TITLE:
Gynecological and Obstetrical Emergencies at the University Clinic of Gynecology-Obstetrics of the National Hospital Donka Guinea
AUTHORS:
Mamadou Hady Diallo, Fatoumata Bamba Diallo, Massa Keita, Djénabou Binta Baldé, Alpha Boubacar Barry, Ibrahima Sory Baldé, Telly Sy, Namory Keita
KEYWORDS:
Gynecological Emergencies, Obstetrical, Donka, Guinea
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.12,
December
31,
2021
ABSTRACT: Gynecological and obstetrical emergencies are found all over the world, especially
in developing countries where women pay a heavy price for giving birth. They can
occur at any time during pregnancy and outside of pregnancy often in a socio-economic
context. The objectives of this study were to describe the sociodemographic characteristics
and the maternal and fetal prognosis of gynecological
and obstetric emergencies. Patients and Methods: This was a
descriptive cross-sectional study with prospective data collection, conducted at
the University Clinic of Gynecology and Obstetrics of the Donka National Hospital
between June 1 and September 30, 2015. It involved all patients admitted to our
department in emergency for a gynecological or obstetrical complaint. Results: We collected 361 cases of gynecological and obstetrical emergencies out of a total
of 1779 consultations, i.e. a frequency
of 20.29%. Obstetrical emergencies were predominant with 91.41% and gynecological
emergencies represented 8.59%. The average age of patients was 29.5 with extremes
of 14 and 47. Nulliparous women were the most numerous (34.35%). More than half
of the patients did not attend school (52.08%) and 56.70% were evacuees. Abdominopelvic
pain and hemorrhage were the main reasons for consultation (54.29% and 49.58%).
Admission diagnoses were dominated by acute fetal distress and hemorrhage in the
last quarter of pregnancy (52.3% and 36.01%). The caesarean section rate was high
(82.12%). Maternal and perinatal lethality rates were high (5.2% and 30.3%). Conclusion: Gynecological and obstetrical emergencies are a public health issue because of the
severity of the prognosis they impose on the mother and child. Maternal and perinatal
mortality was very high. The prevention of these serious emergencies must be done
through good quality prenatal consultations. Laparoscopy equipment and staff training
are necessary for a minimal invasive surgery of gynecological emergencies.