TITLE:
Maternal-Fetal Prognosis of Obstetric Emergencies Admitted to CHU Gabriel Touré in Bamako during the Power Rationing Period from September 2023 to August 2024
AUTHORS:
Amadou Bocoum, Soumana Oumar Traoré, Mamadou Sima, Seydou Fané, Abdoulaye Sissoko, Aminata Kouma, Ibrahim O Kanté, Siaka Amara Sanogo, Cheickna Sylla, Fatoumata Bintou Konté, Youssouf Traoré, Ibrahima Teguete, Niani Mounkoro
KEYWORDS:
Electrical Rationing, Obstetric Emergencies, Maternal-Fetal Prognosis, CHU Gabriel Touré, Bamako, Mali
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.12,
December
16,
2025
ABSTRACT: Introduction: Power outages, known as electrical rationing, are frequent in Mali, particularly affecting healthcare facilities. The impact of these outages on maternal-fetal prognosis has not been sufficiently studied in Mali, which justifies this research conducted at CHU Gabriel Touré in Bamako. Objectives: The main objective of this study was to assess the impact of electrical rationing on the maternal-fetal prognosis of obstetric emergencies at CHU Gabriel Touré in Bamako, in order to formulate recommendations for improving care in a context of energy failure. Methodology: This was a cross-sectional case-control study conducted between September 2023 and August 2024. The sample included 224 patients evacuated due to power rationing and 448 controls evacuated for other medical reasons. Data were collected from medical records and consultation registers. Statistical analysis was performed using SPSS software, employing tests such as Chi² and Fisher’s exact test. Results: The study revealed that 33.3% of evacuated patients were under power rationing, with more severe complications in this group. The main indications for evacuation were labor on a scarred uterus (18.3%), malpresentations (16.5%), and acute fetal distress (9.4%). Compared to controls, patients under rationing had a much higher cesarean rate (76.7% vs. 55.4%, p Conclusion: This study demonstrates that electrical rationing exacerbates obstetric and neonatal complications, increasing the resort to cesareans and the rate of fetal distress. Although the stillbirth rate is lower in exposed cases, the lower Apgar scores indicate increased neonatal distress.