TITLE:
Influence of Prenatal Surveillance on Maternal and Perinatal Prognosis: A Prospective Study over 6 Months at the Maternity Ward of the Owendo University Hospital (Gabon)
AUTHORS:
Boniface Sima Ole, Sidy Gérard Mba Edou, Ulysse Minkobam, Désire Assoume, Ophélie Makoyo Komba, Nathalie Ambounda, Pamphile Assoumou, Jacques Albert Bang Ntamack, Sosthène Mayi Tsonga, Jean François Meye
KEYWORDS:
ANC, Insufficiency, Maternal Pathologies, Perinatal Death, Gabon
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.2,
February
29,
2024
ABSTRACT: Introduction: The occurrence of pregnancy in women is a risky situation. Prenatal
care is necessary, which is not often the case in our context. Aim: To
analyze the influence of antenatal surveillance on maternal and perinatal
prognosis. Patients and Method: Preliminary longitudinal and analytical
survey at the Owendo University Hospital (OHU) over 6 months. It focused on
prenatal surveillance. The study population consisted of parturients who gave
birth within 24 hours and we studied sociodemographic characteristics,
variables related to antenatal contact, those of delivery as well as maternal
and newborn outcomes. Results: 2485 deliveries were recorded and 1300
patients were retained according to the inclusion criteria. No prenatal contact
(ANC0) was performed in 93 (7.15%), insufficient (ANCI) in 943 patients
(72.5%), and sufficient (ANCS) in 264 patients (20.30%). Patients with low
school level were significantly found when the NPC was not performed or
insufficient and the same was true for the group of patients who were not
employed and those who were single (p Conclusion: The quality
of prenatal contact is insufficient in our context. The absence or inadequacy
of the latter has a strong negative impact on maternal and perinatal morbidity
and mortality.