ABSTRACT
Two series of labour trial were compared in a forward-looking study. The first series of 24 parturient women [series I] to whom the labour trial took place under peridural analgesy. The second series of 80 parturient women [series II] to whom the labour trial took place without peridural analgesy. The rate of caesarean section is significantly less important in the series 1 [33.3% versus 58 %] P=0.37. The average duration of the labour trial is significantly prolonged under peridural analgesy but without bard effects for the newborn children. The authors consider that the peridural analgesy is the method that brings ideal conditions for a real test allowing to eliminate dynamic dystocya and maternal restlessness in order to have an accurate cephalo-pelvic confrontation
ABSTRACT
Breech delivery is a high risk situation because of its numerous dystocies. The most serious is the last head retention. The authors realized a retrospective study concerning 347 patients who had given birth to a newborn child in breech presentation during a period of 4 years
Results: The vaginal delivery was associated in a significant way to an excess of obstetric traumatisms [5.5%] versus caesarean section [0.5%] and this even after strict selection of vaginal delivery's conditions [P= 0.00453]. The rate of the newborn child having Apgar's score < 7 in 5 min was higherin case of vaginal delivery [17.39%] than caesarean section's birth [3.48%]. Corrected neonatal mortality is higher in the group of vaginal delivery than caesarean section's group [34% versus 0.49%, P= 0.02553] There is no significant difference of maternal morbidity between caesarean section and vaginal delivery group [P=4.65]. Vaginal delivery is associated to an excess of morbidity and neonatal mortality even after strict selection of the candidates of the vaginal delivery