Shilan Youssif Abdulla*
*Nazdar-Bamarni Family Health Centre, Directorate of Health of Erbil, Erbil-Iraq.
**Department of Community Medicine, College of Medicine, Hawler Medical University. Erbil-Iraq
Perinatal Outcome of Breech Presentation at the Maternity Teaching Ho spital in Erbil City
Background and Objectives
Increased perinatal mortality and morbidity with breech presentation is recognized. The objective of this
study was to determine the perinatal outcome of breech presentation in Erbil Maternity Teaching Hospital.
Patients and Methods
This is a case-control study, conducted from the 1st of April 2010 to the 1st of April 2011. The sample size was
238 singleton breech deliveries (cases) and compared with 238 singleton cephalic deliveries. Main outcome
measures were neonatal mortality and morbidity including admission to NICU and 5 minutes APGAR scores.
A significantly higher overall perinatal mortality was documented among breech than cephalic deliveries 7.5%
versus 2.5%. Low birth weight was significantly (P=0.001) higher among breech than cephalic deliveries. Five
minutes APGAR score and neonatal intensive care unit admissions were significantly higher among breech
than cephalic babies(P=0.026 and 0.001 respectively).
Breech babies had significantly higher overall perinatal mortality and a lower APGAR score at five minutes
and admitted more frequently to NICU than cephalic babies.
Keywords: Breech presentation, cephalic presentation and perinatal outcome