Adverse Perinatal outcomes and its associated factors of breech delivery at the University of Gondar comprehensive specialized hospital, Northwest ethiopia.2021

Abstract

ABSTRACT Background: Breech deliveries have perinatal mortality that is two to four-fold higher than cephalic deliveries. And describing perinatal outcomes of breech deliveries is important in developing countries like Ethiopia in which there are limited studies and contradicting results are available previously. Objective: This study is aimed to determine the perinatal outcomes and predictors of breech delivery at the University of Gondar comprehensive specialized hospital. Method: An institutional based cross- sectional study was conducted from April 2021 to September 2021 at the University of Gondar comprehensive specialized hospital with sample size of 197 and all women with breech delivery during the study period were included. A structured questioner was utilized to address the perinatal outcome as well as its predictors, attributed to breech delivery. Epi-Data version 4.6.0.2 and SPSS version 20 statistical software were used for data entry and analysis, respectively. Bivariable and multivariable binary logistic regression analysis were done to see the strength of association and determine independent predictor of perinatal outcome. Variables with p. value below 0.05 was considered as a significant predictor of poor perinatal outcomes. Result: Out of 197 breech deliveries during the study period 43 had poor perinatal outcomes (12 were dead and 31 admissions to neonatal ICU) which makes the perinatal mortality rate of 66/1000 breach deliveries. Abruptio placenta, cord prolapse and RH isoimmunization were incriminated in 3(25%), 2(16.67%), 1(8.33%) IFD deaths, respectively and unidentified in 6 (50%) of the deaths. low birth weight (AOR (Adjusted Odds Ratio): 3.87, 95% CI: 1.26, 11.90) and preterm births (AOR: 4.07, 95% CI: 1.40, 11.85) were significantly associated with bad perinatal outcome. Conclusion and Recommendation: The prevalence of poor perinatal outcomes was higher. Therefore, the health sector policy maker, other governmental and nongovernmental organization should be engaged in measures to reduce preterm births

and low birth weight

Keywords: Peri-natal outcome, Breech delivery, associated factors, Ethiopia.