Epidemiology, the Main Reasons and Maternal-Fetal Complications of Unassisted Childbirth in the Health District of V Bamako Commune, Mali

• 作者: Alou Samaké Amadou Bocoum Amadou Ingré Dolo Cheickna Sylla Fatoumata Keita Ibrahima Tegueté Mamadou Traoré Niani Mounkoro Rokiatou Torian Sangaré Saleck Doumbia Seydou Fané Soumana Oumar Traoré Youssouf Traoré
• 来源期刊: 妇产科期刊(英文)
• 学科: 数学
• 关键词: CHILDBIRTH Unsured REASONS
• 年，卷（期）: 2020,（10）
• 页码范围: 1381-1395
• 页数: 15页
• 分类号: O17

摘要

<strong>Objective:</strong><a name="_Hlk48773006"></a><span style="font-family:Verdana;"> To describe the epidemiological aspects, to determine the reasons leading women to give birth outside of health facilities and to determine the maternal prognosis.</span><span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> This was a cross-sectional, analytical, quantitative and qualitative descriptive study over a period from 1 June to 31</span><span style="font-family:""> </span><span style="font-family:Verdana;">December 2016 (7 months) on </span><span style="font-family:Verdana;">unassisted childbirth</span><span style="font-family:Verdana;"> in the health district of commune V of Bamako.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><b><span style="font-family:""> </span></b><span style="font-family:Verdana;">We recorded 70 unsured deliveries, a frequency of 1.04% out of a total of 6719 deliveries. The extreme ages were 15 years and 41 years with an average age of 28 years. 90% of the birth attendants were married and 10% were single. The women's profession: 48% were housewives, 11% saleswomen, 13% hairdressers, 4% female teachers. Education level: 71% were uneducated and 29% educated. Among those who are educated, their level was primary in 50%, secondary in 32% and higher in 18%. 42% had done antenatal consultation. The main reasons: ignorance of work 44.3%;religious beliefs and societal burdens 10.0%;fear of caesarean section 4.3%;late-night birth labour 5.7%;lack of financial and/or transport means 17.1%</span><span style="font-family:Verdana;">;</span><span style="font-family:Verdana;"> distance from the locality 2.9%;insecurity 2.9%. Maternal and perinatal prognosis: complications were mostly hemorrhagic and concerned 27 (39%) patients. These included uterine atony (13 cases), placental retention (8 cases), soft part lesions (6 cases). We have not recorded any m