MATERNAL AND FETAL RISKS OF PLANNED VAGINAL BREECH DELIVERY VS PLANNED CAESAREAN SECTION FOR TERM BREECH BIRTH

Eisha  Abokresh; Mohamed    Hamed

Article Details

MATERNAL AND FETAL RISKS OF PLANNED VAGINAL BREECH DELIVERY VS PLANNED CAESAREAN SECTION FOR TERM BREECH BIRTH

Authors:

Eisha Abokresh | Mohamed Hamed

Publisher:

Asmarya University, Libya

Journal:

Journal of the Academic Forum Vol.9 Issue 1, pp.141-157

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001528515

pISSN:

2710-4478

Keywords:

Abstract:

 The management of breech presentations, irrespective of the delivery method-vaginal or cesarean-continues to be a topic of considerable debate within the field of obstetrics. This investigation sought to assess the relative risks of maternal and fetal mortality, along with perinatal morbidity, linked to vaginal delivery in comparison to elective cesarean section in instances of breech presentation. The study was conducted on 830 patients at Zliten Medical Center, Libya, from January 2022 to April 2024. The age distribution of participants was as follows: 18-24 years (29.87%), 25-30 years (36.50%), 31-35 years (23.25%), and 36-40 years (10.36%). In agreement with previous research, the predominant proportion of expectant mothers exhibiting a breech presentation fell within the age range of 18 to 30 years. The findings revealed that 42.65% of breech deliveries were vaginal, while 57.34% were performed via cesarean section. Neonatal complications associated with both vaginal and cesarean breech deliveries included clavicle fractures (6.50%), femur fractures (3.49%), brachial plexus injuries (5.06%), cephalhematoma (3.97%), intracranial bleeding (5.78%), and pneumothorax. Maternal complications during labor in breech presentation cases included vaginal hematoma (9.87%), vaginal lacerations (9.03%), perineal injuries (7.83%), decline in hemoglobin levels (9.39%), and postpartum endometritis (9.75%), while 54.09% of cases had no complications. These findings highlight the importance of selecting vaginal delivery in carefully evaluated breech cases, alongside ensuring proper training for obstetricians in vaginal breech delivery techniques, addressing medicolegal concerns, and encouraging physicians to perform more vaginal breech deliveries to reduce the high rate of cesarean sections in such cases.

Article Details

MATERNAL AND FETAL RISKS OF PLANNED VAGINAL BREECH DELIVERY VS PLANNED CAESAREAN SECTION FOR TERM BREECH BIRTH

Authors:

Eisha Abokresh | Mohamed Hamed

Publisher:

Asmarya University, Libya

Journal:

Journal of the Academic Forum Vol.9 Issue 1, pp.141-157

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001528515

pISSN:

2710-4478

ولادة الجنين بالمقعدة

الولادة القيصرية

مضاعفات الولادة المقعدية

تحفيز الولادة المهبلية

الولادة الطبيعية

ليبيا

Issues

Article Details

MATERNAL AND FETAL RISKS OF PLANNED VAGINAL BREECH DELIVERY VS PLANNED CAESAREAN SECTION FOR TERM BREECH BIRTH

Authors: Eisha Abokresh | Mohamed Hamed

Publisher: Asmarya University, Libya

Journal: Journal of the Academic Forum Vol.9 Issue 1, pp.141-157

Document Type: Article

Publication Date: 9/2025

Document Language: English

Document ID (Org No.): 2001528515

pISSN: 2710-4478

ولادة الجنين بالمقعدة

الولادة القيصرية

مضاعفات الولادة المقعدية

تحفيز الولادة المهبلية

الولادة الطبيعية

ليبيا

Issues

Authors:

Eisha Abokresh | Mohamed Hamed

Publisher:

Asmarya University, Libya

Journal:

Journal of the Academic Forum Vol.9 Issue 1, pp.141-157

Document Type:

Article

Publication Date:

9/2025

Document Language:

English

Document ID (Org No.):

2001528515

pISSN:

2710-4478