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Obstetrical Emergencies: Clinic and Management at the Ignace Deen Maternity Hospital of the Conakry University Hospital Centre (Guinea)

Received: 21 September 2023     Accepted: 10 October 2023     Published: 28 October 2023
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Abstract

Introduction: the objectives of this study were to calculate the frequency, describe the clinic and management of obstetric emergencies in the maternity ward of the Ignace Deen national hospital. Methods: this was a prospective cross-sectional descriptive study lasting 6 months, from 1 January to 30 June 2019, covering all patients treated for obstetric emergencies in the maternity ward of the Ignace Deen National Hospital during the study period. Results: Obstetric emergencies accounted for 30.48% of consultations during the study period. The average age of patients was 26.30 years, with extremes of 15 and 45 years. Nulliparous women were the most represented with a rate of 34.73%. Emergencies occurred in full-term pregnancies in 71.29% of cases. Acute foetal distress and arterial hypertension and its complications were the main obstetric emergencies encountered, with proportions of 22.65% and 21.36% respectively. Treatment was surgical in 82.73% of cases. Maternal mortality was 5% and foetal mortality 30%. Conclusion: Obstetric emergencies are frequent in our working environment and are the cause of several maternal and perinatal deaths. Measures must be taken to improve monitoring of pregnancies and childbirth, which would make it possible to avoid most obstetric complications.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 5)
DOI 10.11648/j.jgo.20231105.14
Page(s) 125-129
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Emergency, Pregnancy, Clinic, Care, Ignace Deen

References
[1] Mutombo CK, Mukandila AM, Mikenji JB. Profile and prognosis of obstetric emergencies in the labour ward of the Bonzola Maternity Hospital in Mbujimayi. Mali Med. 2015; 30 (4): 65-73.
[2] Mustafa Adelaja L, Olufemi Taiwo O. Maternal and Fetal Outcome of Obstetric Emergencies in a Tertiary Health Institution in South-Western Nigeria. ISRN Obstetrics and Gynecology Volume 2011, Article ID 160932, 4 pages doi: 10.5402/2011/160932.
[3] Tang H. J, Kaliti C, Bengtson A, Hayat S, Chimata E, Macleod R et al. Improvement and reteention of emergency obstetrics and neonatal care know ledge and skills in hospital mentoship program in lilongwe, Malawi. HHS public Access. 2016; 132 (2): 240-243.
[4] Walker D, Cohen S, Fritz J, Olvera M, Lamadrid-Figueroa H, Greerberg Cowan J et al. Team training in obstetric and neonatal emergencies using highly realistic simulation in Mexico: Impact on process indicators. BioMed Central. 2014; 14: 367-78.
[5] Fritz J, Lamadrid-Figueroa H, Angeles G, Montoya A, Walker D. Health providers pass knowledge and abilities acquired by training in obstetric emergencies to their peers; the average treatment on the treated effect of PRONTO on delivery attendance in Mexico. BioMed Central pregnancy childbirth. 2018; 18: 232-40.
[6] Zongo A, Traore M, Faye A, Gueye M, Fourmier P, Dumont A. Effect of the organisation of gynaeco-obstetric services on in-hospital maternal mortality in Mali. Journal of epidemiology and public health. 2012; 60: 265-75.
[7] Walker D. M, Holme F, Zelek S. T, Olvera-Garcia M, Montoya-Rodriguez A, Fritz J et al. A process evaluation of PRONTO simulation training for obstetric and neonatal emergency response teams in Guatemala. BioMed Central Medical education. 2015; 15: 117-25.
[8] Rémy B B. Evaluation of gynaecological and obstetric emergencies at the Saint François hospital in Tshimbulu. Revue médicale des grands lacs. 2019; 10 (01): 13-18.
[9] Keita M, Tall F K, Dicko H, Beye S A, Fomba S, Traoré S et al. Evaluation of the management of medical, surgical and obstetric emergencies at the Niono referral health centre, Mali. Rev Afr Anesth Med Urg. 2019; 24 (2): 28-35.
[10] Diallo B S, Balde I S, Conté I, Diallo M H, Balde O, Sylla I et coll. Care taking of obstetric Emergencies in the Department of gynaecology and obstetrics at Donka National Hospital, University Teaching Hospital (CHU) of Conakry, Guinea. Open Journal of Obstetrics and Gynecology. 2019; 9: 604-11.
[11] Lokossou M. S. H, Ogoudjobi O. M, Tognifode V, Adisso S, Ali A et al. Aetiologies of obstetric emergencies in the maternity ward of the departmental university hospital of Ouémé-plateau (CHUDOP) in Benin. Journal of the biological and clinical society. 2016; 27: 52-58.
[12] Tomato Bagnan J. A, Lokoussou M. S. H. S, Aguemon T. C, Yessoufou M. M. A. O, Adisso S, Lokossou A et al. Obstetrical emergencies at the gynaecology and obstetrics university clinic (CUGO) of the Hubert Koutoucou Maga national hospital and university centre (CNHU-HKM) in Cotonou: epidemiological and prognostic aspects. Journal de la SAGO. 2017; 2 (18): 1-10.
[13] Tchaou, B. A., Hounkponou, N. F. M., Salifou, K., Zoumenou, E. and Chobli, M. (2015) Obstetric emergencies at Parakou University Hospital in Benin: Clinical, therapeutic and evolutionary aspects. European Scientific Journal, 11, 260-272.
[14] Samaké, A., Traore, S. O., Keita, M., Doumbia, S., Diallo, M., Konaté, M., Diarra, L., Maiga, M., Traoré, O. M., Traoré, M. A., Diakité, N., et al. (2020) Les évacuations sanitaires obstétricales dans un Hôpital de deuxième niveau de référence du district de Bamako. Health Sciences and Disease, 21, 96-99.
[15] Diallo MH, Diallo F, Keita M, Baldé D, Barry A, Baldé et al (2021) Gynecological and obstetric emergencies at the university gyneacology-obstetrics clinic of the Donka Guinea national hospital. Open Journal of Obstetrics and Gynecology, 11, 1862-1874. doi: 10.4236/ojog.2021.1112173.
[16] Maleya A, Kakudji K. Y, Mwazaz R. M, Nsambi B. J, Ngwej I. H, Mukuku O et al. Maternal-foetal outcomes of unattended pregnancies in Lubumbashi, Democratic Republic of Congo. Pan African Medical Journal. 2019; 33: 66-71.
[17] Accorsi S, Somigliana E, Solomon H, Ademe T, Woldegebriel J, Almaz B et al. Cost-effectiveness of an ambulance-based referral system for emergency obstetrical and neonatal care in rural Ethiopie. Bio Med Central pregnancy and childbirth. 2017; 17: 220-27.
[18] Ouattara A, Ouedraogo C M, Ouedraogo A, Lankoande J. Referrals and obstetric evacuations in the context of the emergency obstetric and neonatal care subsidy: Epidemiological, clinical and prognostic aspects over a thirty-six month period at the CHU yalgado in Ouagadougou. Tropical Medicine and Health. 2015; 25: 403-07.
[19] Fouelifack F Y, Fouedjio J H, Fortune N, Tebeu P M, Fouelifa L D, Fouogue T. Therapeutic itinerary of women arriving with uterine rupture at the Yaoundé Central Hospital. Journal of medicine and health sciences. 2019; 20 (1): 39-45.
[20] Kazi S. Emergency peripartum hysterectomy: A great obstetric challenge. Pak J Med Sci. 2018; 34 (6): 1567-70.
[21] Kinenkinda X, Mukuku O, Chenge F, Kakudji P, Banzulu P, Kakoma J. B et al. Caesarean section in Lubumbashi, Democratic Republic of Congo I: frequency, indications and maternal and perinatal mortality. Pan African Medical Journal. 2017; 27: 72-82.
[22] Mbachu I, Ezeama C, Osuagwu K, Umeononihu O S, Obiannika C, Ezeama N. A cross sectional study of maternal near miss and mortalyty at a rural tertiary centre in southen Nigeria. BioMed Central Pregnancy and Childbirth. 2017; 17: 252–58.
[23] Diallo M, Gassama O, Diarra Ndiaye M, Gueye M, Diallo A. C. N, Mbodji A et al. Audit of obstetric medical evacuations at Diop Youssou Mbargane Hospital in Rufisque, Dakar-Senegal. Open journal of obstetrics and gyneacology, 2019; 9: 1092-102.
Cite This Article
  • APA Style

    Conté Ibrahima, Diallo Abdourahamane, Diallo Boubacar Siddi, Sylla Ibrahima, Yansané Fatoumata, et al. (2023). Obstetrical Emergencies: Clinic and Management at the Ignace Deen Maternity Hospital of the Conakry University Hospital Centre (Guinea) . Journal of Gynecology and Obstetrics, 11(5), 125-129. https://doi.org/10.11648/j.jgo.20231105.14

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    ACS Style

    Conté Ibrahima; Diallo Abdourahamane; Diallo Boubacar Siddi; Sylla Ibrahima; Yansané Fatoumata, et al. Obstetrical Emergencies: Clinic and Management at the Ignace Deen Maternity Hospital of the Conakry University Hospital Centre (Guinea) . J. Gynecol. Obstet. 2023, 11(5), 125-129. doi: 10.11648/j.jgo.20231105.14

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    AMA Style

    Conté Ibrahima, Diallo Abdourahamane, Diallo Boubacar Siddi, Sylla Ibrahima, Yansané Fatoumata, et al. Obstetrical Emergencies: Clinic and Management at the Ignace Deen Maternity Hospital of the Conakry University Hospital Centre (Guinea) . J Gynecol Obstet. 2023;11(5):125-129. doi: 10.11648/j.jgo.20231105.14

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  • @article{10.11648/j.jgo.20231105.14,
      author = {Conté Ibrahima and Diallo Abdourahamane and Diallo Boubacar Siddi and Sylla Ibrahima and Yansané Fatoumata and Bah Ibrahima Koussy and Baldé Ibrahima Sory and Sy Telly},
      title = {Obstetrical Emergencies: Clinic and Management at the Ignace Deen Maternity Hospital of the Conakry University Hospital Centre (Guinea)
    
    	
    },
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {5},
      pages = {125-129},
      doi = {10.11648/j.jgo.20231105.14},
      url = {https://doi.org/10.11648/j.jgo.20231105.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231105.14},
      abstract = {Introduction: the objectives of this study were to calculate the frequency, describe the clinic and management of obstetric emergencies in the maternity ward of the Ignace Deen national hospital. Methods: this was a prospective cross-sectional descriptive study lasting 6 months, from 1 January to 30 June 2019, covering all patients treated for obstetric emergencies in the maternity ward of the Ignace Deen National Hospital during the study period. Results: Obstetric emergencies accounted for 30.48% of consultations during the study period. The average age of patients was 26.30 years, with extremes of 15 and 45 years. Nulliparous women were the most represented with a rate of 34.73%. Emergencies occurred in full-term pregnancies in 71.29% of cases. Acute foetal distress and arterial hypertension and its complications were the main obstetric emergencies encountered, with proportions of 22.65% and 21.36% respectively. Treatment was surgical in 82.73% of cases. Maternal mortality was 5% and foetal mortality 30%. Conclusion: Obstetric emergencies are frequent in our working environment and are the cause of several maternal and perinatal deaths. Measures must be taken to improve monitoring of pregnancies and childbirth, which would make it possible to avoid most obstetric complications.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Obstetrical Emergencies: Clinic and Management at the Ignace Deen Maternity Hospital of the Conakry University Hospital Centre (Guinea)
    
    	
    
    AU  - Conté Ibrahima
    AU  - Diallo Abdourahamane
    AU  - Diallo Boubacar Siddi
    AU  - Sylla Ibrahima
    AU  - Yansané Fatoumata
    AU  - Bah Ibrahima Koussy
    AU  - Baldé Ibrahima Sory
    AU  - Sy Telly
    Y1  - 2023/10/28
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    N1  - https://doi.org/10.11648/j.jgo.20231105.14
    DO  - 10.11648/j.jgo.20231105.14
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 125
    EP  - 129
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231105.14
    AB  - Introduction: the objectives of this study were to calculate the frequency, describe the clinic and management of obstetric emergencies in the maternity ward of the Ignace Deen national hospital. Methods: this was a prospective cross-sectional descriptive study lasting 6 months, from 1 January to 30 June 2019, covering all patients treated for obstetric emergencies in the maternity ward of the Ignace Deen National Hospital during the study period. Results: Obstetric emergencies accounted for 30.48% of consultations during the study period. The average age of patients was 26.30 years, with extremes of 15 and 45 years. Nulliparous women were the most represented with a rate of 34.73%. Emergencies occurred in full-term pregnancies in 71.29% of cases. Acute foetal distress and arterial hypertension and its complications were the main obstetric emergencies encountered, with proportions of 22.65% and 21.36% respectively. Treatment was surgical in 82.73% of cases. Maternal mortality was 5% and foetal mortality 30%. Conclusion: Obstetric emergencies are frequent in our working environment and are the cause of several maternal and perinatal deaths. Measures must be taken to improve monitoring of pregnancies and childbirth, which would make it possible to avoid most obstetric complications.
    
    VL  - 11
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Author Information
  • Department of Obstetrics and Gynaecology, Ignace Deen Hôpital National, University Hospital Centre, Conakry, Guinea

  • Department of Obstetrics and Gynaecology, Ignace Deen Hôpital National, University Hospital Centre, Conakry, Guinea

  • Department of Obstetrics and Gynaecology, Donka National Hospital, University Hospital Centre, Conakry, Guinea

  • Department of Obstetrics and Gynaecology, Ignace Deen Hôpital National, University Hospital Centre, Conakry, Guinea

  • Department of Obstetrics and Gynaecology, Ignace Deen Hôpital National, University Hospital Centre, Conakry, Guinea

  • Department of Obstetrics and Gynaecology, Ignace Deen Hôpital National, University Hospital Centre, Conakry, Guinea

  • Department of Obstetrics and Gynaecology, Ignace Deen Hôpital National, University Hospital Centre, Conakry, Guinea

  • Department of Obstetrics and Gynaecology, Ignace Deen Hôpital National, University Hospital Centre, Conakry, Guinea

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