engleski

A preterm birth in breech presentation

Summary. Breech presentation is a baby birth, in which we can expect higher perinatal mortality and morbidity in relation to cephalic presentations. The incidence of preterm delivery in breech presentation ranges from 20-35%. So early engendered children are exposed to hypoxic damages, as well as traumatic injuries with consequent intracranial hemorrhages. The mortality rate of preterm infants is much higher than the mortalityod full-term infants. A higher risk of perinatal asphyxia and birth trauma makes obstertricians decide for operational completion of caesarean birth. Research methods. We conducted a retrospective study of five major periods where we compared perinatal mortality and morbidity, the way of completion of the pregnancy, and the incidence of caesarean sections and vaginal deliveries. Examinees and research method conducted through a period of 21 year were all singleton pregnancy with a baby in breech presentation, completed by caesarean section. Results. The incidence of caesarean sections at preterm births with breech presentation gradually grows through the period studied. Obstetricians were increasingly opting for a caesarean section at preterm births of children in breech presentation, in order to eliminate traumatic and hypoxic damage, and thus tried to reduce perinatal mortality. The perinatal mortality rate of premature children who were labored in breech presentation by vaginal birth, according to numerous authors was statistically significantly higher compared to perinatal mortality of children women delivered prematurely by caesarean section. Conclusion. The research leads us to the importance of the completion of the premature birth of a child in breech presentation by caesarean section, if the child is alive and there is no identifiable development defects.

preterm delivery; breech presentation; perinatal mortality; caesarean section

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