Breech vaginal delivery among primipara women: A 5 year analytical study at the Bamako’s health district in Mali

Abstract

We compare maternal and neonatal outcome of breech delivery among the primipar as. Vaginal breech deliveries in single pregnancies at term were compared with deliveries in vertex presentation among the primipara in the same conditions. We determined Odds Ratio (OR) and confidence interval (CI) of 95% for analysis. During the study period 41.919 deliveries were recorded out of which 152 were primipara (0, 36%). The duration of the first period of labor was from 8 to 12 hours among 38% of case vs 35% among the controls (p>0, 05). The Apgar score at 1 minute of < 7 was found among 25% of cases vs 26% of witnesses. The early neonatal outcome was good in 87% of the cases and 95% among the witnesses (p>0, 05). Vaginal breech delivery must be possible among primipara if an experienced clinical team is available.