Outcome of Breech Deliveries in Cameroonian Nulliparous Women

Abstract

Objective To evaluate nulliparous breech delivery so as to determine prognostic factors for an unsafe vaginal delivery (VD). Methods This retrospective and descriptive study was carried out in the University Teaching Hospital Yaoundé-Cameroon, from January 1, 2005 to December 31, 2009. Files of 126 women with singletons in breech presentation and normal fetal heart beats at a gestational age C32 weeks were reviewed with a trial of VD ordered in 104. The parameters recorded were mother's age, gestational age, mode of delivery, birth weight, 5th minute Apgar scores, neonatal outcome, and use of episiotomy. Results The results showed that 84 (66.7 %) had a successful VD. Failure of VD or poor Apgar score after VD were observed if fetal weight C3,500 or \1,800 g, footling breech, maternal age [28 or \19 years, post term, and rigid cervix. Conclusions Elective cesarean section should be systematic if the unsafe circumstances above mentioned are present.

Singleton Vaginal Breech Delivery at Term: Maternal and Perinatal Outcome

“…Several studies have documentted increased mortality and morbidity in mothers undergoing elective caesarean section. [15][16][17][18] In a WHO study, Booking status is also is an important parameter in determining successful outcome as is shown to be statistically significant in our study. Booking helps in timed assessment by a consultant and appropriate time for counselling.…”

Comparative Study of Vaginal and Cesarean Section Delivery for Fetuses in Breech Presentation

“…11 Nulliparous breech delivery was also evaluated in a Cameroonian study where 66.7% had a vaginal delivery. 12 The most common indication for emergency cesarean delivery was refusal for the trial of vaginal delivery present in 52.54% followed by previous cesarean delivery seen in 18.64% patients. In 7.63% emergency cesarean was done due to oligohydramnios and 5.08% had fetal distress.…”

Breech Presentation: Prevalence, Outcome and Review of 512 Cases of Breech

“…This rate is similar to some study from the different teaching hospital in Nigeria (1.7%, 1.4%, and 1.9%) all of which lower than previous studies, which ranged from 3-5%. (10). When comparing the age of our patients, it was between 17 to 42 years, with a mean of 28.96 ± 6.491 with a Cameroonian study the age was between 14 to 37 with a mean of 24.4 ± 5.1 years.…”