Dysfunctions in the Management of Patients Whose Outcome Was Classified as “Maternal Death” from 2017 to 2021, at the Departemental University Teaching Hospital of Borgou Alibori (Chud-Ba), Benin  

作　　者：Atade Sèdjro Raoul Klipezo Roger Dangbemey Patrice Amoussa Abdoul Fadil Togbenon Lionel David Gogan Merveille Bouraima Kassirath Bakari Hikmath Sale Leilath Hounkponou Fanny Salifou Kabibou Atade Sèdjro Raoul;Klipezo Roger;Dangbemey Patrice;Amoussa Abdoul Fadil;Togbenon Lionel David;Gogan Merveille;Bouraima Kassirath;Bakari Hikmath;Sale Leilath;Hounkponou Fanny;Salifou Kabibou(Mother and Child Department, Institute of Nursing and Midwifery, University of Parakou (IFSIO-UP), Parakou, Benin;Mother and Child Department, Faculty of Medicine, University of Parakou (FM-UP), Parakou, Benin;Mother and Child Department, Faculty of Health Sciences, University of Abomey Calavi (FSS), Cotonou, Benin;Department of Health Policy and Systems, Centre of Human Reproduction and Demography Research (CERRHUD), Cotonou, Benin)

机构地区：[1]Mother and Child Department, Institute of Nursing and Midwifery, University of Parakou (IFSIO-UP), Parakou, Benin [2]Mother and Child Department, Faculty of Medicine, University of Parakou (FM-UP), Parakou, Benin [3]Mother and Child Department, Faculty of Health Sciences, University of Abomey Calavi (FSS), Cotonou, Benin [4]Department of Health Policy and Systems, Centre of Human Reproduction and Demography Research (CERRHUD), Cotonou, Benin

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第12期1928-1937,共10页妇产科期刊（英文）

摘　　要：Background: Maternal death is a major public health problem worldwide, particularly in sub-Saharan Africa. Objective: This study sought to investigate dysfunctions in the management of patients whose outcome was classified as “maternal death” in the Gynaecology-Obstetrics section of the Departmental University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2017 to 2021. Method: This was a retrospective cross-sectional study with descriptive and analytical purposes. The study population consisted of pregnant women, parturients and puerperas admitted into the CHUD-BA maternity ward from 2017 to 2021. Result: A total of 2011 patients were included in this study. The in-hospital maternal mortality ratio was 1526 per 100,000 live births. The dysfunctions identified were the amount of time spent in the referring center (more than 48 hours) (p = 0.001), delay of more than 2 hours between referral and admission into the referral center (p < 0.001), means of transport (motorcycle or public transport) (p compliance to the protocol for emergency obstetric and neonatal care (SONU) (p < 0.001) and delay of more than 2 hours in the etiological management of pregnant women (p Conclusion: Particular attention should be paid to the management of pregnant women in our healthcare system if we are looking forward to reducing maternal mortality.Background: Maternal death is a major public health problem worldwide, particularly in sub-Saharan Africa. Objective: This study sought to investigate dysfunctions in the management of patients whose outcome was classified as “maternal death” in the Gynaecology-Obstetrics section of the Departmental University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2017 to 2021. Method: This was a retrospective cross-sectional study with descriptive and analytical purposes. The study population consisted of pregnant women, parturients and puerperas admitted into the CHUD-BA maternity ward from 2017 to 2021. Result: A total of 2011 patients were included in this study. The in-hospital maternal mortality ratio was 1526 per 100,000 live births. The dysfunctions identified were the amount of time spent in the referring center (more than 48 hours) (p = 0.001), delay of more than 2 hours between referral and admission into the referral center (p < 0.001), means of transport (motorcycle or public transport) (p compliance to the protocol for emergency obstetric and neonatal care (SONU) (p < 0.001) and delay of more than 2 hours in the etiological management of pregnant women (p Conclusion: Particular attention should be paid to the management of pregnant women in our healthcare system if we are looking forward to reducing maternal mortality.

关 键 词：Maternal Death DYSFUNCTION Obstetric Care Parakou BENIN 

分 类 号：H31[语言文字—英语]