TITLE:
Febrile Conditions in Pregnant Women at the Selingue Reference Health Center
AUTHORS:
Cheick Oumar Kamissoko, Coulibaly Moustapha, Camara Daouda, Diakité Sounkalo, Keita Kaly, Diarra Ibrahima, Sangaré Younoussa, Drago Amadou, Berthé Amadou, Tapily Hassana, Tall Mohamed, Traoré Youssouf
KEYWORDS:
Fever, Pregnancy, Maternal-Fetal Prognosis, Sélingué
JOURNAL NAME:
Open Access Library Journal,
Vol.11 No.7,
July
31,
2024
ABSTRACT: Introduction: Pregnancy is a semi-allogeneic transplant which results in an increased susceptibility of the pregnant woman to infections. Fever, whatever its etiology, can cause complications for the mother and the fetus. In the absence of a previous study report, we initiated this study to make our contribution to the reduction of maternal and neonatal morbidity and mortality in Mali. Our study aimed to study febrile conditions in pregnant women admitted for consultation at the Sélingué Reference Health Center (CSRéf) in order to determine the etiologies and the feto-maternal prognosis. Methods: This was a descriptive cross-sectional study involving six thousand pregnant women admitted to the CSRéf de Sélingué from January 1 to December 31, 2018. Proportions, and mean ± standard deviation were calculated using Epi Info 7.2.5. Results: We found 100 reported cases of fever, representing a prevalence of 1.67%. The majority of pregnant women were housewives with 70.41% and 80% were married. The main reasons for consultation were fever in all patients and urinary problems in 57% of patients. Malaria remains the dominant febrile pathology (43%) followed by pyelonephritis (21%) and salmonellosis (6%). Six cases of HIV/AIDS disease were diagnosed. Anemia was the main maternal complication with 4% of cases. Prematurity 13%, fetal death in utero 6% and fetal hypotrophy 3% were the main fetal complications. Conclusion: Febrile states during pregnancy are common, the main etiologies are dominated by malaria and urinary infection. The maternal-fetal prognosis is marked by significant maternal-fetal morbidity. We recommend that providers educate pregnant women about the early use of prenatal consultation services.