AbstractBackground: Malpresentations in obstetrics refer to any fetal presentation other than vertex, including breech,shoulder, face, brow, and compound. The management of malpresentation remains controversial, and there is aneed to evaluate obstetric outcomes in term singleton malpresentation to optimize perinatal outcomes whilepreserving the art of conducting vaginal breech deliveries.Methods: The study was a prospective observational study conducted in the Department of Obstetrics &Gynaecology at MKCG Medical College & Hospital, Berhampur, from October 2015 to September 2017. Thestudy included 276 term singleton malpresentations out of 17,997 deliveries during the two-year study period,with an incidence of 1.6%. Data on obstetric outcomes, including perinatal mortality, stillbirth, neonatal death,and APGAR scores, were collected and analysed. The study compared outcomes between vaginal deliveries andcesarean section deliveries, focusing on the risks of low APGAR scores and soft tissue damage in differentmalpresentations.Results: The study analyzed 276 term singleton malpresentations, with breech presentations being the mostcommon (81.1%). Most cases were delivered via cesarean section (69.6%), with emergency cesarean sectionsaccounting for 43.2%. In vaginal deliveries, breech presentations were the most common (91.6%). The perinatalmortality rate was 11.9%, with stillbirth and neonatal death accounting for 9.4% and 2.6%, respectively. Vaginaldeliveries had a higher risk of low APGAR scores, with compelling indications being the largest factorcontributing to perinatal mortality.Conclusion: The present study revealed that most malpresentation cases are cesarean, with breech presentationsbeing the most common. Vaginal deliveries in term breech malpresentations have a higher risk of low APGARscores, with brow and shoulder presentations having the highest rates.

AbstractBackground: Malpresentations in obstetrics refer to any fetal presentation other than vertex, including breech,shoulder, face, brow, and compound. The management of malpresentation remains controversial, and there is aneed to evaluate obstetric outcomes in term singleton malpresentation to optimize perinatal outcomes whilepreserving the art of conducting vaginal breech deliveries.Methods: The study was a prospective observational study conducted in the Department of Obstetrics &Gynaecology at MKCG Medical College & Hospital, Berhampur, from October 2015 to September 2017. Thestudy included 276 term singleton malpresentations out of 17,997 deliveries during the two-year study period,with an incidence of 1.6%. Data on obstetric outcomes, including perinatal mortality, stillbirth, neonatal death,and APGAR scores, were collected and analysed. The study compared outcomes between vaginal deliveries andcesarean section deliveries, focusing on the risks of low APGAR scores and soft tissue damage in differentmalpresentations.Results: The study analyzed 276 term singleton malpresentations, with breech presentations being the mostcommon (81.1%). Most cases were delivered via cesarean section (69.6%), with emergency cesarean sectionsaccounting for 43.2%. In vaginal deliveries, breech presentations were the most common (91.6%). The perinatalmortality rate was 11.9%, with stillbirth and neonatal death accounting for 9.4% and 2.6%, respectively. Vaginaldeliveries had a higher risk of low APGAR scores, with compelling indications being the largest factorcontributing to perinatal mortality.Conclusion: The present study revealed that most malpresentation cases are cesarean, with breech presentationsbeing the most common. Vaginal deliveries in term breech malpresentations have a higher risk of low APGARscores, with brow and shoulder presentations having the highest rates.