Frequency of Spontaneous Vaginal Delivery among Malpresentation at Term in Cases of Multigravida

Résumé

Introduction: Persistent malpresentation in full-term pregnancy is urgent, involving non-cephalic, non-vertex fetal positioning. Associated with risks for both mother and baby, successful spontaneous vaginal delivery varies due to factors like malpresentation type, maternal anatomy, fetal size, and overall health. Aim of the study: This study aimed to assess the frequency of spontaneous vaginal delivery among malpresentation at term in cases of multigravida. Methods and Materials: A cross-sectional study took place in the Obstetrics and Gynaecology department of Shaheed Suhrawardy Medical College and Hospital, Dhaka, Bangladesh, spanning from January 2012 to June 2012. The study included 52 multi-gravid women with malpresentation at term pregnancy, selected through convenient sampling. Data encompassing demographic and clinical details were collected and subsequently processed, analyzed, and presented using the MS Office program. Results: Among the total of 52 cases, the frequency of spontaneous vaginal delivery (SVD) was only 1.92%. The predominant approach was the utilization of lower segment cesarean section (LSCS), accounting for 92.31% of the cases, while another smaller proportion (5.87%) involved vaginal delivery with assisted breech. Conclusion: Among the malpresentation at term in cases of multigravida, the chances of spontaneous vaginal delivery are very low. Prompt hospitalization and mediation are essential for such cases.