Author(s)

Kossi Edem Logbo-Akey^1*, Bassowa Akila², Kofi Mawoulé Améwouho¹, Ketevi Tina³, Yendoubé Pierre Kambote¹, Dédé Régine Diane Ajavon⁴, Baguilane Djoauguibe³, Abdoul-Samadou Aboubakari¹, Koffi Akpadza³

¹Service de Gynécologie-Obstétrique, CHU, Kara, Togo.
²Service de Gynécologie-Obstétrique, CHU Campus, Lomé, Togo.
³Service de Gynécologie-Obstétrique, CHU Sylvanus Olympio, Lomé, Togo.
⁴Service de Gynécologie-Obstétrique, CHR Tomdé, Kara, Togo.

Introduction: References are frequent and most often carried out in emergency situations. The objective of this study was to describe the epidemiological and clinical profile of obstetric referrals to the CHU-Kara. Methodology: This was a retrospective cross-sectional descriptive study conducted from September 1, 2022, to February 28, 2023, at CHU-Kara, focusing on obstetric referrals to the Gynecology-Obstetrics department. Result: 828 patients were referred for obstetric reasons out of 1295 admissions, representing a frequency of 63.9%. The average age was 25.04 years. They were primigravida (38.3%), unemployed (62.7%). Motorcycles were the main means of transportation, accounting for 53.1% of cases. The average distance to reach the referral center was 31.6 km, covered in an average of 71 minutes. In 40.7% of cases, patients had less than 4 prenatal consultations and were referred in peripartum (56.6%) for pre-eclampsia (14%), post-term pregnancy (11.8%), dystocia (10.5%). Eighty-six point nine percent (86.9%) of the referred patients were able to deliver during their stay in the department, of which 61.7% had vaginal deliveries. The maternal and perinatal mortality rates were 0.7% and 14.9%, respectively. Conclusion: Obstetric referrals to Kara University Hospital are frequent during the perpartum period and are often carried out by motorbike.

Obstetric Referral, Epidemiology, Prognosis, CHU-Kara

Logbo-Akey, K. , Akila, B. , Améwouho, K. , Tina, K. , Kambote, Y. , Ajavon, D. , Djoauguibe, B. , Aboubakari, A. and Akpadza, K. (2024) Obstetric References in Disadvantaged Environments: Case of References to the University Hospital Center of Kara, in Northern Togo. Open Journal of Obstetrics and Gynecology, 14, 267-277. doi: 10.4236/ojog.2024.142025.