Antenatal ultrasonography for breech delivery

Abstract

Objective: We studied the role of sonography in the management of 370 breech presentations ≥34 weeks maturity. Method: 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). Conclusion: Sonography done before delivery improved neonatal outcome in breech presentation ≥34 weeks maturity. Copyright (C) 2000 International Federation of Gynecology and Obstetrics.