Management of Obstetric Emergencies in a Tertiary Hospital in Cameroon: A Milestone for End of Preventable Maternal Deaths

• 作者: Alphonse Nyong Ngalame André Gaetan Simo Wambo Darolles Mwadjie Wekam Diane Estelle Kamdem Dominique Djomo Tamchom Emile T. Mboudou Félix Adolphe Elong Humphry Neng Tatah Inna Rakya Julie Ngo Batta Moustapha Bilkissou Robert Tchounzou Theophile Nana Njamen Vanessa Baleba
• 来源期刊: 妇产科期刊(英文)
• 学科: 数学
• 关键词: Obstetric Emergencies Tertiary Hospital Maternal Outcome Maternal Death
• 年，卷（期）: 2020,（12）
• 页码范围: 1749-1762
• 页数: 14页
• 分类号: O17

摘要

<strong>Background:</strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;">Maternal mortality was insufficiently reduced in Cameroon in 2015 despite the adoption of Millennium development goals. To tackle the situation and meet the sustainable Millennium goals target of 140/100,000 live births by 2030, the Government adopted the strategies of building reference hospitals where high quality obstetric care, timely and optimal management of obstetric emergencies will be offered.</span><span style="font-family:;" "=""> </span><b><span style="font-family:Verdana;">The objective </span></b><span style="font-family:;" "=""><span style="font-family:Verdana;">of this study was </span><span><span style="font-family:Verdana;">to describe the patterns of obstetric emergencies in </span><b><span style="font-family:Verdana;">Douala Gynaeco-obstetric</span></b></span><b><span style="font-family:Verdana;"> and Paediatric Hospital</span></b><span style="font-family:Verdana;">, evaluate the outcomes of their management and the contribution to maternal mortality.</span></span><span style="font-family:;" "=""> </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> 418 patients with obstetric emergencies were included in a two</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">phase cross</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">sectional study. Data were retrieved from patients’ case notes during the retrospective phase and a questionnaire filled for each case received during the prospective phase. Patterns of obstetric emergencies were determined and for each, the following were analysed: patient managed in this hospital or referred from other hospital</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;">, management according to hospital guidelines, timing of care, result of management (recovery wit