Care Taking of Obstetric Emergencies in the Department of Gynaecology and Obstetrics at Donka National Hospital, University Teaching Hospital (CHU) of Conakry, Guinea

Boubacar Siddi Diallo,Ousmane Balde,Telly Sy,Ibrahima Sylla,Namory Keita,Yolande Hyjazi,Oumou Hawa Bah,Ibrahima Conte,Abdourahmane Diallo,Mamadou Hady Diallo,Ibrahima Sory Balde,Fatoumata Binta Sow

doi:10.4236/ojog.2019.95059

Abstract

Objectives: The objectives of this work were to calculate the frequency of obstetrical emergencies, to describe the socio-demographic profile of women admitted for obstetric emergencies, to identify the main emergencies, to describe the care taking of emergencies and to establish the maternal foetal prognosis of obstetric emergencies. Methodology: It was a 6-month descriptive prospective study conducted in the Obstetrics and Gynaecology Department of the Donka National Hospital, CHU Conakry, Guinea. The study took place from July 1st to December 31st, 2005. The data collected were entered and corrected using the Word and Excel 2010 software and then transferred to the Epi Info software version 7 for analysis. The results are presented in the form of tables, figures and texts using Word and Excel software, commented on, discussed and compared to current literature data. The limitations of the study: The poor filling of the partograph has been the main problem of our study. Results: The frequency of obstetric emergencies was 19% in the Department. The socio-demographic profile was that of a woman aged 15 to 24 (46.4%), married (92%), housewives (38.1%), out of school (49.5%), nulliparous (34.3%), without prenatal follow-up (47.37%), coming from home (56%), evacuated (44%). The main emergencies are dominated by haemorrhage (34.5%) followed by HTA Arterial hypertension and eclampsia (25.7%). The therapeutic attitude was based on clinical data and was dominated by caesarean section (70%). General anaesthesia was performed in 75% of cases and 1.6% benefited from local anaesthesia. The demand for blood was honoured in 19% of the cases. The maternal morbidity was dominated by anaemia (66.7%) and a lethality of 4%. After the 5th minute, 47% of the newborns had APGAR greater than 7. The neonatal mortality rate was 21%. Conclusion: To avoid and/or reduce obstetric emergencies, it is necessary to detect and treat risk factors during referrals, properly monitor child labor, refurbish providers of basic facilities, promptness in the management of the admission of emergencies and the availability of blood products.

Highlights

Obstetric emergencies are accidents that occur suddenly during pregnancy and in the aftermath of diapers exposing women to serious risks and whose evolution is sometimes fatal [1].The most common complications are: haemorrhage, dystocia, SFA, eclampsia and pre-eclampsia.safe motherhood remains the major challenge for any action to improve maternal and child health [2].Obstetric emergencies are common in developing countries
The objectives of this work were to calculate the frequency of obstetrical emergencies, to describe the socio-demographic profile of women admitted for obstetric emergencies, to identify the main emergencies, to describe the care taking of emergencies and to establish the maternal foetal prognosis of obstetric emergencies
In Benin in 2013, at the University Hospital of Parakou, obstetric emergencies accounted for 31.8% with a maternal lethality of 0.4% and a foetal rate of 9.2% [3]

Summary

Introduction

Obstetric emergencies are common in developing countries. In Benin in 2013, at the University Hospital of Parakou, obstetric emergencies accounted for 31.8% with a maternal lethality of 0.4% and a foetal rate of 9.2% [3]. In Mali in 2007, 12.24% of obstetric emergencies are at the reference health centre of the commune IV with a maternal lethality of 1% and foetal mortality of 23.9% [4]. In the same country in the health district of Nara/Koulikoro Region in 2009, obstetric emergencies represented 23.52% with a foetal lethality of 18% [5]. In Guinea, at the Labe Regional Hospital in 2013, obstetric emergencies represented 14.75% with a maternal lethality of 2.5% and foetal malnutrition of 3% [6]. We conducted this study with the objectives of calculating the frequency of obstetric emergencies, describing the socio-demographic profile of women admitted for obstetric emergencies, identifying the main emergencies, describing the management of emergencies and establishing the maternal-foetal prognosis of obstetric emergencies

Objectives

Methods

Results

Conclusion