Introduction: The current strategy to combat maternal and infant mortality is essentially based on three pillars which are family planning, childbirth assisted by qualified personnel (midwife, nurse, doctor) and emergency obstetric and newborn Care (EmONC). Objective: Evaluate the care of parturients in the gynecology and obstetrics department of the Institute of Social Hygiene in Dakar. Patients and Methods: We conducted a retrospective and descriptive study conducted over a period of six months from January 1st to June 30th, 2019 on the management of births in the Gynecology and Obstetrics department of the Hospital Institute of Social Hygiene in Dakar. We studied the epidemiological, clinical parameters of parturients and the prognosis of childbirth. Results: We collected 689 birth records, representing 8.2% of the overall activities of the service and 69% of emergency activities. The epidemiological profile of our parturients was that of a young primipare (41%) with an average age of 27.4 years, married (96%) with a history of cesarean section (14.6%), who had completed at least 4 prenatal consultations (58.1%) and carried a pregnancy to term (72%). The evacuees represented (43.7%) parturients and came mainly from outside the southern health district (61.8%). More than half of the parturients had given birth vaginally (55.3%). The cesarean section and instrumental extractions accounted for 44.6% and 0.1%, respectively. We recorded 706 births, 98% of which were alive. The stillbirth (20) was distributed as follows: 9 fresh stillbirths and 5 macerated stillbirths. Conclusion: The current strategy to combat maternal and infant mortality must be strengthened on the ground by properly filling out birth records, promoting and using partograms and recording fetal heart rate.