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 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.
Chattopadhyay
S K
SK
Maternity and Children's Hospital, Riyadh, Saudi Arabia.
Sengupta
B S
BS
Zaidi
M H
MH
Edrees
Y B
YB
D000293:Adolescent; D000328:Adult; D001946:Breech Presentation; D002585:Cesarean Section / Q000401:mortality; D036861:Delivery, Obstetric; D005260:Female; D005313:Fetal Death; D006801:Humans; D007226:Infant Mortality; D011247:Pregnancy; D012529:Saudi Arabia