Article citationsMore>>

Thiam, O., Diatta, D., Gueye, L., Sarr, C.C.T., Sow, D.B., Ndiaye, M.T., Ndiaye, F.M. and Ndiaye, M.M. (2024) Profile of Maternal Deaths Recorded in Eight Health Structures in the Saint-Louis Medical Region (January 2017-December 2021). Journal de la Sago, 25, 39-43.

has been cited by the following article:

• TITLE: Emergency Obstetric and Neonatal Care (EmONC) in Rural Senegal

  AUTHORS: Ousmane Thiam, Lamine Gueye, Moussa Diallo, Cherif Cheikh Tourade Sarr, Djibryl Bahaid Sow

  KEYWORDS: Emergency Obstetric Care, Maternal and Fetal Mortality

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.15 No.10, October 17, 2025

  ABSTRACT: Objectives: The aim of our study was to evaluate the emergency obstetric care in a maternity peripheral and analyze trends evolving in order to offer solutions to improve the quality of care. Material and Methods: Our study was part of the Centre Regional Hospital of Saint-Louis, located at 270 km from Dakar in the region of Saint Louis in northern Senegal. This was a retrospective longitudinal descriptive study from 1 January 2011 to 31 December 2024, a period of 15 years. It took into account all patients who underwent surgical or obstetrical procedure performed as an emergency. Results: We recorded 67,996 deliveries with a monthly average of 4533. Stillbirth decreased by 43%. The number of cesarean deliveries was 15,633 with a rate of 23%, dominated by caesarean compulsory in 60% of care in 33% and 7% in need. Evacuations represented 23% of obstetric admissions. We identified 302 cases of maternal deaths or 20 cases per year. The maternal mortality rate was 503 for 100,000 Live Births. 78% of cases were direct causes and 22% were indirect. Conclusion: The results of this study confirm a fact: the regional hospital Saint-Louis of its geographical position is a reference center in the north of Senegal device. EmONC’s availability has improved indicators in maternal and newborn health in the area. So, it is important to emphasize the need for decentralization of obstetric-surgical periphery.