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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 6, June 2014 pp 252-258

Research Article

A study of maternal and perinatal outcome of breech presentation in vaginal and operative deliveries in a university hospital

Sonali Gaikwad¹, Rahul Rokade², Geeta Banerjee³

¹Specialist Medical Officer, Obstetrics and Gynaecology, District hospital, Pune, Maharashtra, INDIA.

²Demonstrator, Community Medicine, MGM Medical College, Indore, Madhya Pradesh, INDIA.

Academic Editor : Dr. Bhanap P. L.

The perinatal mortality is an important indicator of Maternal and Child health. Therefore, we want to analyse PNM in Gauhati Medical College from Jan. 2011 to Dec. 2013. Aims and Objective: a) To asses PNM with its causes b) Identify areas of weakness and improve performance. Material and Method: The PNM review is done every month with Dept, of Paediatrics. The perinatal period is considered above 20 wks( 500gm) upto 1st week of delivery. Result and Observation: PNM no. Is in the range of 60-100 in the month out of 1000-1400/ month. Therefore PNM rate is around 60- 80/1000 births in last 3 years. There is no significant change in last 3 years. Overview: We analyse September, 2013. The result of other months are almost similar. Total birth: 1365, Total perinatal death: 88, Brought IUD: 52, Failed resuscitation: 4, Nicu Death: 30, Fresh still birth: 2 Discussion: In spite of increased institutional delivery after 2005, no significant drop in PNM rate is observed. In Mexico adequate delivery care lead to lowering PNM rate. UN report showed that lack of infrastructure in primary and secondary levels are the reason in this regard. Conclusion: No significant change in PNM rate in last 3 years. The improved peripheral services, antenatal care, institutional delivery, skilled birth attendants are necessary. For high risk deliveries, neonatal specialist care is of importance.