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