Prevalence, Maternal and Perinatal Prognosis of Breech Delivery Compared to That of the Vertex in 242 Cases for 484 Controls at Ségou Hospital in Malti  

作　　者：Tidiani Traoré Famakan Kané Abdoulaye Kassogué Seydou Traoré Seydou Z. Dao Balilé Harber Sabré Koné Kassoum Sidibé Brahima Donigolo Babou Traoré Adama Coulibaly Abdrhamane Diarisso Alima Sidibé Mamadou Sima Augustin Théra Youssouf Traoré Ibrahima Teguété Niani Mounkoro Tidiani Traoré;Famakan Kané;Abdoulaye Kassogué;Seydou Traoré;Seydou Z. Dao;Balilé Harber;Sabré Koné;Kassoum Sidibé;Brahima Donigolo;Babou Traoré;Adama Coulibaly;Abdrhamane Diarisso;Alima Sidibé;Mamadou Sima;Augustin Théra;Youssouf Traoré;Ibrahima Teguété;Niani Mounkoro(Ministry of Health in Bamako, Nianakoro Fomba Hospital, Segou, Mali;Regional Health Department of Segou, District Hospital, Bla, Mali;Regional Health Department of Koutiala, Reference Health Center, Koutiala, Mali;Regional Health Department of Bamako, Reference Health Center, Commune II, Bamako, Mali;Ministry of Health in Bamako, Fousseyni Daou Hospital, Kayes, Mali;Ministry of Health in Bamako, Point G University Hospital Center, Bamako, Mali;Ministry of Health in Bamako, Gabriel Toure University Hospital Center, Bamako, Mali)

机构地区：[1]Ministry of Health in Bamako, Nianakoro Fomba Hospital, Segou, Mali [2]Regional Health Department of Segou, District Hospital, Bla, Mali [3]Regional Health Department of Koutiala, Reference Health Center, Koutiala, Mali [4]Regional Health Department of Bamako, Reference Health Center, Commune II, Bamako, Mali [5]Ministry of Health in Bamako, Fousseyni Daou Hospital, Kayes, Mali [6]Ministry of Health in Bamako, Point G University Hospital Center, Bamako, Mali [7]Ministry of Health in Bamako, Gabriel Toure University Hospital Center, Bamako, Mali

出　　处：《Open Journal of Obstetrics and Gynecology》2024年第9期1414-1421,共8页妇产科期刊（英文）

摘　　要：Introduction: Breech birth has always been a subject of great interest because of its risks of perinatal morbidity and mortality. Aim: The aim of our study was to compare the maternal and perinatal prognosis of breech delivery with that of vertex delivery. Patients and Method: This was a retrospective case-control analytical study carried out in the obstetrics and gynaecology department of Ségou hospital over a 2-year period from 1 January 2020 to 31 December 2021, involving 242 breech deliveries compared with 484 top deliveries with a live single foetus without foetal malformation of gestational age ≥ 35 SA. The statistical tests used were: chi² (p Results: The frequency of breech delivery was 3.3%, with a predominance of caesarean section for breech presentation (64.88%) compared with 32.85% for vertex (P: 0.00;CI: (0.191 - 0.367). The perinatal prognosis of fetuses with breech presentations was marked by a higher rate of neonatal asphyxia (Apgar score Conclusion: Breech birth is relatively rare in our department. It carries a higher risk of maternal morbidity and neonatal morbidity than breech delivery. However, the vital prognosis for the mother was identical in both groups.Introduction: Breech birth has always been a subject of great interest because of its risks of perinatal morbidity and mortality. Aim: The aim of our study was to compare the maternal and perinatal prognosis of breech delivery with that of vertex delivery. Patients and Method: This was a retrospective case-control analytical study carried out in the obstetrics and gynaecology department of Ségou hospital over a 2-year period from 1 January 2020 to 31 December 2021, involving 242 breech deliveries compared with 484 top deliveries with a live single foetus without foetal malformation of gestational age ≥ 35 SA. The statistical tests used were: chi² (p Results: The frequency of breech delivery was 3.3%, with a predominance of caesarean section for breech presentation (64.88%) compared with 32.85% for vertex (P: 0.00;CI: (0.191 - 0.367). The perinatal prognosis of fetuses with breech presentations was marked by a higher rate of neonatal asphyxia (Apgar score Conclusion: Breech birth is relatively rare in our department. It carries a higher risk of maternal morbidity and neonatal morbidity than breech delivery. However, the vital prognosis for the mother was identical in both groups.

关 键 词：Delivery BREECH VERTEX Prognosis MALI 

分 类 号：TJ3[兵器科学与技术—火炮、自动武器与弹药工程]