Determinants Of The Neonatal Prognosis In Briech Delivery In Primipparous About 627 Cases At The Nabil Choucair Health Center In Dakar, Senegal From 2005 To 2023: Research Article

MOR CISSE

doi:10.58372/2835-6276.1202

Authors

MOR CISSE

DOI:

https://doi.org/10.58372/2835-6276.1202

Keywords:

Breech presentation, Primiparous, Childbirth, Nabil CHOUCAIR, Senegal

Abstract

OBJECTIVES: The objectives were to describe the frequency and sociodemographic profile of primiparous women with fetuses in breech presentation, and to assess the maternofetal prognosis of breech presentation in primiparous women.

MATERIALS AND METHODS: This was a retrospective, descriptive and analytical study carried out at the Nabil Choucair Health Center over a period from January 1, 2005 to December 31, 2023. The study included all primiparous women carrying a singleton pregnancy. whose term was greater than 22 weeks of amenorrhea who came to give birth at the Nabil Choucair health center. Patients whose files were unusable due to a significant number of missing data, as well as terminated pregnancies were excluded.

Data entry and analysis were carried out using Excel software. It included two parts: descriptive analysis and analytical analysis.

In the descriptive analysis, the quantitative variables were described in number, percentage and average.

The analytical study consisted of researching the link between the route of delivery and the parameters which can influence it theoretically and thus as well as the maternofetal prognosis. The Chi2 test was used for comparison of proportion. The difference was statistically significant when the p value was strictly less than 0.05. The Odds surrounded by the 95% confidence interval made it possible to determine the strength of the link.

CONCLUSION: Vaginal delivery of breech presentation in primiparous women is still possible in a level II maternity ward with an operating theater. Indications for cesarean section should be reserved for breech presentations in primiparous women associated with other risk factors.

References

MERGER R, LÉVY J, MELCHIOR J. Obstetrics summary. Presentation of the headquarters. 6th edition. Paris: Elsevier Masson; 2011. pages 185-195.

FARID I. Epidemiology of breech delivery and early neonatal follow-up in a reference maternity ward in black Africa: prospective study in the gynecology and obstetrics department of Dakar University Hospital. [Doctor of Medicine thesis]. Dakar: Cheikh Anta Diop University; 1993. No. 40.

MERGER R, LÉVY J, MELCHIOR J. Obstetrics summary. Presentation of the seat. 6th Edition. Paris: Elsevier Masson; 1995. Page 618.

MANEFOUE H M. Birth in breech presentation in the gynecology-obstetrics department of Point G University Hospital in 96 cases. [Doctor of Medicine thesis]. Bamako; 2009. No. 177.

TINE M N. Breech delivery in primiparous women at the Nabil Choucair health center, Dakar, Senegal from 2005 to 2018: Clinical epidemiological, prognostic and therapeutic aspects. [Medicine Thesis] Dakar: Cheikh Anta Diop University; 2020. No. 388

AUDRA Ph, BRETONES S, MELLIER G. Breech delivery at term: principle cesarean section versus planned delivery. Contraception, Fertility, Sexuality. Paris; 1997;25(2),I-IV.

GIMOVSKY ML, WALLACE RL, SCHIFRIN BS, PAUL RH. Randomized management of the nonfrank breech presentation at term: a preliminary report. Am J Obstet Gynecol. 1983;146(1), 34-40.

LALONDE A B. “Vaginal breech delivery: the time has come…., SOGC clinical guideline, June 2009”, J Soc Obstet Gyneco Can, 2009, 31(6):485–486.

ROSENAU L, GROSIEUX P, DENIS A et al. Prognostic factors for breech delivery: about 357 full-term singleton pregnancies. Rev. Fr. Gynecol. Obstet 1990; 85.5: 271-281

GRALL J Y, DUBOIS J, MOQUET PY, PUOLAIN P, BLANCHOT J, LAURENT MC. Presentation of the seat. Editions Techniques-Encycl. Méd Chir (Paris-France) Obstetrics; 5-049-L40.1994:14.

SHEER DM, MENASHE M, PALTI Z, AVIAD I, RON M. Radiological evidence of a nuchal arm in the breech-presenting fetus at the onset of labor an indication for abdominal delivery. Am J Perinat 1989; 6:353-355.

DUBOIS J. Current aspects of the problems posed by breech delivery. J Gynecol Obst Reprod 1981; 10:479-92.

BOUAALLOUCHA O. The prognosis of childbirth in breech presentation in primiparous women, about 120 cases collected at the Gynecology Obstetrics B department of the Mohammed VI University Hospital. Marrakech: Doctor of Medicine thesis; 2013. No. 26

THERA T, TEGUETE I, TRAORE Y, COULIBALY P, KOUMA A, TRAORE M, DOLO A. Breech delivery: maternal and fetal prognosis at the Somine Dolo regional hospital in Mopti. Mali Medical, 2012; Volume XXVII; No. 4