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Clinics in Mother and Child Health

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Neonatal Outcome of Term Breech Births: A 15-Year Review at the Yaoundé General Hospital, Cameroon

JDKe Ngowa, JM Kasia, A Ekotarh, C Nzedjom

Abstract


The aim of this study was to describe the neonatal outcomes among term singleton infants with breech presentation delivered in Yaoundé, Cameroon, over a 15- year period.We conducted a cross-sectional analysis of data collected from March 1992 to March 2007 at the Yaoundé
General Hospital, Cameroon. Of 249 term singleton infants in breech presentation, 73 (29.31%) were born by elective cesarean section and 176 (70.67%) were allowed for trial of vaginal delivery with 136 (54.61%) delivered vaginally and 40 (16.06%) delivered by intra-labor cesarean section. Compared to infants born by elective cesarean section, those delivered vaginally or by intra-labor cesarean section were more likely to have low 5-minute Apgar scores (4.1% vs. 17.77%; P <.001), require admission to neonatal unit (08.21.% vs. 13.63%;P <.001), and have an increased risk for perinatal mortality (0% vs. 05.68%; P < .001). Trial of vaginal delivery of term infants in breech presentation was associated with significantly increased risk of perinatal death and neonatal morbidity.



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