[Singleton breech deliveries in the obstetric departments of a rural area (author's transl)].

The management of singleton breech deliveries in a referral hospital of an exclusively rural area is described. Since many cases are referred during labour after an attempted domiciliary delivery a primary vaginal delivery with extended indications for Caesarean Section is the general plan of management. Between 1971 and 1976, one hundred and seventy seven singleton breech deliveries were performed. 50 of these were premature with birth weights of less than 2500 grams. 127 had birth weights over 2500 grams. The Caesarean Section rate was 11.3%. The overall perinatal mortality was 11.92% (21 cases), the perinatal mortality for premature deliveries was 11.29% (20 cases), the perinatal mortality for term singleton breech deliveries was 0.56% (1 case).