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Mohammad Andalas
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Is vaginal breech delivery safe option?: Analysis of 50 vaginal breech delivery in Zainoel Abidin and Ibu Anak Hospital Banda Aceh in 2011 Eva Febia; Mohammad Andalas
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

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Abstract

There were conflicting results about the success of vaginal breech delivery. Descriptive data about the success of vaginal breech delivery was needed in every institution. This research was conducted in Zainoel Abidin and Ibu Anak Hospital, Banda Aceh in order to analyze the success of vaginal breech delivery as well as the outcome of mother and babies. There were 50 vaginal breech deliveries in Zainoel Abidin Hospital during the study. The success of vaginal breech delivery was determined by the outcome of babies, the perinatal mortality and Apgar score of the babies. Vaginal breech delivery was more likely successful for babies whose birth weight 2000-3000 grams, between 35-40 weeks of gestational age, and singleton. Factors support the increase likelihood for the success of vaginal birth were adequate amniotic fluid, multiparity, and previously bigger baby that was delivered vaginally. We conclude that factors contribute the success of vaginal breech delivery were influenced by the birth weight, gestational age, parity, and amniotic fluid volume. However, since the number of subject was limited, further study with bigger sample size was needed
Can uterine rupture be prevented: Case series in Zainoel Abidin Hospital, Banda Aceh, Indonesia Eva Febia; Mohammad Andalas
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 1, No 1 (2011): Life Sciences
Publisher : Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1790.715 KB)

Abstract

The incidence of uterine rupture was devastating to the outcome of mother and the baby. This serial cases were to evaluate and analyze many factors which contributed to uterine rupture in Zainoel Abidin Hospital, Banda Aceh. Six serial cases of uterine rupture in almost one year (January 2011-Agustus 2011) were analyzed. There were six cases of uterine rupture. All cases happened in patients with previous caesarean sections. There were two cases in patients with classical previous caesarean section incision. One case happened in patient with previous caesarean section eleven months ago or short delivery interval. Two cases happened in prolonged of the second phase of labor more than 4 hours. One cases happened in second phase of labor less than one hour. Among six cases, there was one perinatal death in uterine rupture due to prolonged second phase of labor more than 5 hours. Previous classical uterine incision, second phase of labor, and inter-delivery time in previous Caesarean Section were contributing factors to the incidence of uterine rupture that can be predicted. So many ways can be used to prevent them
Co-Authors Eva Febia