Reception, Quality of Care and Attitude of Maternal and Neonatal Care Providers at The Maternity of The Reference Health Center of Fana (Mali)

Abstract

The aim was to assess the satisfaction ofwomen giving birth with the reception, the quality of care and the attitude of maternal and neonatal care providers. Materials and methods: This was a prospective descriptive analytical cross-sectional study over a 6-month periodfrom February 1, 2019 to July 31, 2019 in Fana. Results: The average age of women was 27.5 years with extremes of 15 and 40 years. They were 98.2% married. And 90.1% of them took care of their household. They were educated in 27.1% with only 2.6% who had a higher level of education. Direct admissions were 80% and referrals/evacuations accounted for 20% of the workforce. Pregnant women performed between 1 and 4 antenatal care in 87.2% and 4.8% did not provide any care. The majority of them consulted in the 3rd trimester of pregnancy. Pregnant women gave birth vaginally in 76.6% compared to 23.4% of caesarean section. Instrumental extractions are performed in 1.3% with 6cases of forceps and 2cases of suction cup. Hemorrhage, eclampsia, uterine rupture and infection are the main maternal complications observed. 99.2% of the care provided by qualified personnel. Care for sick and premature infants was inadequate. 98.7% of women gave birth were satisfied with the care. Conclusion: The quality of obstetric and neonatal care was generally satisfactory.