Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo)

Buambo Gauthier Regis Jostin; Eouani Levy Max Emery; Ngami Ariane Glore; Mokoko Jules Cesar; Potokoue Mpia Sekangue Samantha Nuelly; Itoua Clautaire; Iloki Leon Herve

doi:doi:10.11648/j.jgo.20221002.16

Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo)

Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Ngami Ariane Glore, Mokoko Jules Cesar, Potokoue Mpia Sekangue Samantha Nuelly, Itoua Clautaire, Iloki Leon Herve

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 2)

Received: 26 February 2022 Accepted: 14 March 2022 Published: 18 March 2022

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Abstract

Objective. To analyze the determinants of the delivery route and the neonatal prognosis in case of breech presentation at the University Hospital Center of Brazzaville. Method. Monocentric analytical cross-sectional study conducted from January 1 to December 31, 2019 in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 54 women who gave birth by cesarean section and 23 women who gave birth vaginally. Were included all women who gave birth to a fetus in breech presentation whose chronological age was greater than or equal to 28 weeks of amenorrhea or a birth weight greater than 1000 g and their newborn. The variables studied were pre, per and post partal. The p-value of the probability was considered significant for a value less than 0.05. Results. Breech delivery represented 1.6% of deliveries, i.e. 97 out of 6075. The women delivered were not different in age [29 (24-34) vs 29 (26-33), p>0.05] nor in parity [1 (0-3) vs 2 (0-3), p>0.05]. Most of them gave birth by caesarean section (63.9% vs 36.1%). The determinants of the delivery route were: level of education (48.1% vs 73.9%; OR=3.1 [1.04-8.9]; p<0.05), gestational age less than 34 WA (0% vs 13%; p<0.05), the existence of a uterine scar (22.2% vs 0%; p<0.05) and insufficient fundal height (3.7% vs 26.1%; OR=0.12 [0.02 – 0.7]; p<0.05). Neonatal morbidity was not influenced by the route of delivery. Newborns from the vaginal route were the most transferred to neonatology (5.6% vs 34.8%; OR=0.11 [0.3 – 0.47]; p<0.05) and died (0% vs. 17.4%; p<0.05). Conclusion. The decision of the way of delivery in case of breech presentation at the University Hospital of Brazzaville depends on both maternal and obstetrical factors. Identifying the determinants requires careful questioning and rigorous obstetrical examination.

Published in	Journal of Gynecology and Obstetrics (Volume 10, Issue 2)
DOI	10.11648/j.jgo.20221002.16
Page(s)	92-96
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Breech Presentation, Childbirth, Determinants, Prognosis, Congo

References

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[2]	National College of French Obstetrician Gynecologists (CNGOF). Protocols in Obstetrics Gynecology. 4^th edition. Paris: Elsevier Masson SAS. Masson, 262-64.2018.
[3]	Buambo Bamanga SF, Makoumbou P, Oyere-Moke P, Gnekoumou A, Nkihouabonga G, Gokana H et al. Delivery in Breech Presentation at the University Hospital of Brazzaville. Med Afr Noire 2006; 53 (5): 287-92.
[4]	Robert M, Jean L, Jean M. Summary of Obstetrics. 6^th edition. Paris: Masson, 618. 1995.
[5]	Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal SA. Planned Caesarean Section versus Planned Vaginal Birth for Breech Presentation at Term: a Randomized Multicented Trial. The Lancet 2000; 356 (9239): 1375-83.
[6]	College National des Gynecologues Obstetriciens Français (CNGOF). Clinical Practice Guidelines (CPR) for Breech Presentation. J Gynecol Obstet Biol Reprod 2001, 30: 191-2.
[7]	Sentilhes L, Schmitz T, Azria E, Gallot D, Ducarme G, Korb D et al. Presentation of the Seat. CNGOF Clinical Practice Guidelines. Gynecol Obstet Fertil Senol 2020; 48: 63-9.
[8]	Lagrange E, Ab der Halden M, Ughetto S, Boda C, Accoceberry M, Neyrat C et al. Vaginal Breech Birth: Evolution of Acceptability by Obstetricians and Patients. Gynecol Obstet Fertil 2007; 35: 757-63.
[9]	Mayi-Tsonga S, Mandji J, Mimbila Mayi M, Sima Ole B, Bang J, Meye J. Prognosis of Breech Delivery at Term: Comparative and Analytical Study in Libreville (Gabon). Clin Mother Child Health 2012; 9. Article ID C120602, 5 p. Doi: 10.4303/cmch/C120602.
[10]	Nayama M, Diori Salifou M, Soumana H et al. Delivery in Breech Presentation. Perinatal and Maternal Prognosis in a Reference Maternity Hospital in Niger. Retrospective Study about 317 cases. Med Afr Noire 2008, 55 (7): 417-24.
[11]	American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 340. Mode of Term Singleton Breech Delivery. Obstet Gynecol 2006; 108: 235-7.
[12]	Faye Dieme M. E, Gassama OG, Diadhiou MT et al. Management of Delivery in Breech Presentation at the Nabil Choucair Health Center in Dakar (Senegal). SAGO Journal 2018; 19 (2): 16-22.
[13]	Ulander N. M., Gissler M., Nutila M., Ylikorkala O. Are Health Expectations of Term Breech Infants Unrealistically High? PubMed. Acta obst Gynecol Scand. 2004; 83 (2): 180-6.
[14]	White H, Hannah M, Saigal S, and al. Outcomes of Children at 2 Years After Planned Cesarean Birth versus Planned Vaginal Birth for Breech Presentation at Term the International Randomized Term Breech Trial. Am J Obst Gynecol 2004; 191: 864-71.
[15]	Carayol M., Goffinet F. Mode of Delivery of Women with Breech Presentation at Term in the PREMODA Study (Presentation and Mode of Delivery). J Gynecol Obstet Biol Reprod 2004; 33 (1): 34-44.

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Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Ngami Ariane Glore, Mokoko Jules Cesar, Potokoue Mpia Sekangue Samantha Nuelly, et al. (2022). Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo). Journal of Gynecology and Obstetrics, 10(2), 92-96. https://doi.org/10.11648/j.jgo.20221002.16

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ACS Style

Buambo Gauthier Regis Jostin; Eouani Levy Max Emery; Ngami Ariane Glore; Mokoko Jules Cesar; Potokoue Mpia Sekangue Samantha Nuelly, et al. Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo). J. Gynecol. Obstet. 2022, 10(2), 92-96. doi: 10.11648/j.jgo.20221002.16

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AMA Style

Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Ngami Ariane Glore, Mokoko Jules Cesar, Potokoue Mpia Sekangue Samantha Nuelly, et al. Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo). J Gynecol Obstet. 2022;10(2):92-96. doi: 10.11648/j.jgo.20221002.16

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@article{10.11648/j.jgo.20221002.16,
  author = {Buambo Gauthier Regis Jostin and Eouani Levy Max Emery and Ngami Ariane Glore and Mokoko Jules Cesar and Potokoue Mpia Sekangue Samantha Nuelly and Itoua Clautaire and Iloki Leon Herve},
  title = {Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {2},
  pages = {92-96},
  doi = {10.11648/j.jgo.20221002.16},
  url = {https://doi.org/10.11648/j.jgo.20221002.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.16},
  abstract = {Objective. To analyze the determinants of the delivery route and the neonatal prognosis in case of breech presentation at the University Hospital Center of Brazzaville. Method. Monocentric analytical cross-sectional study conducted from January 1 to December 31, 2019 in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 54 women who gave birth by cesarean section and 23 women who gave birth vaginally. Were included all women who gave birth to a fetus in breech presentation whose chronological age was greater than or equal to 28 weeks of amenorrhea or a birth weight greater than 1000 g and their newborn. The variables studied were pre, per and post partal. The p-value of the probability was considered significant for a value less than 0.05. Results. Breech delivery represented 1.6% of deliveries, i.e. 97 out of 6075. The women delivered were not different in age [29 (24-34) vs 29 (26-33), p>0.05] nor in parity [1 (0-3) vs 2 (0-3), p>0.05]. Most of them gave birth by caesarean section (63.9% vs 36.1%). The determinants of the delivery route were: level of education (48.1% vs 73.9%; OR=3.1 [1.04-8.9]; p<0.05), gestational age less than 34 WA (0% vs 13%; p<0.05), the existence of a uterine scar (22.2% vs 0%; p<0.05) and insufficient fundal height (3.7% vs 26.1%; OR=0.12 [0.02 – 0.7]; p<0.05). Neonatal morbidity was not influenced by the route of delivery. Newborns from the vaginal route were the most transferred to neonatology (5.6% vs 34.8%; OR=0.11 [0.3 – 0.47]; p<0.05) and died (0% vs. 17.4%; p<0.05). Conclusion. The decision of the way of delivery in case of breech presentation at the University Hospital of Brazzaville depends on both maternal and obstetrical factors. Identifying the determinants requires careful questioning and rigorous obstetrical examination.},
 year = {2022}
}

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TY  - JOUR
T1  - Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo)
AU  - Buambo Gauthier Regis Jostin
AU  - Eouani Levy Max Emery
AU  - Ngami Ariane Glore
AU  - Mokoko Jules Cesar
AU  - Potokoue Mpia Sekangue Samantha Nuelly
AU  - Itoua Clautaire
AU  - Iloki Leon Herve
Y1  - 2022/03/18
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221002.16
DO  - 10.11648/j.jgo.20221002.16
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 92
EP  - 96
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221002.16
AB  - Objective. To analyze the determinants of the delivery route and the neonatal prognosis in case of breech presentation at the University Hospital Center of Brazzaville. Method. Monocentric analytical cross-sectional study conducted from January 1 to December 31, 2019 in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 54 women who gave birth by cesarean section and 23 women who gave birth vaginally. Were included all women who gave birth to a fetus in breech presentation whose chronological age was greater than or equal to 28 weeks of amenorrhea or a birth weight greater than 1000 g and their newborn. The variables studied were pre, per and post partal. The p-value of the probability was considered significant for a value less than 0.05. Results. Breech delivery represented 1.6% of deliveries, i.e. 97 out of 6075. The women delivered were not different in age [29 (24-34) vs 29 (26-33), p>0.05] nor in parity [1 (0-3) vs 2 (0-3), p>0.05]. Most of them gave birth by caesarean section (63.9% vs 36.1%). The determinants of the delivery route were: level of education (48.1% vs 73.9%; OR=3.1 [1.04-8.9]; p<0.05), gestational age less than 34 WA (0% vs 13%; p<0.05), the existence of a uterine scar (22.2% vs 0%; p<0.05) and insufficient fundal height (3.7% vs 26.1%; OR=0.12 [0.02 – 0.7]; p<0.05). Neonatal morbidity was not influenced by the route of delivery. Newborns from the vaginal route were the most transferred to neonatology (5.6% vs 34.8%; OR=0.11 [0.3 – 0.47]; p<0.05) and died (0% vs. 17.4%; p<0.05). Conclusion. The decision of the way of delivery in case of breech presentation at the University Hospital of Brazzaville depends on both maternal and obstetrical factors. Identifying the determinants requires careful questioning and rigorous obstetrical examination.
VL  - 10
IS  - 2
ER  -

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Author Information

Buambo Gauthier Regis Jostin

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Eouani Levy Max Emery

Obstetrics Gynecology Department, Loandjili General Hospital, Pointe Noire, Congo
Ngami Ariane Glore

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Mokoko Jules Cesar

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Potokoue Mpia Sekangue Samantha Nuelly

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Itoua Clautaire

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Iloki Leon Herve

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo

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APA Style

Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Ngami Ariane Glore, Mokoko Jules Cesar, Potokoue Mpia Sekangue Samantha Nuelly, et al. (2022). Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo). Journal of Gynecology and Obstetrics, 10(2), 92-96. https://doi.org/10.11648/j.jgo.20221002.16

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ACS Style

Buambo Gauthier Regis Jostin; Eouani Levy Max Emery; Ngami Ariane Glore; Mokoko Jules Cesar; Potokoue Mpia Sekangue Samantha Nuelly, et al. Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo). J. Gynecol. Obstet. 2022, 10(2), 92-96. doi: 10.11648/j.jgo.20221002.16

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AMA Style

Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Ngami Ariane Glore, Mokoko Jules Cesar, Potokoue Mpia Sekangue Samantha Nuelly, et al. Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo). J Gynecol Obstet. 2022;10(2):92-96. doi: 10.11648/j.jgo.20221002.16

Copy | Download

@article{10.11648/j.jgo.20221002.16,
  author = {Buambo Gauthier Regis Jostin and Eouani Levy Max Emery and Ngami Ariane Glore and Mokoko Jules Cesar and Potokoue Mpia Sekangue Samantha Nuelly and Itoua Clautaire and Iloki Leon Herve},
  title = {Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {2},
  pages = {92-96},
  doi = {10.11648/j.jgo.20221002.16},
  url = {https://doi.org/10.11648/j.jgo.20221002.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.16},
  abstract = {Objective. To analyze the determinants of the delivery route and the neonatal prognosis in case of breech presentation at the University Hospital Center of Brazzaville. Method. Monocentric analytical cross-sectional study conducted from January 1 to December 31, 2019 in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 54 women who gave birth by cesarean section and 23 women who gave birth vaginally. Were included all women who gave birth to a fetus in breech presentation whose chronological age was greater than or equal to 28 weeks of amenorrhea or a birth weight greater than 1000 g and their newborn. The variables studied were pre, per and post partal. The p-value of the probability was considered significant for a value less than 0.05. Results. Breech delivery represented 1.6% of deliveries, i.e. 97 out of 6075. The women delivered were not different in age [29 (24-34) vs 29 (26-33), p>0.05] nor in parity [1 (0-3) vs 2 (0-3), p>0.05]. Most of them gave birth by caesarean section (63.9% vs 36.1%). The determinants of the delivery route were: level of education (48.1% vs 73.9%; OR=3.1 [1.04-8.9]; p<0.05), gestational age less than 34 WA (0% vs 13%; p<0.05), the existence of a uterine scar (22.2% vs 0%; p<0.05) and insufficient fundal height (3.7% vs 26.1%; OR=0.12 [0.02 – 0.7]; p<0.05). Neonatal morbidity was not influenced by the route of delivery. Newborns from the vaginal route were the most transferred to neonatology (5.6% vs 34.8%; OR=0.11 [0.3 – 0.47]; p<0.05) and died (0% vs. 17.4%; p<0.05). Conclusion. The decision of the way of delivery in case of breech presentation at the University Hospital of Brazzaville depends on both maternal and obstetrical factors. Identifying the determinants requires careful questioning and rigorous obstetrical examination.},
 year = {2022}
}

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TY  - JOUR
T1  - Breech Presentation: Determinants of the Delivery Route and Neonatal Prognosis at the University Hospital Center of Brazzaville (Republic of Congo)
AU  - Buambo Gauthier Regis Jostin
AU  - Eouani Levy Max Emery
AU  - Ngami Ariane Glore
AU  - Mokoko Jules Cesar
AU  - Potokoue Mpia Sekangue Samantha Nuelly
AU  - Itoua Clautaire
AU  - Iloki Leon Herve
Y1  - 2022/03/18
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221002.16
DO  - 10.11648/j.jgo.20221002.16
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 92
EP  - 96
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221002.16
AB  - Objective. To analyze the determinants of the delivery route and the neonatal prognosis in case of breech presentation at the University Hospital Center of Brazzaville. Method. Monocentric analytical cross-sectional study conducted from January 1 to December 31, 2019 in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 54 women who gave birth by cesarean section and 23 women who gave birth vaginally. Were included all women who gave birth to a fetus in breech presentation whose chronological age was greater than or equal to 28 weeks of amenorrhea or a birth weight greater than 1000 g and their newborn. The variables studied were pre, per and post partal. The p-value of the probability was considered significant for a value less than 0.05. Results. Breech delivery represented 1.6% of deliveries, i.e. 97 out of 6075. The women delivered were not different in age [29 (24-34) vs 29 (26-33), p>0.05] nor in parity [1 (0-3) vs 2 (0-3), p>0.05]. Most of them gave birth by caesarean section (63.9% vs 36.1%). The determinants of the delivery route were: level of education (48.1% vs 73.9%; OR=3.1 [1.04-8.9]; p<0.05), gestational age less than 34 WA (0% vs 13%; p<0.05), the existence of a uterine scar (22.2% vs 0%; p<0.05) and insufficient fundal height (3.7% vs 26.1%; OR=0.12 [0.02 – 0.7]; p<0.05). Neonatal morbidity was not influenced by the route of delivery. Newborns from the vaginal route were the most transferred to neonatology (5.6% vs 34.8%; OR=0.11 [0.3 – 0.47]; p<0.05) and died (0% vs. 17.4%; p<0.05). Conclusion. The decision of the way of delivery in case of breech presentation at the University Hospital of Brazzaville depends on both maternal and obstetrical factors. Identifying the determinants requires careful questioning and rigorous obstetrical examination.
VL  - 10
IS  - 2
ER  -

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