TITLE:
Pregnancies without Prenatal Care in the Health District of Commune V in Bamako: Obstetrical Prognosis
AUTHORS:
Traoré Soumana Oumar, Sylla Cheickna, Samaké Alou, Doumbia Saleck, Bocoum Amadou, Fané Seydou, Sangaré Rokiatou Toriane, Kéita Fatoumata, Tégueté Ibrahima, Traoré Youssour, Mounkoro Niani, Traoré Mamadou, Dolo Amadou Ingré
KEYWORDS:
Absence of Prenatal Follow-Up, Obstetrical Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.8,
August
24,
2020
ABSTRACT: Summary: We attempted to determine the obstetric prognosis of women without
antenatal care in the Health District of Commune V of Bamako, Mali. Materials
and Methods: We undertook this retrospective case-control study from
January 1 to March 31, 2017. Of all women having given birth to during this
period in this district, we compared characteristics and obstetric outcomes
between women without antenatal care (study group) vs. those with antenatal
care (age/parity matched control). Results: 13.8% of women were without
antenatal care (23.45 ± 9.56 years of age: 13 - 42). Study group (without
antenatal care), compared with control, was significantly more likely to be
household helpers (OR = 2.5 [2.0 - 3.4]) and single (OR = 2.3 [1.8 - 2.8]).
Study group women were more significantly likely to have the following poor obstetric outcomes: premature rupture of the
membranes, post-maturity, low birth weight, hypertensive disorders of
pregnancy, uterine rupture, fetal death, anemia, fetal malposition, cesarean
section, postpartum hemorrhage, puerperal infection and maternal death. Study
group showed a higher risk of early neonatal death, low Apgar score, and
transfer to Neonatology institute. Conclusion: In accordance with the
previous reports in any other countries, no prenatal checkup causes higher poor
outcome of both mothers and infants/neonates also in this area.