Analysis on Obstetrics Outcome of Breech Presentation after 34 Weeks of Period of Gestation of Pregnancy: An Observational Study

Background: After 34 weeks, breech presentation frequently leads to a high rate of cesarean section (about 65%–96%), since this is the recommended approach to reduce neonatal morbidity and mortality when compared to vaginal breech delivery, especially in preterm or complex cases. The purpose of this study is to assess the delivery route, mother outcomes, and perinatal outcomes in cases of singleton breech presentation that occur after 34 weeks of gestation. Results of breech presentation following 34 weeks of pregnancy. Method: The Department of Obstetrics and Gynecology at Madhubani Medical College and Hospital in Madhubani, Bihar, conducted a prospective observational study between January and December of 2025. A total of 225 cases of breech presentation after 34 weeks were included in this study. When appropriate, an external cephalic version was performed. Data on the mode of delivery, maternal outcomes, and neonatal outcomes were gathered and analyzed while these patients were monitored until delivery. Result: Breech presentation at term was 3.24% (154 cases out of 4745 deliveries); primigravida women made up 45.3% of these cases, while multigravida women made up 54.7%. A considerable percentage of instances, or 71 out of 225 (31.5%) women, showed spontaneous cephalic version. With a success rate of 59%, the external cephalic version was effective in 17 out of 29 cases. 147 cases (65%) of breech presentations were delivered via cesarean section, while the remaining 78 cases (35%) were delivered vaginally, including six cases of assisted breech deliveries. Conclusion: Even in the late third trimester, a considerable proportion of breech fetuses undergo spontaneous version. An efficient method for lowering the incidence of cesarean deliveries in singleton pregnancies with breech presentation is external cephalic version.