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Table 1 Birth outcomes of vaginal delivery (VD) versus Cesarean delivery (CD) for breech presentation, at Muhimbili National Hospital (MNH), Dar-es-Salaam, Tanzania, 1999–2010 (N = 1,655)

From: Breech delivery at a University Hospital in Tanzania

    

VD

 

CD

 

P-value

    

n

%

n

%

 

All

  

Alive at discharge

831

91.5

728

97.5

<0.0001

   

Stillborn

35

3.9

12

1.6

0.007

   

In-hospital neonatal death

42

4.6

7

0.9

<0.0001

   

Apgar score < 45

29

3.3

5

0.7

<0.0001

 

Parity

Primipara

Alive at discharge

274

90.1

379

97.4

 
   

Stillborn

12

3.9

5

1.3

0.018

   

In-hospital neonatal death

18

6.0

5

1.3

0.000

   

Apgar score < 45

25

8.2

10

2.6

0.001

  

Multipara

Alive at discharge

557

92.2

349

97.5

 
   

Stillborn

23

2.0

7

2

0.000

   

In-hospital neonatal death

24

4.0

2

0.5

0.001

   

Apgar score < 45

38

8.2

7

2.0

0.009

 

Birth weight

2.5–3.6 kg

Alive at discharge

772

91.6

616

97.8

 
   

Stillborn

32

3.8

8

1.3

0.002

   

In-hospital neonatal death

39

4.6

6

1.0

0.000

   

Apgar score < 45

59

13.8

6

5.1

0.018

  

3.7–4.7 kg

Alive at discharge

59

90.8

112

95.7

 
   

Stillborn

3

4.6

4

3.4

0.650

   

In-hospital neonatal death

3

4.6

1

0.9

0.094

   

Apgar score < 45

4

6.2

9

3.4

0.001

 

Referral

No

Alive at discharge

745

92.7

577

98.1

 
   

Stillborn

25

3.1

6

1.0

0.007

   

In-hospital neonatal death

34

4.2

5

0.9

0.000

   

Apgar score < 45

23

3.0

3

0.5

0.000

  

Yes

Alive at discharge

86

82.7

151

95.0

 
   

Stillborn

10

9.6

6

3.7

0.036

   

In-hospital neonatal death

8

7.7

2

1.3

0.005

   

Apgar score < 45

6

6.4

2

1.3

0.029

 

Privately insured

Yes

Alive at discharge

12

100

91

98.9

 
   

Stillborn

0

1

1.1

 
   

Neonatal death

0

0

 
   

Apgar score < 45

0

0

 
  

No

Alive at discharge

247

85.5

343

96.9

 
   

Stillborn

20

6.9

9

2.5

0.004

   

In-hospital neonatal death

22

7.6

2

0.6

0.000

   

Apgar score < 45

2

0.6

15

5.6

0.000

  1. “Stillborn” is defined as fetuses with heart sound at admission, but no sign of vitality at birth; “in-hospital neonatal deaths” is defined as live births, with death taking place before discharge from hospital; “moderate asphyxia” is defined as Apgar score <4 at 5 min. Pearson’s chi-square test was used to analyze the data