TITLE:
Delivery of Twin Pregnancy in African Settings
AUTHORS:
Lassana Ibringo, Famakan Kane, Amadou Bocoum, Mamadou Sima, Bourama L. Demdele, Soumana O. Traore, Ibrahima Teguete, Youssouf Traore
KEYWORDS:
Twin Delivery, Clinical Practice, Fetal Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.1,
January
15,
2026
ABSTRACT: Introduction: Twin births are high-risk deliveries. Guidelines for managing these deliveries are generally developed by countries with a high economic status. The objective of this study was to evaluate the clinical practice of the department in relation to twin deliveries. Methodology: This is a study based on a retrospective analysis of obstetric records from the maternity ward of the Gabriel Touré University Hospital over a 20-year period. Results: In this series, 3.7% of deliveries were twin deliveries, 58% of which were premature. The average age of the mothers was 26.6 years. Vaginal delivery was the mode of delivery in 60% of cases. Attempts at vaginal delivery of T1 in breech presentation were successful in 53.3% of multiparous women and 25.5% of nulliparous women. Perinatal mortality was 12% for cesarean sections and 17% for vaginal deliveries. Discussion: Similar rates of 3.7% have been reported in several studies in Mali. Vaginal delivery was the main mode of delivery. Scheduled cesarean section improves fetal prognosis. More than half of vaginal delivery attempts for T1 breech presentation were successful. Conclusion: Despite the absence of national guidelines in Mali, clinical practice in this department complies with the recommendations of the French National College of Gynecology and Obstetrics (CNGOF) regarding the mode of delivery.