Pregnancies without Prenatal Care in the Health District of Commune V in Bamako: Obstetrical Prognosis

• 作者: Bocoum Amadou Dolo Amadou Ingré Doumbia Saleck Fané Seydou Kéita Fatoumata Mounkoro Niani Samaké Alou Sangaré Rokiatou Toriane Sylla Cheickna Tégueté Ibrahima Traoré Mamadou Traoré Soumana Oumar Traoré Youssour
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: Absence of Prenatal Follow-Up Obstetrical Prognosis
• 年，卷（期）: fckqkyw_2020,（8）
• 页码范围: 1086-1092
• 页数: 7页
• 分类号: R71

摘要

<strong>Summary:</strong><span style="font-family:""><span style="font-family:Verdana;"> We attempted to determine the obstetric prognosis of women without antenatal care in the Health District of Commune V of Bamako, Mali. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> We undertook this retrospective case-control study from January 1 to March 31, 2017. Of all women having given birth to during this period in this district, we compared characteristics and obstetric outcomes between women without antenatal care (study group) vs. those with antenatal care (age/parity matched control). </span><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;">: 13.8% of women were without antenatal care (23.45 ± 9.56 years of age: 13 - 42). Study group (without antenatal care), compared with control, was significantly more likely to be household helpers (OR = 2.5 [2.0 - 3.4]) and single (OR = 2.3 [1.8 - 2.8]). Study group women were more significantly likely to have the following </span><span style="font-family:Verdana;">poor obstetric outcomes: premature rupture of the membranes, post-maturity, </span><span style="font-family:Verdana;">low birth weight, hypertensive disorders of pregnancy, uterine rupture, fetal death, anemia, fetal malposition, cesarean section, postpartum hemorrhage, puerperal infection and maternal death. Study group showed a higher risk of early neonatal death, low Apgar score, and transfer to Neonatology institute. </span><b><span style="font-family:Verdana;">Conclusion</span></b><span style="font-family:Verdana;">: In accordance with the previous reports in any other countries, no prenatal checkup causes higher poor outcome of both mothers and infants/neonates also in this area.</span></span>