Breech Presentation in Nulliparous Women:
An Evaluation of 288 Cases

Serdar DİLBAZ, Orhan GELİŞEN, E. Seda GÜVENDAĞ GÜVEN, Berna DİLBAZ, Orkun TAN, Bekir KATAS
Ankara, Turkey

OBJECTIVE: To evaluate the maternal risk factors of nulliparous women for breech presentation and outcomes of infants delivered by planned ceasarean section.
STUDY DESIGN: The study group was comprised of 288 single breech presentation nulliparous women at term (>37 completed weeks of gestation) who delivered by planned cesarean section in the same institution. Demographic characteristics, gestational age, uterine anomalies, birth weights, Apgar scores and neonatal morbidity were recorded and analyzed.
RESULTS: All the patients in study were nulliparous. The mean of maternal age was 22 years (17-27) and time of delivery was 38.7 weeks (37-40.4). Uterine anomalies (uterine septum, uterus arcuatus etc.) were diagnosed in 15% (43) of patients (antenatally or during the cesarean section). Mean birth weight was 3350 mg (3100-4200). Fourteen infants weighed more than 4000 mg (4.8%) and 13 infants weighed between 2000-2500 mg (4.5%). No infant had a 5-minute apgar score of <7. No stillbirths or neonatal deaths were observed during the study period.
CONCLUSION: Elective cesarean delivery of term infants of nulliparous women presenting in breech is not associated with worse neonatal outcomes. Uterine anomalies are important etiological factors for nulliparous breech presentation. Excellent fetal-maternal outcomes in the nulliparous who had cesarean section for term singleton breech implies the importance of cesarean section as the preferred route of delivery.
(Gynecol Obstet Reprod Med 2005; 11:14-16)

Key Words: Elective cesarean delivery, Breech delivery, Fetal-maternal outcomes