Outcome of breech deliveries in cameroonian nulliparous women

被引：1

作者：

Nkwabong E. ^{[1
]}

Fomulu J.N. ^{[1
]}

Kouam L. ^{[1
]}

Ngassa P.C. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University Teaching Hospital Yaoundé (CHU), Yaounde

来源：

The Journal of Obstetrics and Gynecology of India | 2012年 / 62卷 / 5期

关键词：

Apgar score; Breech delivery; Cesarean section; Nullipara; Vaginal breech delivery;

D O I：

10.1007/s13224-012-0201-5

中图分类号：

学科分类号：

摘要：

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. © 2012 Federation of Obstetric & Gynecological Societies of India.

引用

页码：531 / 535

页数：4

共 14 条

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