Author(s)

Sitapha Dembele^1*, Mahamadou Diassana¹, Ballan Macalou¹, Alima Sibibe², Albachar Hamidou², Daouda Fomba¹, Mamadou Haidara³, Famakan Kane⁴, Cheickna Sylla⁵, Amadou Bocoum⁵, Sanogo Siaka Amara⁵, Soumaila Traoré⁶

¹Department of Gynecology and Obstetrics of the Fousseyni DAOU Hospital, Kayes, Mali.
²Kayes Reference Health Centre, Kayes, Mali.
³Reference Health Center of Kalaban-Coro, Bamako, Mali.
⁴Bla Reference Health Centre, Ségou, Mali.
⁵Department of Gynecology and Obstetrics of the CHU GABRIEL TOURE, Bamako, Mali.
⁶Department of Gynaecology and Obstetrics of the Regional Hospital of SIKASSO, Bamako, Mali.

Introduction: The World Health Organization estimates that each year more than 20 million women suffer from the after-effects of unattended childbirth, of which 800 women die every day as a result of obstetric complications. Objective: Study the socio-epidemiological aspects and prognosis of unassisted deliveries arriving at the Fousseyni Daou De Kayes hospital. Materials and Methods: This was a descriptive, cross-sectional study with prospective collection, case-control that took place at the maternity ward of the Fousseyni Daou hospital in Kayes, from 1 January to 31 December 2021. Results: The frequency of unattended birth was 4.1%. The 30 - 35 age group was the most represented with 32.5%. In our study 58.1% of cases were out of school, 19.4% were primigestes and 39.4% were multiparous. In our series 60.6% of cases had given birth at home and 39.4% along the way. The majority of cases regretted having given birth without the assistance of qualified personnel in 45.6%. Maternal complications were dominated by perineal lesions in 14.4% of cases, haemorrhage of delivery in 25% of cases, severe anaemia in 30% of cases; 16.7% of newborns were in poor condition, 13.6% were fresh stillbirths, 15.6% of newborns had obstetric trauma. The maternal death rate on arrival was 3%. Conclusion: The frequency of unassisted childbirth is high in the Kayes region. Its complications can be serious for both the mother and the newborn.

Childbirth, Unassisted, Prognosis, Complications, Kayes

Dembele, S. , Diassana, M. , Macalou, B. , Sibibe, A. , Hamidou, A. , Fomba, D. , Haidara, M. , Kane, F. , Sylla, C. , Bocoum, A. , Amara, S. and Traoré, S. (2023) Socio-Epidemiological Aspects and Prognosis of Unassisted Deliveries Arriving at Fousseyni Daou Hospital in Kayes. Open Journal of Obstetrics and Gynecology, 13, 360-371. doi: 10.4236/ojog.2023.132035.