TITLE:
The Maternal Deaths at the Obstetrics and Gynaecology Department of the Ignace Deen National Hospital, University Teaching Hospital (CHU) Conakry, Guinea
AUTHORS:
Boubacar Siddi Diallo, Mamadou Hady Diallo, Ousmane Balde, Ibrahima Sylla, Ibrahima Conte, Abdourahmane Diallo, Oumou Hawa Bah, Saran Camara, Ibrahima Sory Balde, Telly Sy, Yolande Hyjazi, Namory Keita
KEYWORDS:
Review, Maternal Deaths
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.5,
May
13,
2019
ABSTRACT: Objectives: 1) To calculate the ratio of maternal mortality. 2)
To describe the socio-demographic characteristics of deceased patients. 3) To
identify the main causes of maternal deaths. Methodology: This was a
retrospective study of the 12-month period from January 1st to
December 31st, 2015 performed at the Gynaecology Obstetrics Department of the Ignace Deen National
Hospital, Conakry, Guinea. The study
included women who died during pregnancy, childbirth, and in its peripheries
according to WHO’s maternal death report. Results: We collected 38 cases
of maternal deaths out of 4404 live births, accounting a ratio of 863 per
100,000 live births. The socio-demographic characteristics of these 38 patients
were: 20 - 24 years of age (26%), married (78%), housewives (37%), students (44%),
and nulliparous (29%), no prenatal follow-up (47%), and home-birth (49%). The 1st and 3rd type of delay amounted for 40% and 53%, respectively. Patients consulted after 12
hours after symptom-onsets accounted 47%, whereas those before 6 hours accounted
for 19%, suggesting the delay of first medication. The final diagnosis and
diagnosis at admission coincided in 69% of cases. The emergency kit was
available for all. The opinion of a specialist was available in 16 patients.
Blood was available in 40% of the patients who required it. Death caused by
conditions directly related to pregnancy/delivery accounted for 71%. Haemorrhage
was the most frequent cause of death. Death occurred within the first 24 hours
of admission in 73% of cases. Conclusion: We
here shed light on the maternal death in this area. Although we did not
demonstrate the method/procedure to reduce this high rate of maternal
mortality, the present study may provide a fundamental data to reduce maternal
death in this area.