TITLE:
Maternal and Fetal Prognosis of Evacuated Parturients in N’Djamena Mother and Child Hospital (Chad)
AUTHORS:
Lhagadang Foumsou, Bray Madoué Gabkika, Foba Kheba, Sadjoli Damthéou, Salathiel Djongali
KEYWORDS:
Maternal and Fetal Prognosis, Evacuated Parturients, Obstetric Complications, Mother and Child Hospital, N’Djamena, Chad
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.3,
March
11,
2021
ABSTRACT: Introduction: All pregnant women are at risk of obstetric
complications leading to high fetal-maternal mortality and
morbidity. The aim of this work was to evaluate the maternal and fetal
prognosis of evacuated parturients. Patient and Method: we conducted a prospective analytical survey for four months, from
April 1st to July 31st, 2018 in the Maternity of N’Djamena
Mother and Child Hospital about the maternal and fetal prognosis of evacuated
parturients. Any parturient evacuated or referred for obstetric complications
was included. Study parameters were epidemiological, clinical, para-clinical,
therapeutic and prognosis order. These parameters were analyzed in the SPSS 18
French version software. Results: Evacuated parturients represented 20% of maternity admissions. The
average age was 23.9 years, with extremes ranging from 15 and 43 years. They
were uneducated in 72.9%, primiparous in 46.8% of cases. The three delays were
dominated by the 1st delay, which represented 34.1% of cases. In
this series, 26.3% parturients had presented obstetric complications. Preruptive syndrome was the most common
complication with 29.3% cases. Predisposing factors to maternal-fetal
complications were low attendance antenatal care, late evacuation and distance
travelled. The maternal mortality rate was
3%. Fetal complications were observed in 28.3% of cases and the neonatal
mortality rate was 24.6%. Conclusion: The maternal and fetal complications
of evacuated parturients are a real public health problem in our
regions. The suppression of delays, capacity reinforcement of peripheral
maternity and the periodic recycling peripheral centers to recognize obstetric emergencies will contribute to improve
the maternal and fetal prognosis of evacuated parturients.