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 1stJanuary 2007 to 31st 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 2nd twin. Conclusion: The prognosis of 2nd twinisstronglyinfluenced by a birth delay> 15 minutes, the other factors acting as cofactors.