Maternal-fetal prognosis of obstetric emergencies at the maternity ward of the Mamou regional hospital
Autor: | Boubacar Alpha Diallo, Ibrahima Conte, M. S. Barry, Oumou Hawa Bah |
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Rok vydání: | 2019 |
Předmět: | |
Zdroj: | International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 9:225 |
ISSN: | 2320-1789 2320-1770 |
DOI: | 10.18203/2320-1770.ijrcog20195646 |
Popis: | 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. |
Databáze: | OpenAIRE |
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