Maternal and Fetal Outcomes in Reversed Breech Extraction vs. Head Lifting Method During Caesarean Section

Background and Aim: Obstructed labour during caesarean section makes foetal head delivery difficult for obstetricians. The present study was conducted with aim to evaluate maternal and fetal outcome in reversed breech extraction vs. head lifting method during caesarean section.Method: This prospective case-control study was conducted from January to November ۲۰۲۲ at obstetrics departments of Basrah Maternity and Child Hospital, Iraq. A total of ۸۸ women who met inclusion criteria were randomly divided into two groups reverse breech extraction and head lifting. The two groups were compared in terms of maternal and fetal outcomes. P<۰.۰۵ was considered statistically significant.Results: Reversed breech extraction and head lifting groups were not significantly different in terms of demographic and pregnancy related characteristics (P>۰.۰۵). However, reversed breech extraction group compared to head lifting group had significantly lower uterine artery injury (P=۰.۰۰۰۱), uterine extension (P=۰.۰۰۰۱), blood transfusion (p=۰.۰۰۳), operation time (P=۰.۰۰۰۱), and postoperative HB level (P=۰.۰۲۶). Moreover, there was significant difference between reversed breech extraction and head lifting groups regarding birth weight (P=۰.۰۱۶), first and fifth minute APGAR score (P=۰.۰۵۱, P=۰.۰۰۲, respectively), and NICU admission (P=۰.۰۰۰۱).Conclusion: Outcome of the study showed that reversed breech extraction method had significantly lower maternal and fetal risks.

Keywords:

Maternal outcome , Fetal Outcome , reversed , Breech Extraction , Caesarean Section