The influence of mode of delivery in neonatal complications in breech presentation

The aim of this study was to compare the risk for neonatal complications in breech presentation according to mode of delivery. Study was designed as retrospective study of pregnancies with breech presentation in Clinic of Obs&Gyn of the University Clinical Centre of Kosovo (2008-2009). Neonatal complications were compared in 413 pregnancies delivered by caesarean section with 388 vaginal births. The cases with congenital anomalies, multiple pregnancies, foetuses >3800g was excluded from the study. The outcome was expressed through Odds Ratio, with confidence interval 95%. Planned cesarean section significantly reduced the risk for IVH, birth trauma and neonatal death, but not significantly for perinatal asphyxia, early neonatal infections, sepsis, RDS, and CPAP requirement.