Postnatal Consultation According to Who Recommendations Has the Motherhood of Thereference Health Center of Kalaban Coro in Bamako (Mali)

Abstract

The aim was to evaluate the postnatal consultation (CPON) according to WHO recommendations at the maternity ward of the Kalaban Coro reference health centre in Bamako (Mali). Material and Method: This was a cross-sectional study with prospective collection from May 21 to July 21, 2018, i.e. a period of 2 months. Results: In our study, we recorded a total of 440 deliveries who were seen in postnatal consultations. When this number is compared to the total number of deliveries, this gives a postnatal consultation completion rate of 56.4% (782). Of the 440 women, 390 performed all three recommended CPON (88.4%). Fifty (50) women gave birth performed only the first CPON while only 2 completed the first and second CPON. There were no significant differences between women receiving CPON based on medical and obstetric history The factors influencing the occurrence of neonatal death in this work were: adolescence (<20 years); the emergency reference, the existence of high blood pressure in the mother and premature delivery. Less than 5% of neonatal deaths were recorded during our study the number of women seen at the first, second and third postnatal visits were 440, 392 and 388 respectively. There was no association between antenatal consultation rank and the woman's age, education and occupation. Primigestity, the existence of high blood pressure during pregnancy and reference during labour were the three main factors associated with the occurrence of maternal complications after multivariate