TITLE:
Perinatal Deaths in Rural a Health Area, Case of the Health District of Kadiolo, Mali
AUTHORS:
Seydou Fané, Amadou Bocoum, Youssouf Traoré, Abdoulaye Sissoko, Ibrahima Tegueté, Mamadou Sima, Mamadou Salia Traoré, Tiounkani Augustin Thera, Yaya Sylla, Alassane Traoré, Soumana Oumar Traoré, Aminata Kouma, Niani Mounkoro
KEYWORDS:
Perinatal Deaths, Dystocia, Rural Environment, Mali
JOURNAL NAME:
Surgical Science,
Vol.10 No.11,
November
6,
2019
ABSTRACT: The perinatal mortality is a public health issue in
developing countries. In fact, the perinatal death rate seems the highest in a
Malian rural area. The objective of this work was to study the perinatal
mortality in a rural area of Mali (Kadiolo). Methodology: It was a
cross-sectional descriptive study conducted in Kadiolo over 12 months. The study
took place from April 1, 2016 to March 31, 2017. We have
included in our study all dead fetuses in gestational age ≥ 28 weeks of
amenorrhea (WA) or weight ≥ 500 grams (g) and infants died during the first
week of life. Mothers who have experienced a perinatal death were included. Results: During the 12 months of study period, we have recorded a total of 2212 births out of
which we have collected 205 perinatal deaths, a perinatal mortality rate of
205/2212 with 93 per 1000. The stillbirth rate was 152/2212
with 69‰ and the early neonatal mortality rate was 53/2212 with 24‰. The
sociodemographic characteristic of the patients was: patient who has been
evacuated 71.70%, unschooled 77.1%, coming out of the city Kadiolo 76%, young
women 65% and patient who did not receive antenatal care 35%. Conclusion: Our study
confirms the high rates of perinatal deaths in rural areas. The implementation
of a coherent and efficient care strategy should help in reducing the still
high rates.