%0 Journal Article
%T 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
%A Tidiani Traor&#233
%A Famakan Kan&#233
%A Abdoulaye Kassogu&#233
%A Seydou Traor&#233
%A Seydou Z. Dao
%A Balil&#233
%A Harber
%A Sabr&#233
%A Kon&#233
%A Kassoum Sidib&#233
%A Brahima Donigolo
%A Babou Traor&#233
%A Adama Coulibaly
%A Abdrhamane Diarisso
%A Alima Sidib&#233
%A Mamadou Sima
%A Augustin Th&#233
%A ra
%A Youssouf Traor&#233
%A Ibrahima Tegu&#233
%A t&#233
%A Niani Mounkoro
%J Open Journal of Obstetrics and Gynecology
%P 1414-1421
%@ 2160-8806
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojog.2024.149112
%X <b>Introduction:</b> 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. <b>Patients and </b><b>Method</b><b>:</b> This was a retrospective case-control analytical study carried out in the obstetrics and gynaecology department of S&#233;gou 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 &#8805; 35 SA. The statistical tests used were: chi&#178; (p &lt; 0.05), Odds ratio (OR) and its 95% confidence interval (CI). <b>Results:</b> 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 &lt; 7) (2.95%) than that of fetuses with apex presentations (0.41%) at both the 1st and 5th minute P: 0.00; CI: (0.00 - 0.004). The risk of stillbirth was 5 times higher for breech deliveries (2.07%) than for vertex deliveries (0%) (P: 0.00; CI: (0.00 - 0.004). Maternal complications were more frequent in breech deliveries (2.48% post-partum haemorrhage, 1.24% perineal tear and 0.83% uterine rupture) compared with 1.65% post-partum haemorrhage, 1.03% perineal tear and 0.62% uterine rupture respectively in vertex deliveries. There were no deaths in either group. <b>Conclusion:</b> 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.
%K Delivery
%K Breech
%K Vertex
%K Prognosis
%K Mali
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=136036