{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:06:05Z","timestamp":1790690765829,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T00:00:00Z","timestamp":1605484800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2020,11,16]]},"abstract":"<jats:p>\n                    Background. Breech presentation is associated with increased rates of maternal and perinatal morbidity regardless of mode of delivery. After the results of Term Breech Trial, most of the countries adopted the protocol of cesarean section for term breech delivery because of which breech vaginal delivery is becoming rare. The aim of this study is to evaluate short-term maternal and perinatal outcomes of breech vaginal delivery at a tertiary care hospital in Nepal. Methods. A retrospective review of case records of all women who had vaginal breech delivery from April 13, 2016, to April 12, 2018, was conducted, over a period of two years. Available demographic variables, obstetric characteristics, details of labor, postpartum complications, and perinatal complications were recorded and analyzed. Results. Out of 21,768 cases of deliveries during the study period, the incidence of term breech deliveries was 528 (2.4%) among which the mode of only 84 (17.8%) deliveries was vaginal. Most of the deliveries were unplanned and were conducted because emergency cesarean section could not be performed. Three (3.6%) women had postpartum hemorrhage, and four (4.8%) had entrapment of aftercoming head, two of them requiring D\u00fchrssen incisions. Adverse perinatal outcomes were seen in 23.8% of such deliveries with &lt;7 APGAR score at 5 minutes in 20.2%, neonatal admission in 17.7%, and perinatal mortality in 8.3%. The perinatal mortality was significantly associated with birthweight less than 2500\u2009grams as compared to birthweight \u22652500 grams (21.1% versus 4.6%;\n                    <jats:inline-formula>\n                      <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>0.043<\/a:mn>\n                      <\/a:math>\n                    <\/jats:inline-formula>\n                    ). Conclusion. The perinatal outcomes for vaginal breech delivery are grave with our existing health facilities, especially when the deliveries are not well planned.\n                  <\/jats:p>","DOI":"10.1155\/2020\/4039140","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T20:35:07Z","timestamp":1605558907000},"page":"1-8","source":"Crossref","is-referenced-by-count":10,"title":["Maternal and Perinatal Outcomes of Singleton Term Breech Vaginal Delivery at a Tertiary Care Center in Nepal: A Retrospective Analysis"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5919-6250","authenticated-orcid":true,"given":"Tulasa","family":"Basnet","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, B. P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4412-2689","authenticated-orcid":true,"given":"Baburam Dixit","family":"Thapa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, B. P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-3853","authenticated-orcid":true,"given":"Dipti","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, B. P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7947-859X","authenticated-orcid":true,"given":"Ramesh","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, B. P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5312-4590","authenticated-orcid":true,"given":"Sarita","family":"Sitaula","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, B. P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-4752","authenticated-orcid":true,"given":"Anu","family":"Thapa","sequence":"additional","affiliation":[{"name":"B and B Medical Institute, Lalitpur, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","first-page":"558","article-title":"Breech delivery","volume-title":"Williams Obstetrics","author":"F. G. Cunningham","year":"2018"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7044.1451"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61718-9"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1080\/j.1600-0412.2000.079005371.x"},{"key":"5","first-page":"e151","article-title":"On behalf of the royal college of obstetricians and gynaecologists. management of breech presentation","volume":"124","author":"L. W. M. Impey","year":"2017","journal-title":"An International Journal of Obstetrics and Gynecology"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(00)02840-3"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.08.004"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.06.056"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000166.pub2"},{"issue":"2","key":"10","doi-asserted-by":"crossref","first-page":"e60","DOI":"10.1097\/AOG.0000000000002755","article-title":"Mode of term singleton breech delivery","volume":"132","author":"Committee Opinion Number 745","year":"2018","journal-title":"Obstetrics and Gynecology"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.3126\/jpahs.v3i1.20282"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.22502\/jlmc.v4i1.87"},{"issue":"212","key":"13","doi-asserted-by":"crossref","first-page":"796","DOI":"10.31729\/jnma.3697","article-title":"Perinatal outcome of vaginal breech delivery versus caesarean breech delivery in a tertiary care center","volume":"56","author":"R. K. Chaudary","year":"2018","journal-title":"JNMA; Journal of the Nepal Medical Association"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.21649\/akemu.v23i1.1491"},{"key":"15","article-title":"Maternal and neonatal outcomes of vaginal breech delivery for singleton term pregnancies in a carefully selected Cameroonian population: a cohort study","volume":"7","author":"J. S. Dohbit","year":"2017","journal-title":"British Medicine Journal Open"},{"issue":"3","key":"16","doi-asserted-by":"crossref","first-page":"e2891","DOI":"10.1016\/j.ajog.2007.10.794","article-title":"Early preterm breech delivery: is a policy of planned vaginal delivery associated with increased risk of neonatal death?","volume":"198","author":"G. Kayem","year":"2008","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.08.027"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.07.002"}],"container-title":["Obstetrics and Gynecology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2020\/4039140.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2020\/4039140.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2020\/4039140.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T20:35:19Z","timestamp":1605558919000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ogi\/2020\/4039140\/"}},"subtitle":[],"editor":[{"given":"Ixora Kamisan","family":"Atan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,11,16]]},"references-count":18,"alternative-id":["4039140","4039140"],"URL":"https:\/\/doi.org\/10.1155\/2020\/4039140","relation":{},"ISSN":["1687-9597","1687-9589"],"issn-type":[{"value":"1687-9597","type":"electronic"},{"value":"1687-9589","type":"print"}],"subject":[],"published":{"date-parts":[[2020,11,16]]}}}