• Rajendra Kumar Chaudary, Rajan Ghimire, and Deepak Raj Kafle.
• Department of Obstetrics and Gynecology, Pokhara Academy of Health Sciences, Kaski, Nepal.
• JNMA J Nepal Med Assoc. 2018 Jul 1; 56 (212): 796-799.

IntroductionBreech delivery has always been matter of interest in obstetrics. Cesarean breech delivery has been preferred method of delivery. We aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup.MethodsData were collected from record book of Department of Gynaecology and obstetrics, Pokhara Academy of Health Sciences, Kaski, Nepal. Pregnant with breech presentation who had delivery in the centre from 2074 Baishak to 2074 chaitra were enrolled in the study. Data of 174 patients were analysed among which 74 underwent vaginal delivery for breech and 110 underwent cesarean breech delivery.ResultsOnly 1 (1.6%) of newborn delivered by vaginal route were admitted to NCU vs 17 (15.5% )in cesarean group which was significant (odds ratio= 0.071, 95% C.I 0.009-0.574; p= 0.004). There was only one death of newborn which was delivered by vaginal route. Mean APGAR score at 1 and 5 minute in vaginal breech delivery was 6 and 7 and in cesarean breech delivery was 6 and 8.ConclusionsThough perinatal morbidity was more with cesarean breech delivery but further study with more sample size is needed before reaching conclusion.

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