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 34,899 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.