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Aabstract


Research Article

The Prognosis of Obstetric Evacuation in Rural Areas in Senegal, Example of Ourossogui Rural Hospital

Diallo D, Thiam O, Toure FB, Konate D and Cisse ML

Correspondence Address :

Ousmane Thiam
Assistant Professor Training Unit in Health Science University
Gaston Berger of Saint Louis. Universite Gaston Berger
Senegal
Tel: 00221775085071
E-mail: cassoumane@yahoo.fr

Received on: October 08, 2018, Accepted on: October 22, 2018, Published on: October 29, 2018

Citation: Diallo D , Thiam O, Toure FB, Konate D, Cisse ML (2018). The Prognosis of Obstetric Evacuation in Rural Areas in Senegal, Example of Ourossogui Rural Hospital

Copyright: 2018 Ousmane Thiam, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Objectives: to describe the epidemiological and clinical profile of the evacuated patients, to analyze the means of evacuation as well as the cost of the evacuation, and finally, to evaluate the maternal-fetal prognosis of the evacuated patients.
Material and methods: we carried out a prospective study going from January to December 2015 covering all obstetric emergencies evacuated at the Ourossogui maternity ward. Study variables: epidemiological; evacuation conditions, diagnostic and therapeutic aspects and prognostic aspects.
Results: The frequency of obstetric evacuation was 66.2%. Our patients were primiparous (39.2%), out of school (85.6%), married (97.7%), low income (94.7%) with an average age of 24.8 years. The average number of CPNs was 2.6. More than one in three women had 4 CPNs or more (33.6%). The distance traveled averaged 45.6 km with extremes of 1 to 160 km. The ambulance was used in 90% of cases. The reasons for evacuation were dominated by obstructed labor in 29.4%; hemorrhages in 26.5%. Eight
home deliveries and four en route were noted. The maternal prognosis was favorable in 98.6%. Seventeen cases of death were recorded, ie 1.4%. The child was alive and well in 83.2% and deaths accounted for 16%.
Maternal deaths most often occurred among illiterate, low-income, multi-gesting women with fewer than 4CPNs under 35 years of age who traveled long distances and were evacuated by unskilled staff.
Conclusion: Emergency obstetric evacuation represents a major challenge for the health system in the Matam region. Improvements include literacy training for the population, continuous training of health personnel and recruitment of practitioners.

Keywords: Evacuation, Emergency room, Obstetrics, Maternal-fetal prognosis