TITLE:
Epidemiological and Prognostic Aspects of Breech Deliveries at the Mother and Child University Hospital in N’Djamena
AUTHORS:
Hawaye Cherif Mahamat, Gabkika Bray Madoué, Kheba Fob, Batoum Mboua Veronique, Ache Haroune, Hissein Adanao, Mahamat Alhadi Chene, Singambaye Betoloum, Foumsou Lhagadang
KEYWORDS:
Breech Presentation Delivery, Prognosis NMCUH
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.12,
December
24,
2025
ABSTRACT: Introduction: Breech presentation is a longitudinal presentation in which the fetus pelvic is the first to enter the upper maternal pelvic excavation. Objective: contribute to improving the management of breech deliveries. Patients and Method: This was a descriptive cross-sectional study conducted in the Gynecology-Obstetrics Department of the N’Djamena Mother and Child University Hospital (NMCUH) from July 2022 to June 2024, (i.e. over a period of two (02) years) about breech delivery. All admitted for delivery with fetus in breech presentation were included. Patients and newborns were followed after the delivery, aiming to diagnose any complications. Studied variables were: epidemiological, clinical and therapeutical. Data were analyzed and collected using cases of breech presentation deliveries were studied. Data entry and analysis were performed using Word 2017 and Sphinx 5e software. Results: During the study a period, we recorded 107 patients with breech delivered among 6,257 deliveries, giving a frequency of 1.7%. The age group from 20 to 30 accounted for 55.2% and 43% were primigravida. The majority of patients had not attended prenatal cares. The delivery was performed by vagina in 61.3% and fetus with complete breech presentation accounted for 78.5%. The Bracht maneuver was the most commonly used obstetric maneuver with 57.6%. No maternal deaths were recorded, but there were 3.3% stillbirths. Conclusion: The practice of vaginal breech delivery is our most common activity in N’Djamena Mother and Child University Hospital. Main maternal characteristics were: primiparous, no attending prenatal cares and delivery majority by vagina. Thus, sensitization aiming to improve prenatal care is necessary to diagnose early some complications.