Predisposing Factors and Outcome of Malpresentations in an Institute

  • Smrity Maskey Department of Obstetrics and Gynaecology, KIST Medical College and Teaching Hospital, Lalitpur, Nepal.
  • Yam Dwa Department of Obstetrics and Gynaecology, KIST Medical College and Teaching Hospital, Lalitpur, Nepal.
Keywords: malpresentations., ; maternal and fetal outcome, predisposing factors


Introduction: This study was done to find out the incidence of malpresentation among all deliveries with various types of Malpresentations, its mode of delivery , maternal and fetal predisposing factors with outcome.

Methods: This was a cross sectional descriptive study done at KIST Medical College and Teaching Hospital. Review cases of women admitted in labor after 22 weeks with malpresentation was done. Maternal/fetal predisposing factors were recorded.

Results: Total delivery in study period was 4009 where 101 (2.5%) were of malpresentation. Breech was the commonest malpresentation 83 (82.1%). Assisted vaginal delivery occurred in 16 (15.8%) and 953 (84.2%) caesarian section. Malpresentations was common in primigravida 62 (61.3%). Half (47.2%) cases had one/more predisposing factors, commonest being oligohydramnious 7 (6.9%). Out of 108 babies with malpresentation, 10 had perinatal deaths and 10 had NICU admissions. Congenital anomaly was found in 4 babies.

Conclusions: The most common type of malpresentation was breech common in primigravida with oligohydramnios as contributing factor.


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How to Cite
Maskey, S., & Dwa, Y. (2018). Predisposing Factors and Outcome of Malpresentations in an Institute. Journal of Nepal Medical Association, 56(211), 674-677.
Original Article