Breech birth before 32 weeks’ gestation. Does the mode of delivery affect the condition of newborns?
Objective. To study the effect of delivery mode on neonatal morbidity and mortality in breech presentation at gestational age less than 32 weeks. Patients and methods. A single-center study of 211 preterm births before 32 weeks' gestation for 2019-2020 was conducted. Of 16,460 births, 211 (1.3%) occurred before 32 weeks' gestation. The cases of labor induction (95), multiple pregnancy (19), transverse fetal position (9), and placental abruption (3) were excluded. The study included 85 births: 67 in cephalic presentation and 18 in breech presentation. In the presence of breech presentation, vaginal delivery occurred in 7 cases, and cesarean section was performed in 11 cases. Both maternal and perinatal parameters were analyzed to assess the effect of presentation and mode of delivery on neonatal outcomes. Results. The analysis revealed no differences in neonatal outcomes for different delivery modes in breech presentation before 32 weeks' gestation. Conclusion. Comparable neonatal outcomes for different delivery modes in breech presentation before 32 weeks' gestation indicate the possibility of an individual choice of delivery mode.