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Year : 2017  |  Volume : 29  |  Issue : 1  |  Page : 24-29

Comparison of Apgar scores in breech presentations between vaginal and cesarean delivery

1 Medical Research Unit, School of Medicine, Syiah Kuala University, Banda Aceh, Indonesia
2 Department of Obstetrics and Gynaecology, Syiah Kuala University; Department of Obstetrics and Gynaecology, Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia

Correspondence Address:
Mohd Andalas
Department of Obstetric and Gynaecology, Syiah Kuala University, Banda Aceh 23111
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tcmj.tcmj_5_17

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Objective: The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery. Materials and Methods: A retrospective study was conducted at Dr.Zainoel Abidin General Hospital from January 2010 to December 2012. Data on the mode of delivery and Apgar scores at 1 and 5min for infants with a BP were extracted from the medical records. Logistic regression was employed to assess the correlation between mode of delivery and Apgar scores. In addition, a meta-analysis was conducted to summarize findings from other regions. Results: A total of 205(3.9%) BPs among 5252 deliveries between January 2010 and December 2012 were analyzed for this study. There were 26% (52cases) vaginal and 74% (153cases) cesarean deliveries. The mode of delivery for BP had a significant association with Apgar score at 1min (odds ratio [OR] 95% confidence interval [CI] = 6.462 [2.476–16.870], P=0.0001) and 5min (OR 95% CI =7.727 [1.416–42.175], P=0.018). Our meta-analysis showed that the delivery mode had a significant association with Apgar score in BP (OR: 3.69; 95% CI: 2.18–6.26, P=0.0001). Conclusions: There was a significant association between Apgar scores in BPs and mode of delivery. Our results suggest better outcomes for cesarean than vaginal delivery in BPs.

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