Obstetric Emergencies at the Kara University Hospital Maternity Ward: Sociodemographic, Etiological and Prognostic Aspects  

作　　者：Logbo-Akey Kossi Edem Bassowa Akila Ketevi Tina Kambote Yendoubé Patchidi Kibandou Amewouho Kofi Ajavon Dédé Régina Aboubakari Abdoul-Samadou Logbo-Akey Kossi Edem;Bassowa Akila;Ketevi Tina;Kambote Yendoubé;Patchidi Kibandou;Amewouho Kofi;Ajavon Dédé Régina;Aboubakari Abdoul-Samadou(Service de Gynécologie-Obstétrique, CHU Kara, Université de Kara, Kara, Togo;Service de Gynécologie-Obstétrique, CHU Campus, Université de Lomé, Lomé, Togo;Service de Gynécologie-Obstétrique, CHU Sylvanus Olympio, Université de Lomé, Togo;Faculté des sciences de la santé, Université de Lomé, Lomé, Togo;Service de Gynécologie-Obstétrique, CHR Tomdé, Université de Kara, Togo)

机构地区：[1]Service de Gynécologie-Obstétrique, CHU Kara, Université de Kara, Kara, Togo [2]Service de Gynécologie-Obstétrique, CHU Campus, Université de Lomé, Lomé, Togo [3]Service de Gynécologie-Obstétrique, CHU Sylvanus Olympio, Université de Lomé, Togo [4]Faculté des sciences de la santé, Université de Lomé, Lomé, Togo [5]Service de Gynécologie-Obstétrique, CHR Tomdé, Université de Kara, Togo

出　　处：《Open Journal of Obstetrics and Gynecology》2024年第1期69-76,共8页妇产科期刊（英文）

摘　　要：Introduction: Obstetric emergencies are common throughout the world and more particularly in developing countries where they are responsible for high maternal-fetal mortality and morbidity. Objective: Study obstetric emergencies in the maternity ward of Kara University Hospital. Method: Retrospective and descriptive study from April 1, 2022 to March 30, 2023, carried out in the Obstetrics and Gynecology Department of Kara University Hospital. Results: Eight hundred and thirty-five (835) obstetric emergencies were recorded out of 2215 admissions, i.e. a frequency of 37.7%. The average age of the patients was 26.7 with a range of 14 and 45 years. They were primigravidas (36.7%) and nulliparous (38.7%), referred (84.7%) and came from rural areas (72%). Emergencies occurred in the 3^rd trimester in 74.1% and in parturients (54.1%). Preeclampsia (27%), cessation of progression of labor due to feto-pelvic disproportion (12.4%), postpartum hemorrhage (7.5%) constituted the main obstetric emergencies. In 44.8%, the delivery was carried out vaginally. Magnesium sulfate was the most used drug, i.e. 30.1%;followed by antihypertensive medications in 28.1%. Blood transfusion was performed in 24.3%. The evolution was simple in 90.9%. The maternal fatality rate was 1.6%. The perinatal case fatality rate was 12.3%. Conclusion: Obstetric emergencies are common, dominated by preeclampsia, stopping progress of labor and postpartum hemorrhages. They are responsible for high morbidity and mortality.Introduction: Obstetric emergencies are common throughout the world and more particularly in developing countries where they are responsible for high maternal-fetal mortality and morbidity. Objective: Study obstetric emergencies in the maternity ward of Kara University Hospital. Method: Retrospective and descriptive study from April 1, 2022 to March 30, 2023, carried out in the Obstetrics and Gynecology Department of Kara University Hospital. Results: Eight hundred and thirty-five (835) obstetric emergencies were recorded out of 2215 admissions, i.e. a frequency of 37.7%. The average age of the patients was 26.7 with a range of 14 and 45 years. They were primigravidas (36.7%) and nulliparous (38.7%), referred (84.7%) and came from rural areas (72%). Emergencies occurred in the 3^rd trimester in 74.1% and in parturients (54.1%). Preeclampsia (27%), cessation of progression of labor due to feto-pelvic disproportion (12.4%), postpartum hemorrhage (7.5%) constituted the main obstetric emergencies. In 44.8%, the delivery was carried out vaginally. Magnesium sulfate was the most used drug, i.e. 30.1%;followed by antihypertensive medications in 28.1%. Blood transfusion was performed in 24.3%. The evolution was simple in 90.9%. The maternal fatality rate was 1.6%. The perinatal case fatality rate was 12.3%. Conclusion: Obstetric emergencies are common, dominated by preeclampsia, stopping progress of labor and postpartum hemorrhages. They are responsible for high morbidity and mortality.

关 键 词：Obstetric Emergency Kara University Hospital 

分 类 号：R71[医药卫生—妇产科学]