title: [Delivery in France of patients born in Black Africa].
abstract: 171 cases of African women who delivered at the Maternity Hospital in Le Havre were analyzed. A few specific points are worth mentioning. During the pregnancy, serology is often positive for treponema, and many women are not immunized against toxoplasmosis and rubella (German measles), and anemia is so frequent that its prevention must be systematic. The pelvis may seem narrowed transversally at the upper strait. However, delivery is usually easy with a high rate of episiotomies and perineal tears, representing the obstetrical cost of the ritual excision procedure. It is not necessary to perform caesarean sections more often in African than in other women, more especially as caesarean section is poorly tolerated and exposes the patient to the risk of rupture of the uterus when they deliver again in their own country. The newborn is rather small, more in weight than size or cranial circumference, without the possibility of incriminating only the ethnic factor. Perinatal morbidity and mortality do not appear to be higher than in the general population.
authors.affiliation: Service de Gynécologie et d'Obstétrique, CHG du Havre.
authors.forename: J Y
authors.initials: JY
authors.lastname: Col
mesh_terms: D000328:Adult; D001034:Apgar Score; D036861:Delivery, Obstetric; D005260:Female; D005602:France; D006801:Humans; D007231:Infant, Newborn; D008302:Mali / Q000208:ethnology; D008435:Mauritania / Q000208:ethnology; D011247:Pregnancy; D012675:Senegal / Q000208:ethnology
vernacular_title: L'accouchement en France des patientes nées en Afrique Noire.