TY - JOUR AU - Maskey, Smrity AU - Dwa, Yam PY - 2018/06/30 Y2 - 2024/03/29 TI - Predisposing Factors and Outcome of Malpresentations in an Institute JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 56 IS - 211 SE - Original Article DO - 10.31729/jnma.3640 UR - https://www.jnma.com.np/jnma/index.php/jnma/article/view/3640 SP - 674-677 AB - <p><strong>Introduction:</strong> 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.</p><p><strong>Methods:</strong> 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.</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusions:</strong> The most common type of malpresentation was breech common in primigravida with oligohydramnios as contributing factor.</p> ER -