Socio-Epidemiological Aspects and Prognosis of Unassisted Deliveries Arriving at Fousseyni Daou Hospital in Kayes  

作　　者：Sitapha Dembele Mahamadou Diassana Ballan Macalou Alima Sibibe Albachar Hamidou Daouda Fomba Mamadou Haidara Famakan Kane Cheickna Sylla Amadou Bocoum Sanogo Siaka Amara Soumaila Traoré Sitapha Dembele;Mahamadou Diassana;Ballan Macalou;Alima Sibibe;Albachar Hamidou;Daouda Fomba;Mamadou Haidara;Famakan Kane;Cheickna Sylla;Amadou Bocoum;Sanogo Siaka Amara;Soumaila Traoré(Department of Gynecology and Obstetrics of the Fousseyni DAOU Hospital, Kayes, Mali;Kayes Reference Health Centre, Kayes, Mali;Reference Health Center of Kalaban-Coro, Bamako, Mali;Bla Reference Health Centre, Ségou, Mali;Department of Gynecology and Obstetrics of the CHU GABRIEL TOURE, Bamako, Mali;Department of Gynaecology and Obstetrics of the Regional Hospital of SIKASSO, Bamako, Mali)

机构地区：[1]Department of Gynecology and Obstetrics of the Fousseyni DAOU Hospital, Kayes, Mali [2]Kayes Reference Health Centre, Kayes, Mali [3]Reference Health Center of Kalaban-Coro, Bamako, Mali [4]Bla Reference Health Centre, Ségou, Mali [5]Department of Gynecology and Obstetrics of the CHU GABRIEL TOURE, Bamako, Mali [6]Department of Gynaecology and Obstetrics of the Regional Hospital of SIKASSO, Bamako, Mali

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第2期360-371,共12页妇产科期刊（英文）

摘　　要：Introduction: The World Health Organization estimates that each year more than 20 million women suffer from the after-effects of unattended childbirth, of which 800 women die every day as a result of obstetric complications. Objective: Study the socio-epidemiological aspects and prognosis of unassisted deliveries arriving at the Fousseyni Daou De Kayes hospital. Materials and Methods: This was a descriptive, cross-sectional study with prospective collection, case-control that took place at the maternity ward of the Fousseyni Daou hospital in Kayes, from1 January to 31 December 2021. Results: The frequency of unattended birth was 4.1%. The 30 - 35 age group was the most represented with 32.5%. In our study 58.1% of cases were out of school, 19.4% were primigestes and 39.4% were multiparous. In our series 60.6% of cases had given birth at home and 39.4% along the way. The majority of cases regretted having given birth without the assistance of qualified personnel in 45.6%. Maternal complications were dominated by perineal lesions in 14.4% of cases, haemorrhage of delivery in 25% of cases, severe anaemia in 30% of cases;16.7% of newborns were in poor condition, 13.6% were fresh stillbirths, 15.6% of newborns had obstetric trauma. The maternal death rate on arrival was 3%. Conclusion: The frequency of unassisted childbirth is high in the Kayes region. Its complications can be serious for both the mother and the newborn.Introduction: The World Health Organization estimates that each year more than 20 million women suffer from the after-effects of unattended childbirth, of which 800 women die every day as a result of obstetric complications. Objective: Study the socio-epidemiological aspects and prognosis of unassisted deliveries arriving at the Fousseyni Daou De Kayes hospital. Materials and Methods: This was a descriptive, cross-sectional study with prospective collection, case-control that took place at the maternity ward of the Fousseyni Daou hospital in Kayes, from1 January to 31 December 2021. Results: The frequency of unattended birth was 4.1%. The 30 - 35 age group was the most represented with 32.5%. In our study 58.1% of cases were out of school, 19.4% were primigestes and 39.4% were multiparous. In our series 60.6% of cases had given birth at home and 39.4% along the way. The majority of cases regretted having given birth without the assistance of qualified personnel in 45.6%. Maternal complications were dominated by perineal lesions in 14.4% of cases, haemorrhage of delivery in 25% of cases, severe anaemia in 30% of cases;16.7% of newborns were in poor condition, 13.6% were fresh stillbirths, 15.6% of newborns had obstetric trauma. The maternal death rate on arrival was 3%. Conclusion: The frequency of unassisted childbirth is high in the Kayes region. Its complications can be serious for both the mother and the newborn.

关 键 词：CHILDBIRTH Unassisted PROGNOSIS COMPLICATIONS Kayes 

分 类 号：R73[医药卫生—肿瘤]