Table 2 Birth outcomes of vaginal delivery (VD) versus Cesarean delivery (CD) for breech presentation, by year of delivery, at Muhimbili National Hospital (MNH), Dar-es-Salaam, Tanzania, 1999–2010 (N = 1,655)
1999–2004 | 2005–2006 | 2007–2010 | ||||||
|---|---|---|---|---|---|---|---|---|
Mode of delivery | n | % | n | % | n | % | P-value | |
VD | ||||||||
Not referred | ||||||||
Alive at discharge | 580 | 94.0 | 73 | 90.2 | 92 | 86.8 | 0.007 | |
Stillborn | 13 | 2.1 | 4 | 4.9 | 8 | 7.5 | 0.002 | |
In-hospital neonatal death | 24 | 3.9 | 4 | 4.9 | 6 | 5.7 | 0.099 | |
Referred | ||||||||
Alive at discharge | 48 | 88.9 | 10 | 71.4 | 28 | 77.8 | 0.1999 | |
Stillborn | 3 | 5.6 | 2 | 14.3 | 5 | 13.9 | 0.221 | |
In-hospital neonatal death | 3 | 5.6 | 1 | 14.3 | 3 | 8.3 | 0.662 | |
CD | ||||||||
Not referred | ||||||||
Alive at discharge | 287 | 98.3 | 62 | 96.9 | 228 | 77.8 | 0.903 | |
Stillborn | 1 | 0.3 | 2 | 3.1 | 3 | 1.3 | 0.371 | |
In-hospital neonatal death | 4 | 1.4 | 0 | 0 | 1 | 0.4 | 0.300 | |
Referred | ||||||||
Alive at discharge | 52 | 96.3 | 11 | 78.6 | 88 | 96.7 | 0.595 | |
Stillborn | 1 | 1.9 | 2 | 14.3 | 3 | 3.3 | 0.983 | |
Early neonatal death | 1 | 1.9 | 1 | 7.1 | 0 | 0 | 0.136 | |
All VDs | ||||||||
Alive at discharge | 628 | 93.6 | 83 | 87.4 | 120 | 84.5 | 0.000 | |
Stillborn | 16 | 2.4 | 6 | 6.3 | 13 | 9.2 | 0.000 | |
In-hospital neonatal death | 27 | 4.0 | 6 | 6.3 | 9 | 6.3 | 0.141 | |
All CDs | ||||||||
Alive at discharge | 339 | 98.0 | 73 | 93.6 | 316 | 97.8 | 0.0002 | |
Stillborn | 2 | 0.6 | 4 | 5.1 | 6 | 1.9 | 0.242 | |
In-hospital neonatal death | 5 | 1.4 | 1 | 1.3 | 1 | 0.3 | 0.089 | |
Total | ||||||||
Alive at discharge | 967 | 95.1 | 156 | 90.2 | 436 | 93.8 | 0.212 | |
Stillborn | 18 | 1.8 | 10 | 5.8 | 19 | 4.1 | 0.008 | |
In-hospital neonatal death | 32 | 3.1 | 7 | 4.0 | 10 | 2.2 | 0.354 | |