TITLE:
Analysis of Patient Evacuations at the Centre Hospitalier Universitaire Communautaire (CHUC), Central African Republic
AUTHORS:
Gertrude Rose de Lima Kogboma Wongo, Thibaut Boris Clavaire Songo-Kette Gbekere, Jean-Paul Dondo-Fongbia, Alida Koirokpi, Siméon Matoulou-M’bala, Hermann Deguene, Alexandre Manirakiza, Norbert Richard Ngbale, Abdoulaye Sépou
KEYWORDS:
Obstetrical Complications, Referral System, Counter-Referral, Bangui
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.1,
January
9,
2025
ABSTRACT: Obstetric complications are the main cause of mortality and morbidity. Many factors limit women’s access to the quality care they need to reduce this mortality. We proposed to analyse our referral system to identify certain factors that may limit its proper functioning and contribute to maternal deaths. This was a 12-month descriptive and analytical cross-sectional study of 259 evacuated women. The average age was 28.8 ± 7 with extremes ranging from 15 to 44 years. Most of the women were single (81.5%), accompanied by medical staff (78.8%), and had a venous approach (81.9%). The means of transfer used were ambulance (78.8%) and motorbike (11.6%). The transfer time was less than one hour (40.9%). The reasons for referral were consistent with the definitive diagnoses (64.5%) and diagnostic errors were noted (35.5%). The majority of patients were treated surgically (77.6%). We recorded maternal death (7.7%), due to unqualified personnel, transfer time, and poor general and haemodynamic condition (P