Accouchement gémellaire en milieu africain: une analyse de 10 ans dans le district de Bamako au Mali: Twin deliveries in Africa: 10 years analysis in Bamako’s District in Mali

INTRODUCTION: AIM: It was to determine the factors influencing the prognosis of the second twin's delivery. METHODS: The study was retrospective and covered all cases of twin births registered at our maternity from 1(st)January 2007 to 31(st) December 2016 (10 years). RESULTS: We recorded 34,89...

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Detalles Bibliográficos
Autores principales: Théra, Tiounkani, Mounkoro, Niani, Traore, Soumana Omar, Hamidou, Albachar, Traore, Mamadou, Doumbia, Saleck, Tall, Saoudatou, Kouma, Aminata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2018
Materias:
Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899780/
https://www.ncbi.nlm.nih.gov/pubmed/29662606
http://dx.doi.org/10.11604/pamj.2018.29.21.14277
Descripción
Sumario:INTRODUCTION: AIM: It was to determine the factors influencing the prognosis of the second twin's delivery. METHODS: The study was retrospective and covered all cases of twin births registered at our maternity from 1(st)January 2007 to 31(st) December 2016 (10 years). RESULTS: We recorded 34,899 deliveries among which 1374 twin deliveries (2.54%). Almost 15% were primiparous; 39.16% were referred; 69.10% and 15.5% without prenatal care. The factors negatively influencing prognosis for second twin were: a delay>15 minutes between twin deliveries, delayed caesarean section, non-qualification of the midwife, monochoreal, low birth weight. Otherwise parity and obstetric maneuvers had no influence on the prognosis 2(nd) twin. CONCLUSION: The prognosis of 2(nd) twinisstronglyinfluenced by a birth delay> 15 minutes, the other factors acting as cofactors.

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