TITLE:
The Problematics of Transferred Parturient Women in Guinean Urban Areas: The Case of the Donka Maternity Ward at the University Hospital Centre (Chu) Conakry
AUTHORS:
Mamadou Hady Diallo, Ibrahima Sory Baldé, Abdourahmane Diallo, Ousmane Baldé, Boubacar Siddi Diallo, Amadou Diouldé Diallo, Ibrahima Koussy Bah, Oumou Hawa Bah, Telly Sy, Namory Keita
KEYWORDS:
Transfer, Complication, Conakry University Hospital
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.3,
March
8,
2019
ABSTRACT: Objectives: To describe the socio-demographic aspects of transferred parturient women; To identify the means of transport used by the evacuated parturient women to
the Donka maternity ward at the University Hospital of Conakry; To describe the difficulties met;
And to assess maternal and fetal prognosis. Methodology: It consisted of a
prospective study over a period of 6 months from 01/02 to 31/07/2018. All patients
transferred to the maternity ward of the Donka National Hospital of Conakry University
Hospital. Results: The frequency of obstetric transfers was 13.79%. The epidemiological
profile was that of a parturient woman of an average age of 25.7 years, married,
and housewife, unschooled, who was on her first pregnancy and from the city of Conakry.
The average distance covered was 16 km with extremes of 3 and 50 km. The transfer
to the referral maternity clinic was not medicalized in 94% of cases. The venous
route was not taken in 96% of cases. The parturient
was not escorted by a health worker in 98% of cases. Bleeding was the most frequent
reason for evacuation, followed by acute fetal sufferings. The average number of
prenatal consultation was 2 with extremes of 0 and 9. The average length of stay was
3.6 days with extremes of 1 and 28 days. The majority of transferred women had a
full-term pregnancy. The Cesarean section was 79.4%. The Retro placental hematoma
was the most common complication found and was 29.4%. The counter-reference was
not made in 97.79%. We recorded 8 maternal deaths, for a lethality rate of 1.77%.
Possible interventions to reduce the dramatic situation of obstetric evacuations
require first of all the decentralization of health care structures capable of performing
a cesarean section. This approach should aim to create medical centers with a surgical
antenna in all municipalities. These decentralized units would reduce the delay
in case management and thus, limit the number of complications.