Abstract

Objective: To review the frequency and determinants of malpresentation in singleton pregnancy at out institution.
Methodology: This retrospective cross-sectional study was conducted based on hospital records of the patients admitted and delivered at Gynecology and Obstetrics Department, Ayub Teaching Hospital (ATH) Abbottabad, Pakistan in a specific time period. Data was collected on a specifically designed pro forma and was analyzed with SPSS version 16.
Results: The commonest malpresentation was breech (85.8%) followed by transeverse (8.7%), brow (2.4%), compound (2%) and face presentation (1.2%). Highest frequency (93) of all types of malpresentation was observed in primigravida; breech being the highest (82).
Conclusion: The changing trends in the abnormal presentation need further study. Awareness programs regarding maternal and child health in periphery and effective antenatal medical services should be provided for early detection and timely management of malpresentation.

Key words: Mal-presentation, cesarean section, breech.