{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T09:31:45Z","timestamp":1764322305372,"version":"3.46.0"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess perinatal mortality of singleton term breech deliveries and associated factors in selected hospitals in North Shoa Zone, Oromia Region, Ethiopia, during 2021\u20132022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This institutional\u2010based cross\u2010sectional study was conducted from January 1, 2022 to March 30, 2022 among mothers who gave birth in selected hospitals. The lottery technique was employed with a total sample size of 390 among singleton term breech deliveries. Binary logistic regression was fitted and variables with a\n                      <jats:italic>P<\/jats:italic>\n                      \u2010value &lt;0.25 were identified and fitted to multivariable logistic regression. Variables with a\n                      <jats:italic>P<\/jats:italic>\n                      \u2010value &lt;0.05 at 95% confidence interval (CI) were considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>The prevalence of perinatal mortality in the hospital was 6.4%. Adverse perinatal outcome of singleton term breech delivery was significantly associated with breech diagnosed during labor (adjusted odds ratio [AOR] 6.23, 95% CI 2.61\u201318.87), prolonged labor (AOR 4.51, 95% CI 1.15\u201315.62), rupture of membrane &lt;12\u2009h (AOR 0.06, 95% CI 0.01\u20130.28) and 5\u2010min Apgar score of &lt;7 (AOR 9.97, 95% CI 3.68\u201315.92).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Recommendation<\/jats:title>\n                    <jats:p>Factors like the 5\u2010min Apgar score\u2009&lt;\u20097, prolonged labor, rupture of membrane &lt;12\u2009h, and breech diagnosed during labor were associated with increased Perinatal mortality. When labor begins, professionals should handle breech presentation as quickly as possible to minimize delays and enhance fetal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70230","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T08:09:17Z","timestamp":1748246957000},"page":"768-774","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perinatal mortality of singleton term breech deliveries in North Shoa Zone, Oromia Region, Ethiopia"],"prefix":"10.1002","volume":"171","author":[{"given":"Adugna Alemu","family":"Desta","sequence":"first","affiliation":[{"name":"College of Medicine and Health Sciences, Department of Midwifery Salale University  Fitche Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fikadu Tolesa","family":"Alemu","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Sciences, Department of Midwifery Salale University  Fitche Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Befekadu Tesfaye","family":"Oyato","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Sciences, Department of Midwifery Salale University  Fitche Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussein Zakir","family":"Abasimel","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Sciences, Department of Midwifery Salale University  Fitche Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdi Negash","family":"Motuma","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Salale University, College of Medicine and Health Sciences  Fitche Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ifa Dereje","family":"Hordofa","sequence":"additional","affiliation":[{"name":"Department of Biomedical Science Salale University, College of Medicine and Health Sciences  Fitche Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-72487-0"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12488"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-49"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"175","article-title":"Breech delivery and foetal outcome: a review of 291 cases","volume":"33","author":"Mekbib T","year":"1995","journal-title":"Ethiop Med J"},{"volume-title":"Breech Presentation. 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