Antenatal ultrasonography for breech delivery.
OBJECTIVE
We studied the role of sonography in the management of 370 breech presentations > or = 34 weeks maturity.


METHODS
185 cases had sonographic confirmation of breech presentation prior to the delivery at the Korle Bu Teaching Hospital. A control group of 185 cases did not have prior scanning.


RESULTS
Significantly more elective cesarean sections were done in the study group, while the control group had more emergency sections (P = 0.008), and had more traumatic delivery. Birth asphyxia and perinatal mortality were significantly more common in the control group (P < 0.05).


CONCLUSIONS
Sonography done before delivery improved neonatal outcome in breech presentation > or = 34 weeks maturity.
Seffah
J D
JD
Department of Obstetrics and Gynecology, University of Ghana Medical School, Accra.
Armah
J O
JO
D001238:Asphyxia Neonatorum / Q000209:etiology; D001724:Birth Weight; D001946:Breech Presentation; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal