TITLE:
Impact of Quality of Care at Delivery on Maternal and Neonatal Morbidity and Mortality in a Referral Facility: The Case of the Coronthie Municipal Medical Center, Conakry, Guinea
AUTHORS:
Boubacar Alpha Diallo, Ibrahima Conte, Oumou Hawa Bah, Ibrahima Sory Sow, Aissatou Oury Souaré, Daniel Athanas Leno, Telly Sy, Namory Keita
KEYWORDS:
Childbirth, Impact, Quality of Care, Prognosis, Mortality
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.2,
February
27,
2025
ABSTRACT: Introduction: In Africa, care during childbirth depends on routine practices to the detriment of quality. The aim of this study was to assess the quality of delivery care at the Coronthie CMC. Methods: The study was carried out at the Coronthie Community Medical Center. It was a cross-sectional, descriptive and analytical study lasting 6 months, from July 01 to December 31, 2021. Parturients whose term was ≥28 SA and who agreed to participate in the study were included. Excluded were those with a term Results: The frequency of quality care is 36.7%. The average age of parturients was 28.6 ± 5 years. Most parturients (89.7%) were married women with secondary education (35%) and self-employed (32%). Pauciparous women accounted for 43.80%, and most parturients (59.8%) were delivered by Caesarean section. We found that 21.5% of parturients had developed complications. These complications were perineal trauma and post-partum haemorrhage. There were no maternal deaths, and the neonatal mortality rate was 20/1000 NV. Acute fetal distress was the main cause of perinatal death. Conclusion: Correct management of factors influencing childbirth could improve maternal and neonatal prognosis.