DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20195646

Maternal-fetal prognosis of obstetric emergencies at the maternity ward of the Mamou regional hospital

B. A. Diallo, O. H. Bah, M. S. Barry, I. Conté

Abstract


Background: Pregnant women may be at risk of unpredictable obstetric complications such as: bleeding, dystocia, acute fetal suffering, pre-eclampsia and eclampsia. This maternal-fetal prognosis of obstetric emergencies is influenced by factors that are most often related to complications that alter the course or outcome of a pregnancy and require prompt care. The objectives of this study are to analyze the factors that influence the maternal-fetal prognosis of obstetric emergencies; determine their frequency, describe the clinical profiles of patients and evaluate the maternal-fetal prognosis.

Methods: The study was conducted at the Mamou Regional Hospital. It was a 6-month quantitative, descriptive and analytical study, from July 1st to December 31st, 2016, including all parturient women whose term is greater than or equal to 28 weeks of amenorrhoea.

Results: The study covered 377 obstetric emergencies out of a total of 1273 deliveries, or 29.61%. Factors influencing the prognosis were: young age, parity, unfavorable socio-economic conditions and difficult baseline conditions. The main obstetric emergencies recorded were acute fetal suffering, disproportion and narrowed pelvis. The dominant mode of delivery was caesarean section with a frequency of 89.65%. Maternal lethality is 3.44% and fetal lethality is 5.14%.

Conclusions: Obstetric emergency is a frequent situation where better management would improve the prognosis of the mother and fetus.


Keywords


Background: Pregnant women may be at risk of unpredictable obstetric complications such as: bleeding, dystocia, acute fetal suffering, pre-eclampsia and eclampsia. This maternal-fetal prognosis of obstetric emergencies is influenced by factors that are mo

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References


Coulibaly. D Clinical epidemiological study of obstetric emergencies at the reference health center of commune IV about 293 cases. Doctoral thesis in Medicine, University of Bamako; 2008.

Tchaou BA, Hounkponou NF, Kabibou S, Eugène ZM. Obstetrical emergencies at PARAKOU University Hospital in Benin: clinical, therapeutic and evolutionary aspects. Eur Scient J. 2015;11:260-72.

Blaise AT, Nouessewa FMH, Kabibou S, Eugène Z, Martin C. Obstetric emergencies at the parakou university hospital in benin: clinical, therapeutic and progressive aspects. Eu Scient J. 2015;11:9.

Dagnon OZ. Problem of the management of obstetric emergencies at the Bougouni reference health center. Doctoral thesis in Medicine, University of Bamako; 2008.

Dissa L. Epidemio-clinical study of obstetric emergencies at the Reference Health Center of the Commune V. Doctoral thesis in Medical, University of Bamako; 2005.

WHO: World health statistics of the world health organization (WHO 2013). 2013;7:1-172.

Groof D, Harouna Y, Bossyns S. application of the BONC method in the community of Niamey. Niger; 1999.

Nuamah GB, Agyei-Baffour P, Akohene KM, Boateng D, Dobin D, Addai-Donkor K. Incentives to yield to obstetric referrals in deprived areas of the Amansie West district in the Ashanti region of Ghana. Int J Equity Health. 2016;15(1):117-1186.

Saizonou J, Godin I, Ouendo EM, Zerbo R, Dujardin B. The quality of care for obstetric emergencies in the reference maternities in Benin: The point of view of Beautiful Escapes and their expectations. Trop Med Int Health. 2006;2(5):672-80.

Smeele P, Kalisa R, Elteren M, Roosmalen J, van den Akker T. Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda. BMC Preg Childbirth. 2018;18(190):1-7.

Ouattara A, Ouedraogo CM, Ouédraogo A, Lankoande J. Emergency and non-urgent transfers of obstetric patients to the Yalgado Ouédraogo University Hospital Center (UHC-YO) in Ouagadougou. Med Sante Trop. 2015;25(4):403-7.

Mayi-Tsonga S, Meye JC, Tagne A, Ndombi I, Diallo T, Oksana L, et al. Audit of severe obstetric morbidity (near miss) in Gabon. Health Notebooks; 2007;17(2):111-5.

Belinga E, Foumane P, Dohbit SJ, Ngo Um EM, Kiyeck DK, Mboudou ET. Prognosis of obstetric references at the Gyneco-Obstetric and Pediatric Hospital of Yaoundé (HGOPY). Pan African Med J. 2017;28:301.

Benimana, Maria. Small; Stephen Rulisa: Preventability of maternal near miss and mortality in Rwanda: A case series from the University Teaching Hospital of Kigali (CHUK) Christophe. Plos-One. 2018;13(6):1-11.