Impact of Quality of Care at Delivery on Maternal and Neonatal Morbidity and Mortality in a Referral Facility: The Case of the Coronthie Municipal Medical Center, Conakry, Guinea  

作　　者：Boubacar Alpha Diallo Ibrahima Conte Oumou Hawa Bah Ibrahima Sory Sow Aissatou Oury Souaré Daniel Athanas Leno Telly Sy Namory Keita Boubacar Alpha Diallo;Ibrahima Conte;Oumou Hawa Bah;Ibrahima Sory Sow;Aissatou Oury Souaré;Daniel Athanas Leno;Telly Sy;Namory Keita(Department of Obstetrics and Gynecology, Donka National Hospital, Conakry University Hospital, Conakry, Guinea;Department of Obstetrics and Gynecology, National Hospital Ignace Deen, CHU de Conakry, Conakry, Guinea;Department of Obstetrics and Gynecology, Medical Center Communal of Coronthie, Conakry, Guinea)

机构地区：[1]Department of Obstetrics and Gynecology, Donka National Hospital, Conakry University Hospital, Conakry, Guinea [2]Department of Obstetrics and Gynecology, National Hospital Ignace Deen, CHU de Conakry, Conakry, Guinea [3]Department of Obstetrics and Gynecology, Medical Center Communal of Coronthie, Conakry, Guinea

出　　处：《Open Journal of Obstetrics and Gynecology》2025年第2期289-298,共10页妇产科期刊(英文)

摘　　要：Introduction: In Africa, care during childbirth depends on routine practices to the detriment of quality. The aim of this study was to assess the quality of delivery care at the Coronthie CMC. Methods: The study was carried out at the Coronthie Community Medical Center. It was a cross-sectional, descriptive and analytical study lasting 6 months, from July 01 to December 31, 2021. Parturients whose term was ≥28 SA and who agreed to participate in the study were included. Excluded were those with a term Results: The frequency of quality care is 36.7%. The average age of parturients was 28.6 ± 5 years. Most parturients (89.7%) were married women with secondary education (35%) and self-employed (32%). Pauciparous women accounted for 43.80%, and most parturients (59.8%) were delivered by Caesarean section. We found that 21.5% of parturients had developed complications. These complications were perineal trauma and post-partum haemorrhage. There were no maternal deaths, and the neonatal mortality rate was 20/1000 NV. Acute fetal distress was the main cause of perinatal death. Conclusion: Correct management of factors influencing childbirth could improve maternal and neonatal prognosis.Introduction: In Africa, care during childbirth depends on routine practices to the detriment of quality. The aim of this study was to assess the quality of delivery care at the Coronthie CMC. Methods: The study was carried out at the Coronthie Community Medical Center. It was a cross-sectional, descriptive and analytical study lasting 6 months, from July 01 to December 31, 2021. Parturients whose term was ≥28 SA and who agreed to participate in the study were included. Excluded were those with a term Results: The frequency of quality care is 36.7%. The average age of parturients was 28.6 ± 5 years. Most parturients (89.7%) were married women with secondary education (35%) and self-employed (32%). Pauciparous women accounted for 43.80%, and most parturients (59.8%) were delivered by Caesarean section. We found that 21.5% of parturients had developed complications. These complications were perineal trauma and post-partum haemorrhage. There were no maternal deaths, and the neonatal mortality rate was 20/1000 NV. Acute fetal distress was the main cause of perinatal death. Conclusion: Correct management of factors influencing childbirth could improve maternal and neonatal prognosis.

关 键 词：CHILDBIRTH IMPACT Quality of Care Prognosis Mortality 

分 类 号：R72[医药卫生—儿科]