Effects of Ebola epidemic on obstetrical emergencies and outcomes in the region of Kindia, Guinea

Sadan Camara; Mamadou D. Balde; Bienvenu S. Camara; Aissatou Diallo; Ramata Diallo; Amadou O. Toure; Anne M. Soumah; Alpha O. Sall; Karifa Kourouma; Alexandre Delamou

doi:10.18203/2320-1770.ijrcog20223116

Authors

Sadan Camara Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea http://orcid.org/0000-0002-3101-4363
Mamadou D. Balde Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea
Bienvenu S. Camara National Center for Training and Research in Rural Health, Maferinyah, Forecariah, Guinea Public Health Department, University Gamal Abdel Nasser of Conakry, Guinea
Aissatou Diallo Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea
Ramata Diallo Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea
Amadou O. Toure Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea
Anne M. Soumah Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea
Alpha O. Sall Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea
Karifa Kourouma National Center for Training and Research in Rural Health, Maferinyah, Forecariah, Guinea
Alexandre Delamou National Center for Training and Research in Rural Health, Maferinyah, Forecariah, Guinea Public Health Department, University Gamal Abdel Nasser of Conakry, Guinea

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20223116

Keywords:

Absolute maternal indication, Ebola, Effect, Guinea, Obstetric emergency

Abstract

Background: Maternal mortality is still high in Guinea despite a decline from 724 to 550 maternal deaths per 100,000 live births between 2012 and 2018. The proportion of births attended by skilled personnel is estimated at 45%. The objective of this study was to assess the effect of Ebola virus disease (EVD) epidemic on the frequency of absolute maternal indications, as well as the outcomes of these interventions for mother and child in the region of Kindia.

Methods: This was a longitudinal study using 20 months of retrospective data collected in the pre-Ebola (March to December 2012 and March to December 2013) and intra-Ebola (March to December 2014 and March to December 2015) periods. The proportions of maternal health indicators in both study periods were compared using a significance level of 0.05.

Results: A total of 1747 women were included in this study. The proportion of women who received a major obstetric procedure in Kindia regional hospital was 85% in each pre and post Ebola periods. Ebola, however, contributed to a significant increase in maternal deaths.

Conclusions: The Ebola epidemic has contributed to a significant increase in maternal deaths in health facilities. Measures encouraging health workers to manage obstetric emergencies during critical periods would be necessary.

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Author Biography

Sadan Camara, Center of Research in Reproductive Health in Guinea (CERREGUI) Conakry, Guinea

Conakry

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