Relation between Obstetric Outcome and Parity

Helene Warde Chami,Abdoulaye Diakhate,Magatte Mbaye,Mame Diarra Ndiaye,Simon Birame Ndour,Mouhamadou Wade,Ndama Niang,Aliou Diouf,Mamour Gueye

doi:10.4236/ojog.2019.96087

Abstract

Objectives: To evaluate the prognosis of obstetric complications by parity in a suburban center in Dakar. Patients and Method: We conducted a retrospective and prospective, cross-sectional study that evaluated all women admitted to the Philippe Maguilen Senghor Health Center for the management of their pregnancy (childbirth, abortion, ectopic pregnancy), whether they were primiparous or multiparous. The data for this study covered a 66-month period, from January 1, 2012 to June 30, 2017. Data were entered into our E-perinatal computer database. They were then extracted and analyzed first on Microsoft Excel 2016 and then on SPSS 24, Windows version. Results: Between January 2012 and June 2017, we’ve registered 27,441 patients including 25,905 deliveries, 1415 abortions and 121 ectopic pregnancies. Direct obstetric complications involved 14.1% of our patients. 12.1% multiparous and 17.3% primiparous had at least one direct obstetric complication of World Health Organization (WHO). Antepartum haemorrhage, uterine rupture, ectopic pregnancy, and abortion complications were more common in multipara, whereas prolonged and obstructed labor, preeclampsia, and eclampsia were more common in primiparous women. Postpartum haemorrhage occurred at substantially equal frequencies in both parity groups. We had not found any case of sepsis. Conclusion: Our study confirms that primiparity is a factor that may lead to obstetric complications. However, while some complications were more common in the primiparous, others were exclusive to multiparous when we did not expect it. We also recommend continuing this work by singling out multiparas and large multiparas, in order to better understand the obstetric prognosis linked to parity.

Highlights

IntroductionAt the dawn of the third millennium, the drama of maternal mortality remains
Direct obstetric complications involved 14.1% of our patients. 12.1% multiparous and 17.3% primiparous had at least one direct obstetric complication of World Health Organization (WHO)
Antepartum haemorrhage, uterine rupture, ectopic pregnancy, and abortion complications were more common in multipara, whereas prolonged and obstructed labor, preeclampsia, and eclampsia were more common in primiparous women

Summary

Introduction

At the dawn of the third millennium, the drama of maternal mortality remains. 830 women die every day in the world because of complications related to pregnancy or childbirth. About 99% (302,000) of the world’s maternal deaths in 2015 occurred in developing countries, with sub-Saharan Africa alone accounting for 66% of deaths (201,000), followed by South Asia (66,000). About 15% of women develop a complication during pregnancy that requires the intervention of qualified healthcare provider [1]. 80% of maternal deaths result directly from complications of pregnancy, childbirth, or the puerperium

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Discussion

Conclusion