title: Planned vaginal delivery versus Caesarean section for breech presentation in Ile-Ife, Nigeria.
abstract: BACKGROUND
  The optimum mode of breech delivery remains a matter of controversy among obstetricians worldwide.
  
  
  OBJECTIVE
  To determine whether term breech babies born by planned vaginal delivery are at higher risk of neonatal mortality and morbidity than those born by planned caesarean delivery.
  
  
  METHODS
  A hospital based non-experimental comparison of outcome of breech delivery.
  
  
  METHODS
  Ife State Hospitals Complex, Ile-Ife.
  
  
  METHODS
  Two hundred and fourty four singleton breech deliveries occurring at term.
  
  
  METHODS
  They include low 5-minute Apgar score, birth trauma, maternal and perinatal morbidity and mortality.
  
  
  RESULTS
  The perinatal mortality was not significantly different in both groups: OR 2.7 (95% C.I. 0.3-26.8). The low 5-minute Apgar scores were higher in the planned vaginal delivery OR 9.0 (95% C.I. 1-73.4), but the traumatic morbidity was not (OR 1.8, 95% C.I. 0.2-20.1). Maternal morbidity occurred more in the planned Caesarean delivery group OR 0.4 (95% C.I. 0.2-0.9).
  
  
  CONCLUSIONS
  Given appropriate selection criteria and management protocol, the outcome from elective caesarean section might not be better than from planned vaginal delivery.
authors.affiliation: Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals Complex, Ife-Ife, Nigeria.
authors.forename: E O
authors.initials: EO
authors.lastname: Orji
authors.forename: K O
authors.initials: KO
authors.lastname: Ajenifuja
mesh_terms: D001034:Apgar Score; D001946:Breech Presentation; D036861:Delivery, Obstetric / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D009549:Nigeria; D010298:Parity; D011247:Pregnancy