TITLE:
Obstetric Emergencies: Frequency, Socio-Demographic Aspects and Risk Factors at the Labe Regional Hospital Maternity Unit (Guinea)
AUTHORS:
Ibrahima Conté, Ibrahima Sylla, Ousmane Baldé, Aboubacar Fodé Momo Soumah, Abdourahamane Baldé, Oumou Hawa Bah, Ibrahima Sory Baldé, Abdoulaye Bademba Diallo, Telly Sy
KEYWORDS:
Obstetric Emergencies, Frequency, Risk Factors, Labé
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.11,
November
21,
2023
ABSTRACT: Introduction: Obstetric emergencies are clinical situations of a
serious nature, often dangerous,
which develop unexpectedly, threatening the vital prognosis of the mother
and/or foetus in the short term. The aim of this study was to contribute to a
review of obstetric emergencies at the Labé Regional Hospital maternity unit. Methods: This was
a prospective descriptive and analytical study conducted over a period of 6
months in the maternity unit of the Labé Regional Hospital. It concerned all
patients admitted to the department for
obstetric emergencies. Results: Obstetric emergencies accounted for 20%
of obstetric admissions. The mean age of the patients was 25.12 ± 7.15 years, with extremes of 14 and 45 years. The
patients were housewives (42.52%), 42.86%
did not attend school and 77.41% were from urban areas. The poor were the most
numerous (43.52%). The ambulance was the means of transport in only 9% of
cases. Acute foetal distress, pre-eclampsia, bony dystocia
and post-partum haemorrhage were the most common types of emergency in our
series, with frequencies of 27.57%, 22.59%, 17.94% and 10.63% respectively. The
risk factors identified were age, origin, gestational age and the state of the
maternal pelvis. Conclusion: Obstetric emergencies are frequent in our
study site and represent a major concern for patients, providers and the
community alike. In order to reduce the frequency of obstetric emergencies,
young girls should be enrolled in school, the legal age for marriage should be
respected, quality antenatal care should be provided in basic health facilities,
and proper planning and spacing of pregnancies should
be implemented.