TITLE:
Care Taking of Obstetric Emergencies in the Department of Gynaecology and Obstetrics at Donka National Hospital, University Teaching Hospital (CHU) of Conakry, Guinea
AUTHORS:
Boubacar Siddi Diallo, Ibrahima Sory Balde, Ibrahima Conte, Mamadou Hady Diallo, Ousmane Balde, Ibrahima Sylla, Abdourahmane Diallo, Oumou Hawa Bah, Fatoumata Binta Sow, Telly Sy, Yolande Hyjazi, Namory Keita
KEYWORDS:
Obstetric Emergency, Care Taking
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.5,
May
13,
2019
ABSTRACT: Objectives: The objectives of this work were to calculate the
frequency of obstetrical emergencies, to describe the socio-demographic profile
of women admitted for obstetric emergencies, to identify the main emergencies,
to describe the care taking of emergencies and to establish the maternal foetal
prognosis of obstetric emergencies. Methodology: It was a 6-month descriptive prospective study conducted in the
Obstetrics and Gynaecology Department of the Donka National Hospital, CHU
Conakry, Guinea. The study took place from July 1st to December 31st, 2005. The data collected
were entered and corrected using the Word and Excel 2010 software and then
transferred to the Epi Info software version 7 for analysis. The results are
presented in the form of tables, figures and texts using Word and Excel
software, commented on, discussed and compared to current literature data. The
limitations of the study: The poor filling of the partograph has been the
main problem of our study. Results: The frequency of obstetric
emergencies was 19% in the Department. The socio-demographic profile was that
of a woman aged 15 to 24 (46.4%), married (92%), housewives (38.1%), out of
school (49.5%), nulliparous (34.3%), without prenatal follow-up (47.37%),
coming from home (56%), evacuated (44%). The main emergencies are dominated by haemorrhage
(34.5%) followed by HTA Arterial
hypertension and
eclampsia (25.7%). The therapeutic attitude was based on clinical data and was
dominated by caesarean section (70%). General anaesthesia was performed in 75% of cases
and 1.6% benefited from local anaesthesia. The demand for blood was honoured in 19% of the
cases. The
maternal morbidity was dominated by anaemia (66.7%) and a lethality of 4%. After the 5th minute, 47% of the newborns had
APGAR greater than 7. The neonatal mortality rate was 21%. Conclusion: To avoid and/or reduce obstetric emergencies, it is necessary to detect and
treat risk factors during referrals, properly monitor child labor, refurbish
providers of basic facilities, promptness in the management of the admission of
emergencies and the availability of blood products.