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Outcome of Breech Deliveries in Cameroonian Nulliparous Women

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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 ≥32 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 ≥3,500 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.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences and University Teaching Hospital Yaoundé (CHU), P.O. Box 1364, Yaounde, Cameroon

    Elie Nkwabong, Joseph Nelson Fomulu, Luc Kouam & Pius Chanchu Ngassa

Authors
  1. Elie Nkwabong
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  2. Joseph Nelson Fomulu
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  3. Luc Kouam
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  4. Pius Chanchu Ngassa
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Corresponding author

Correspondence to Elie Nkwabong.

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Nkwabong, E., Fomulu, J.N., Kouam, L. et al. Outcome of Breech Deliveries in Cameroonian Nulliparous Women. J Obstet Gynecol India 62, 531–535 (2012). https://doi.org/10.1007/s13224-012-0201-5

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  • DOI: https://doi.org/10.1007/s13224-012-0201-5

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