, cesarean section.

[Full Text Article]

SJIF Impact Factor: 6.222

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New Issue Published
Its Our pleasure to inform you that, EJPMR 1 September 2023 Issue has been Published, Kindly check it on https://www.ejpmr.com/issue

EJPMR: SEPTEMBER ISSUE PUBLISHED
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Its our Pleasure to Inform you that EJPMR Impact Factor has been increased from 5.804 to 6.222, due to high quality Publication at International Level