Prognostic Factors for Obstetrical Emergencies Received at the Regional Hospital of Saint-Louis in Senegal: A Retrospective, Cross-sectional and Descriptive Study| Chapter 14 | Current Innovations in Medicine and Medical Science Vol. 8

 The objective concerning this work was to label prognostic factors for obstetrical emergencies taken at the Regional Hospital of Saint-Louis. The one-period retrospective, cross-sectional, and explanatory investigation was established the archives (July 1, 2017 - June 30, 2018). The categorical and relative frequencies of each qualitative changeable were calculated utilizing a confidence interval. Thus, were filled out: the socio-demographic description of the woman, the environments of evacuation, and the care. Out of 5822 collected files, skilled were 1364 evacuations (23.43%). The majority of daughters were under 25 years of age (42.53%), ignorant (60.92%), married (97.73%), reduced-income (96.68%), first-occasion pregnant (37.91%), prim pregnant (38.57%), with a entire-term pregnancy (85.28%) and less than 4 fetal consultations (56.02%).The most common pathologies were dystocic (20.16%), hypertensive (18.40%), and hemorrhagic (8.65%). Medical situation (72.87%) was dominated by vascular contents, antibiotic and antihypertensive medication, ancestry transfusion, and magnesium sulphate dose. Gynaeco-obstetrical treatment worried 42 abortions, 834 deliveries and 303 caesareans; for a total of 1179 cases (86.44%). The surgery involved 22 laparotomies (containing 7 hysterectomies), 5 perineal recoveries, and 3 others; for a total of 30 cases (2.20%). Hospitalization, approximately 2.34 days, resulted in maternal death for 14 cases (1.26%) and perinatal mortality for 157 cases (13.81%). Improving the issue makes necessary a more informed people as well as a more coordinated network of "obstetric and neonatal danger care / soins obstétricaux et néonatals d’urgence (SONU)" services: healing transport, sufficient and upgraded stick, better maternity and neonatology, correct suffused databases.

Author(s) Details:

Niang Khadim,
Department of Preventive Medicine and Public Health, Gaston Berger University (UGB) of Saint-Louis, Senegal.

Sylla Béïtyr,
Department of Preventive Medicine and Public Health, Gaston Berger University (UGB) of Saint-Louis, Senegal.

Thiam Ousmane,
Genecology and Obstetric Service, Gaston Berger University (UGB) of Saint-Louis, Senegal.

Ndiaye Papa,
Department of Preventive Medicine and Public Health, Gaston Berger University (UGB) of Saint-Louis, Senegal.

Please see the link here: https://stm.bookpi.org/CIMMS-V8/article/view/8731