TITLE:
Obstetric References in Disadvantaged Environments: Case of References to the University Hospital Center of Kara, in Northern Togo
AUTHORS:
Kossi Edem Logbo-Akey, Bassowa Akila, Kofi Mawoulé Améwouho, Ketevi Tina, Yendoubé Pierre Kambote, Dédé Régine Diane Ajavon, Baguilane Djoauguibe, Abdoul-Samadou Aboubakari, Koffi Akpadza
KEYWORDS:
Obstetric Referral, Epidemiology, Prognosis, CHU-Kara
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.2,
February
28,
2024
ABSTRACT: Introduction: References are frequent and most often carried out
in emergency situations. The objective of this study was to describe the
epidemiological and clinical profile of obstetric referrals to the CHU-Kara. Methodology: This was a retrospective cross-sectional descriptive study conducted from September
1, 2022, to February 28, 2023, at CHU-Kara, focusing on obstetric referrals to
the Gynecology-Obstetrics department. Result: 828 patients were referred for obstetric reasons out
of 1295 admissions, representing a frequency of 63.9%. The average age was
25.04 years. They were primigravida (38.3%), unemployed (62.7%). Motorcycles
were the main means of transportation, accounting for 53.1% of cases. The
average distance to reach the referral center was 31.6 km, covered in an
average of 71 minutes. In 40.7% of cases, patients had less than 4 prenatal
consultations and were referred in peripartum (56.6%) for pre-eclampsia (14%),
post-term pregnancy (11.8%), dystocia (10.5%). Eighty-six point nine percent
(86.9%) of the referred patients were able to deliver during their stay in the
department, of which 61.7% had vaginal deliveries. The maternal and perinatal
mortality rates were 0.7% and 14.9%, respectively. Conclusion: Obstetric referrals to Kara University Hospital are
frequent during the perpartum period and are often carried out by motorbike.