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, from<sup> </sup>1 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, from<sup> </sup>1 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.
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)
