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

Authors

  • B. A. Diallo Department of Gynecology Obstetric, University Gamal Abdel Naser of Conakry, Guinea
  • O. H. Bah Department of Gynecology Obstetric, University Gamal Abdel Naser of Conakry, Guinea
  • M. S. Barry Department of Paediatrics, University Gamal Abdel Naser of Conakry, Guinea
  • I. Conté Department of Gynecology Obstetric, University Gamal Abdel Naser of Conakry, Guinea

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20195646

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

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.

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Published

2019-12-26

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Original Research Articles