TITLE:
Intra-Hospital Delay in Emergency Care at the Obstetrics and Gynecology Department in the University Teaching Hospital of Ouagadougou (UTH-YO), Burkina Faso
AUTHORS:
Ouattara Adama, Tougma Aline Pegwendé, Yaméogo Relwendé Barnabé, Millogo/Traoré Françoise Danielle, Ouedraogo Issa, Kiemtoré Sibraogo, Ouédraogo Ali, Thieba/Bonane Blandine
KEYWORDS:
Delay, Emergency, Obstetrics, Gynecology, Ouagadougou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.12,
November
2,
2017
ABSTRACT: Objective: To investigate the intra-hospital delay in the treatment of
gynecological and obstetric emergencies in the obstetrics and gynecology
department at the UTH-YO. Patients and methods: It has been a
prospective and descriptive study over a period of four months from 1 May to 31
August 2015 in the obstetrics and gynecology department at the UTH-YO. All
patients and their escorts were included in our study, admitted to
gynecological or obstetric emergencies who have accepted to participate in the
survey. Data
were entered and analyzed using a PC equipped with the SPSS 16.0 software
English version. Results: During the study period, we recorded 2627
admissions. Delays in the management involved 216 patients or a frequency of
8.2%. The average age of patients was 26.6 ± 6.2 years, ranging from 16 and 46
years. Patients had no income in 165 cases (that is to say 76.4%). The referred patients
accounted for 165
admissions (85.7%). The intake patterns were dominated by obstetric acute fetal
distress in 44 cases (20.4%), pre-failure syndrome in 27 cases (that is to say 12.8%) and in gynecology by the
ectopic pregnancy in 171 cases (79.3%). The average waiting period between the
arrival of a patient and the beginning of first aid was 2 hours and 23 minutes
with extremes of 16 min and 546 min. The main reason for the delay was the
unavailability of the operating room in 61.1% of cases. The opinion of escorts
was dominated by improving communication with the creation of a post of
information in 47% of cases. Maternal prognosis was marked by a maternal death
in 0.1% of cases and maternal morbidity in 13.4% of cases. The fetal prognosis
was dominated by death at birth in 13.8% of newborns. Conclusion:
Despite the subsidy of the government in obstetric and neonatal emergencies,
there remain intra-hospital delays in the management of emergencies. The
opening of discussions between the various stakeholders responsible for the
implementation of this grant is urgent to contribute more effectively to the
fight against maternal mortality.