Indications and Prognosis of Fetal Extractions by Caesarean Section before 34 Weeks of Amenorrhea in Black African Context

There are more than twenty years ago, caesarean sections for fetal distress were not performed if the fetal weight was less than 1000g or gestational age less than 28 weeks of amenorrhea (WA) [1]. Today, with advances in neonatology, survival to birth weight around 500 grams or gestational ages from 22 weeks of amenorrhea have been reported. This leads practitioners to perform caesarean sections in terms of pregnancy ever earlier. However, despite this progress, premature delivery still brings problems around the world, including in developed countries where the birth of these fragile beings occurs in maternities of rank III; a rare organizations in the sub-Saharan countries where technical facilities are lacking despite local human skills [2,3].