TITLE:
Socio-Epidemiological Aspects and Prognosis of Unassisted Deliveries Arriving at Fousseyni Daou Hospital in Kayes
AUTHORS:
Sitapha Dembele, Mahamadou Diassana, Ballan Macalou, Alima Sibibe, Albachar Hamidou, Daouda Fomba, Mamadou Haidara, Famakan Kane, Cheickna Sylla, Amadou Bocoum, Sanogo Siaka Amara, Soumaila Traoré
KEYWORDS:
Childbirth, Unassisted, Prognosis, Complications, Kayes
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.2,
February
28,
2023
ABSTRACT: Introduction: The World Health Organization estimates that each year more than 20
million women suffer from the after-effects of unattended childbirth, of which
800 women die every day as a result of obstetric complications. Objective: Study
the socio-epidemiological aspects and prognosis of unassisted deliveries
arriving at the Fousseyni Daou De Kayes hospital. Materials and Methods: This was a descriptive, cross-sectional study with
prospective collection, case-control that took place at the maternity ward of
the Fousseyni Daou hospital in Kayes, from 1 January to 31 December
2021. Results: The frequency of unattended birth was 4.1%. The 30 - 35 age group was the most represented with 32.5%. In
our study 58.1% of cases were out of school, 19.4% were primigestes and 39.4%
were multiparous. In our series 60.6% of cases had given birth at home and
39.4% along the way. The majority of cases regretted having given birth without
the assistance of qualified personnel in 45.6%. Maternal complications were
dominated by perineal lesions in 14.4% of cases, haemorrhage of delivery in 25%
of cases, severe anaemia in 30% of cases; 16.7% of newborns were in poor
condition, 13.6% were fresh stillbirths, 15.6% of newborns had obstetric
trauma. The maternal death rate on arrival was 3%. Conclusion: The
frequency of unassisted childbirth is high in the Kayes region. Its
complications can be serious for both the mother and the newborn.