Abstract
The perinatal mortality is a public health issue in developing countries. In fact, the perinatal death rate seems the highest in a Malian rural area. The objective of this work was to study the perinatal mortality in a rural area of Mali (Kadiolo). Methodology: It was a cross-sectional descriptive study conducted in Kadiolo over 12 months. The study took place from April 1, 2016 to March 31, 2017. We have included in our study all dead fetuses in gestational age ≥ 28 weeks of amenorrhea (WA) or weight ≥ 500 grams (g) and infants died during the first week of life. Mothers who have experienced a perinatal death were included. Results: During the 12 months of study period, we have recorded a total of 2212 births out of which we have collected 205 perinatal deaths, a perinatal mortality rate of 205/2212 with 93 per 1000. The stillbirth rate was 152/2212 with 69‰ and the early neonatal mortality rate was 53/2212 with 24‰. The sociodemographic characteristic of the patients was: patient who has been evacuated 71.70%, unschooled 77.1%, coming out of the city Kadiolo 76%, young women 65% and patient who did not receive antenatal care 35%. Conclusion: Our study confirms the high rates of perinatal deaths in rural areas. The implementation of a coherent and efficient care strategy should help in reducing the still high rates.
Highlights
Pregnancy and delivery are physiological phenomena that can be accompanied by serious complications and leading to maternal or perinatal mortality
The objective of this work was to study the perinatal mortality in a rural area of Mali (Kadiolo)
We have included in our study all dead fetuses in gestational age ≥ 28 weeks of amenorrhea (WA) or weight ≥ 500 grams (g) and infants died during the first week of life
Summary
Pregnancy and delivery are physiological phenomena that can be accompanied by serious complications and leading to maternal or perinatal mortality. Its implementation on the ground has led to the organization of the Referral-Evacuation (RE) and the Counter-Referral System with the obstetrical and perinatal emergency management as a portal This led in 2005 to the decision of free caesarean sections all over the country in order to fight against perinatal and maternal mortality. The health district of Kadiolo executes these strategies of fighting against perinatal mortality through antenatal consulting, neonatal and obstetrical emergency care, the functionality of RE, developed strategies in Reproduction Health, the integration and maintenance of community health workers. Despite those different strategies, the perinatal mortality rate is still high.
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