Obstetric References in Disadvantaged Environments: Case of References to the University Hospital Center of Kara, in Northern Togo  

作　　者：Kossi Edem Logbo-Akey Bassowa Akila Kofi Mawoulé Améwouho Ketevi Tina Yendoubé Pierre Kambote Dédé Régine Diane Ajavon Baguilane Djoauguibe Abdoul-Samadou Aboubakari Koffi Akpadza Kossi Edem Logbo-Akey;Bassowa Akila;Kofi Mawoulé Améwouho;Ketevi Tina;Yendoubé Pierre Kambote;Dédé Régine Diane Ajavon;Baguilane Djoauguibe;Abdoul-Samadou Aboubakari;Koffi Akpadza(Service de Gynécologie-Obstétrique, CHU, Kara, Togo;Service de Gynécologie-Obstétrique, CHU Campus, Lomé, Togo;Service de Gynécologie-Obstétrique, CHU Sylvanus Olympio, Lomé, Togo;Service de Gynécologie-Obstétrique, CHR Tomdé, Kara, Togo)

机构地区：[1]Service de Gynécologie-Obstétrique, CHU, Kara, Togo [2]Service de Gynécologie-Obstétrique, CHU Campus, Lomé, Togo [3]Service de Gynécologie-Obstétrique, CHU Sylvanus Olympio, Lomé, Togo [4]Service de Gynécologie-Obstétrique, CHR Tomdé, Kara, Togo

出　　处：《Open Journal of Obstetrics and Gynecology》2024年第2期267-277,共11页妇产科期刊（英文）

摘　　要：Introduction: References are frequent and most often carried out in emergency situations. The objective of this study was to describe the epidemiological and clinical profile of obstetric referrals to the CHU-Kara. Methodology: This was a retrospective cross-sectional descriptive study conducted from September 1, 2022, to February 28, 2023, at CHU-Kara, focusing on obstetric referrals to the Gynecology-Obstetrics department. Result: 828 patients were referred for obstetric reasons out of 1295 admissions, representing a frequency of 63.9%. The average age was 25.04 years. They were primigravida (38.3%), unemployed (62.7%). Motorcycles were the main means of transportation, accounting for 53.1% of cases. The average distance to reach the referral center was 31.6 km, covered in an average of 71 minutes. In 40.7% of cases, patients had less than 4 prenatal consultations and were referred in peripartum (56.6%) for pre-eclampsia (14%), post-term pregnancy (11.8%), dystocia (10.5%). Eighty-six point nine percent (86.9%) of the referred patients were able to deliver during their stay in the department, of which 61.7% had vaginal deliveries. The maternal and perinatal mortality rates were 0.7% and 14.9%, respectively. Conclusion: Obstetric referrals to Kara University Hospital are frequent during the perpartum period and are often carried out by motorbike.Introduction: References are frequent and most often carried out in emergency situations. The objective of this study was to describe the epidemiological and clinical profile of obstetric referrals to the CHU-Kara. Methodology: This was a retrospective cross-sectional descriptive study conducted from September 1, 2022, to February 28, 2023, at CHU-Kara, focusing on obstetric referrals to the Gynecology-Obstetrics department. Result: 828 patients were referred for obstetric reasons out of 1295 admissions, representing a frequency of 63.9%. The average age was 25.04 years. They were primigravida (38.3%), unemployed (62.7%). Motorcycles were the main means of transportation, accounting for 53.1% of cases. The average distance to reach the referral center was 31.6 km, covered in an average of 71 minutes. In 40.7% of cases, patients had less than 4 prenatal consultations and were referred in peripartum (56.6%) for pre-eclampsia (14%), post-term pregnancy (11.8%), dystocia (10.5%). Eighty-six point nine percent (86.9%) of the referred patients were able to deliver during their stay in the department, of which 61.7% had vaginal deliveries. The maternal and perinatal mortality rates were 0.7% and 14.9%, respectively. Conclusion: Obstetric referrals to Kara University Hospital are frequent during the perpartum period and are often carried out by motorbike.

关 键 词：Obstetric Referral EPIDEMIOLOGY Prognosis CHU-Kara 

分 类 号：R71[医药卫生—妇产科学]