Abstract
Perineal trauma is a non-surgical solution of continuity of posterior perineal committing under the effect of a violent exertion during childbirth. It occurs at the time of disengagement, either from the head or the posterior shoulder. Objectives: To calculate the perinea trauma during childbirth, describe the socio demographic profile of the women in childbed, identify contributory effects and appreciate the maternal prognostic. Methodology: It was a prospective study, descriptive type of 6 months (from May 19 to November 20, 2014). It took place at the maternity ward of Donka National Hospital. It concerned all received parturient, women in bed of a single fetus in the unit and having had a perineum traumatism. The real ones were epidemiologic, therapeutic clinical and prognostic. Results: We have recorded 110 perinea traumatism cases over 3496 childbirth let say a frequency of 3%. The socio demographic profile of the woman who did perinea traumatism was a teenager (42.7%), professional occupation (29.1%), married (88.2%), schooled, secondary and Technical level (42.7%), primary (70%) having had more than 3 prenatal consultations (73.6%). Contributory effects were: prim parity, young age, instrumental extraction by obstetrical forceps and the fetal weight between 2500 to 3999 g. Surgical management was (100%). The following were simple in 88.2% cases versus 11. 8% of complications. Conclusion: The reduction of this frequency requests systematical practice and corrects recentered prenatal consultations and the respect of episiotomy indications.
Highlights
The perinea trauma is a continuous solution non surgical of the posterious commeasure of the perineum under the effect of violent efforts during childbirth [1]
We have recorded 110 perinea traumatism cases over 3496 childbirth let say a frequency of 3%
The socio demographic profile of the woman who did perinea traumatism was a teenager (42.7%), professional occupation (29.1%), married (88.2%), schooled, secondary and Technical level (42.7%), primary (70%) having had more than 3 prenatal consultations (73.6%)
Summary
The perinea trauma is a continuous solution non surgical of the posterious commeasure of the perineum under the effect of violent efforts during childbirth [1]. It occurs during the release, either the head or the posterious shoulder. Perinea trauma from obstetrical has always existed and continues to give real issues. These tears are due to young primipara and excised women, second- and third-degree [1] [2] [3]. The objective was to calculate the perinea trauma frequency, determine the socio demographic profile of women in bed, identify factors favoring and appreciate maternal prognostic
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