FETO MATERNAL OUTCOMES OF SINGLETON BREECH DELIVERIES AT MOI TEACHING AND REFERRAL HOSPITAL, ELDORET, KENYA.

FETO MATERNAL OUTCOMES OF SINGLETON BREECH DELIVERIES AT MOI TEACHING AND REFERRAL HOSPITAL, ELDORET, KENYA | medRxiv Skip to main content Home About Submit ALERTS / RSS Search for this keyword Advanced Search FETO MATERNAL OUTCOMES OF SINGLETON BREECH DELIVERIES AT MOI TEACHING AND REFERRAL HOSPITAL, ELDORET, KENYA View ORCID Profile Doreen Momanyi , View ORCID Profile Godfrey Shichenje Mutakha , Bruce Otieno Semo , View ORCID Profile Wycliffe Kosgei , View ORCID Profile Emily Mwaliko doi: https://doi.org/10.64898/2026.03.16.26348568 Doreen Momanyi 1 Department of Reproductive Health, School of Medicine, College of Health Sciences , Moi University – P.O. Box 4606-30100, Eldoret, Kenya (MBChB, MMed–Reproductive Health) Find this author on Google Scholar Find this author on PubMed Search for this author on this site ORCID record for Doreen Momanyi For correspondence: doreenmomanyi{at}yahoo.com Godfrey Shichenje Mutakha 2 Department of Reproductive Health, School of Medicine – Masinde Muliro University of Science and Technology , P.O. Box 190-50100, Kakamega, Kenya (MBChB, MMed–Reproductive Health) Find this author on Google Scholar Find this author on PubMed Search for this author on this site ORCID record for Godfrey Shichenje Mutakha Bruce Otieno Semo 3 Department of Obstetrics and Gynaecology , University of Nairobi - P.O. Box 19676-00202, Nairobi, Kenya (MBChB, MMed–Reproductive Health) Find this author on Google Scholar Find this author on PubMed Search for this author on this site Wycliffe Kosgei 4 Department of Reproductive Health, Moi Teaching and Referral Hospital , P.O. Box 3-30100, Eldoret, Kenya (MBChB, MMed–Reproductive Health) Find this author on Google Scholar Find this author on PubMed Search for this author on this site ORCID record for Wycliffe Kosgei Emily Mwaliko 1 Department of Reproductive Health, School of Medicine, College of Health Sciences , Moi University – P.O. Box 4606-30100, Eldoret, Kenya (MBChB, MMed–Reproductive Health) Find this author on Google Scholar Find this author on PubMed Search for this author on this site ORCID record for Emily Mwaliko Abstract Full Text Info/History Metrics Data/Code Preview PDF ABSTRACT Background Breech presentation which occurs in approximately 3% to 4% of all women at term, is a major concern for both pregnant mothers and their reproductive healthcare providers. This is because it is associated with increased adverse maternal and perinatal outcomes. Objective To describe the fetal and maternal outcomes of singleton breech deliveries at Moi Teaching and Referral Hospital (MTRH). Methods This was a cross-sectional descriptive study. The study participants were women with singleton breech deliveries at a gestation of 28 weeks or more. Hospital records indicated that very few breech deliveries occurred at the facility per year. Therefore, a census of all the eligible women with singleton breech deliveries was taken. A semi-structured interviewer-administered questionnaire was used for data collection. Results There was a total of 11, 748 singleton deliveries at MTRH during the study period (30th August 2019 to 27th August 2020), of which 125 (1.06%) were singleton breech deliveries. Of these, 75 met the eligibility criteria to participate in the study whereby 65 (86.7%) gave birth through emergency caesarean section while 10 (13.3%) had emergency vaginal breech delivery. Most women (50.67%; n=38) delivered at a gestational age of between 38 - 40 weeks and 72 (96%) of the women enrolled had live births. Most (66.70%) newborns weighed 2500 – 3499grammes with 70 (93.3%) newborns having a 5-minute APGAR score of≥7. The majority (85.3%) of the newborns did not have birth complications however, 5 (6.7%) were admitted to the newborn unit due to birth asphyxia while 1 (1.3%) had delayed aftercoming head. The maternal complications noted were second- and third-degree perineal tears (5.3%), post-partum haemorrhage (4.0%) and anaesthetic complications (1.3%). Conclusion This study noted that despite the MTRH breech delivery protocol recommendation for caesarean section for breech presentation, 13.3% of the women had vaginal breech deliveries. Birth complications (birth asphyxia, NBU admission and delayed aftercoming head) occurred in about 15% of the newborns regardless of the mode of delivery. Furthermore, 40% of these women sustained second- and third-degree perineal tears. Competing Interest Statement The authors have declared no competing interest. Funding Statement This study did not receive any funding Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: Ethical approval to conduct the study was sought from the Institutional Research Ethics Committee at the Moi Teaching and Referral Hospital or Moi University School of Medicine (Approval number, 0003417). I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes Data Availability All data produced in the present study are available upon reasonable request to the authors Copyright The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission. 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Share FETO MATERNAL OUTCOMES OF SINGLETON BREECH DELIVERIES AT MOI TEACHING AND REFERRAL HOSPITAL, ELDORET, KENYA Doreen Momanyi , Godfrey Shichenje Mutakha , Bruce Otieno Semo , Wycliffe Kosgei , Emily Mwaliko medRxiv 2026.03.16.26348568; doi: https://doi.org/10.64898/2026.03.16.26348568 Share This Article: Copy Citation Tools FETO MATERNAL OUTCOMES OF SINGLETON BREECH DELIVERIES AT MOI TEACHING AND REFERRAL HOSPITAL, ELDORET, KENYA Doreen Momanyi , Godfrey Shichenje Mutakha , Bruce Otieno Semo , Wycliffe Kosgei , Emily Mwaliko medRxiv 2026.03.16.26348568; doi: https://doi.org/10.64898/2026.03.16.26348568 Citation Manager Formats BibTeX Bookends EasyBib EndNote (tagged) EndNote 8 (xml) Medlars Mendeley Papers RefWorks Tagged Ref Manager RIS Zotero Tweet Widget Facebook Like Google Plus One Subject Area Obstetrics and Gynecology Subject Areas All Articles Addiction Medicine (638) Allergy and Immunology (917) Anesthesia (350) Cardiovascular Medicine (4999) Dentistry and Oral Medicine (494) Dermatology (427) Emergency Medicine (676) Endocrinology (including Diabetes Mellitus and Metabolic Disease) (1690) Epidemiology (16253) Forensic Medicine (36) Gastroenterology (1241) Genetic and Genomic Medicine (7274) Geriatric Medicine (751) Health Economics (1093) Health Informatics (5283) Health Policy (1467) Health Systems and Quality Improvement (1832) Hematology (599) HIV/AIDS (1380) Infectious Diseases (except HIV/AIDS) (16483) Intensive Care and Critical Care Medicine (1203) Medical Education (700) Medical Ethics (156) Nephrology (751) Neurology (7586) Nursing (377) Nutrition (1127) Obstetrics and Gynecology (1295) Occupational and Environmental Health (1039) Oncology (3742) Ophthalmology (1092) Orthopedics (408) Otolaryngology (465) Pain Medicine (501) Palliative Medicine (143) Pathology (721) Pediatrics (1858) Pharmacology and Therapeutics (755) Primary Care Research (786) Psychiatry and Clinical Psychology (6122) Public and Global Health (9984) Radiology and Imaging (2528) Rehabilitation Medicine and Physical Therapy (1516) Respiratory Medicine (1268) Rheumatology (658) Sexual and Reproductive Health (804) Sports Medicine (595) Surgery (802) Toxicology (109) Transplantation (318) Urology (307)

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