Comparison of fetal outcome in booked versus non-booked patients in term singleton breech presentation

Background: breach presentation is one of the most important malpresentation which is associated with increased chances of perinatal mortality and morbidity. aim: to assess the proportion of non-booked breach presentation,to compare their mode of delivery and fetal outcome with those who were booked. place and duration of study: obstetrics and gynecology department unit i,ii at holy family hospital (hfh) rawalpindi,obstetrics and gynecology department benazir bhutto hospital rawalpindi. study conducted for 8 months from25th april to 25th december 2011. methods: total number of singleton pregnant population breech presentation comprising both booked and non-booked was collected. all high risk breeches with complications were excluded. 544 low risk cases in labor were selected randomly. outcome measures were assessed in the form of apgar score at 5 minutes and admission to icu. results: 80% of cases in booked group were selected for elective cesarean section compared to 10% in un-booked case.60% of them were delivered at 38 weeks. in booked cesarean section 28% cases have babies more than 3.5 kg weight and in un booked cases only 6% have babies more than 3.5kg. babies of vaginally delivered breeches were weighing less than 3 kg. maternal morbidity,duration of hospital stay and cost increased in booked group. conclusion: there is increase in maternal morbidity and hospital stay in booked breach presentation due to high cesarean rate,so we should rethink in planning mode of delivery. © 2016,lahore medical and dental college. all rights reserved.