Outcome of Obstetric Referrals at the Bogodogo University Teaching Hospital: Context of Free Emergency Obstetric and Neonatal Care
Published: 2023-12-16
Page: 307-312
Issue: 2023 - Volume 6 [Issue 1]
Ouattara Adama *
Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.
Bako Lankoande Natacha
University Teaching Hospital of Bogodogo, Ouagadougou, Burkina Faso.
Tougma Sanou A.
University Teaching Hospital of Bogodogo, Ouagadougou, Burkina Faso.
Sawadogo Yobi Alexi
Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.
Kiemtoré Sibraogo
Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.
Ouédraogo Issa
Regional University Hospital, Ouahigouya, Burkina Faso.
Ouédraogo Charlemagne Marie Ragna-Newende
Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.
*Author to whom correspondence should be addressed.
Abstract
Objective: To describe the epidemiological, clinical and prognostic aspects of obstetric referrals to the University teaching Hospital Bogodogo (UTH-B) in Ouagadougou, Burkina Faso.
Materials and Methods: This was a retrospective descriptive study of obstetric referrals made by peripheral health facilities to the gynecology and obstetrics department of the Bogodogo University Hospital in Ouagadougou, Burkina Faso. The study population consisted of all patients referred from 1 January 2020 to 31 December 2022.
Results: During the study period, we recorded 9806 admissions for obstetric pathologies. Of these obstetric pathologies, 42.47% had been referred. The mean age of the patients was 26.11 years. Referred patients from health facilities in the city of Ouagadougou represented 96% of the sample. The reasons for referral were dominated by pre-eclampsia and eclampsia in 24.57% of cases. We recorded a total of 161 cases of maternal death, representing a case-fatality rate of 3.9%. Some 26.55% of newborns had been resuscitated and then referred to the neonatology department.
Conclusion: Despite the implementation of free emergency obstetric and neonatal care, the maternal and neonatal prognosis during obstetric referrals is guarded. It is important to look for other factors that worsen maternal and neonatal prognosis in order to take corrective measures.
Keywords: Referrals, prognosis, UTH-B, Ouagadougou
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References
Coulibaly A, Kouanda S, Effects of the Pregnancy and Newborn Diagnostic Assessment (PANDA) App on Antenatal Care Quality in Burkina Faso: Protocol for a Cluster Randomized Controlled Trial. JMIR Res Protoc 2023;12:e37136. DOI: 10.2196/37136. PMID: 37556195.PMCID: 10448280
Falkenhorst G, Jahn A. Qualität der schwangerenvorsoge in einem Gesundheitsdistrikt in Burkina Faso. Heidelberg, Jahrestagung der Deutschen Tropenmendizinischen Gesellschaft.
Lankoande J, Ouedraogo c, Toure B, Ouedraogo A, Dao B, Kone B. Maternal mortality in the maternity ward of the Center Hospitalier National de Ouagadougou (Burkina Faso). About 123 cases collected in 1995. Médecine d'Afrique Noire. 1998 ;45 (3).
Lankoandé J, Ouedraogo CMR, Ouedraogo A, Bouaré B, Dao B, Soudo B, Koné B. Obstetric health evacuations and fetomaternal mortality in Burkina-Faso. Med Trop. 2000;60.3.
Ouedraogo C, Zoungrana T, Dao B, Dujardin B, Ouedraogo A, Thieba B, Lankoande J, Kone B. Quality caesarean section at the Yalgado Ouédraogo Hospital in Ouagadougou. Analysis of determinants based on 478 cases collected in the obstetrics and gynecology department. Black African Medicine. 2001-48(11).
Alihonou E Maternal mortality in sub-Saharan Africa. SAGO Journal. 2000;1(n01):24-32.
Berthoud C. Excess maternal and infant mortality in West Africa. Development and health. 2001 ;n0 :153.
Diarra J, Angbo O, Koffi M N, Yao T K, Welfens Ekra C. Morbidity and mortality associated with obstetric transfers in the health district of Bouaflé in Côte D'Ivoire. Public Health. 1999;11(2):193-201.
Audibert M, De Roodenbeke E. Use of first-level health services in Mali: Analysis of the situation and perspectives. World Bank, Africa Region, Human Work Department. 2005 ;128.
Dolo A, Traore M, Diarra I, Katile M. Risk factors for stillbirths in the obstetrics and gynecology department of the Hôpital du Point “G” in Bamako. SAGO Journal 2001; vol 1, n01: 26-31
Imbert P, Berger F, Diallo NS, Cellier C, Goumbala M, Petrognagni R. Maternal and pediatric prognosis of emergency caesarean sections: Prospective study at the main hospital in Dakar, Senegal. Tropical Medicine 2003;63:351-357.
Leke RJ. Outcome of pregnancy and delivery at the Maternity center of the Central Hospital of Yaoundé. Ann.Univ.SC, Health Yaoundé. 1987;4:4322-330
Sepou A, Yanza MC, Nguembi E, Dotte GR, Nali MN. Analysis of medical evacuations in obstetrics and gynecology in Bangui, Central Africa. French-speaking study and research notebook/Health Nov-Dec 2000;10(n0 6):399-405.
Thiero M. Emergency medical evacuations in obstetrics at the Gabriel Touré hospital regarding 160 cases. South Health Network Bulletin. 2003;00.
Diarra BM. Obstetric evacuations at the obstetrics and gynecology department of POINT <> University Hospital about 682 cases. Tropical Medicine and International Health. 1998;3:926-932.
Dicko S B. Evaluation of the reference/evacuation system in the Sikasso circle in 2002. Bulletin du Réseau de santé Sud. 2003;(02).
Ebenye C.B. Medical evacuations at the Yaoundé University Hospital regarding 157 cases. Medical thesis, Yaoundé ; 2001.
Eyoko HAS. Obstetric referrals to the national hospital of point <> from 1985 to 2003. Bulletin of the South Health Network. 2005;01.
Diallo FB, Diallo AB, Diallo Y, Goma O, Camara Y, Cisse M, Diallo M S. Maternal mortality and lifestyle risk factors. Black African Medicine. 1998;45(12).
Bohoussou MK, Djahan Y, Boni S, Kone N, Welfens-ekra C, Toure K C. Maternal mortality in Abidjan in 1988. Médecine d’Afrique Noire. 1992;39(7):480-484.
Jahn A, De Bouwere V. Referral during pregnancy and childbirth: Concepts and strategies. In De Brouwere V, Lerderghe W V. Reducing the risks of motherhood: strategies and scientific evidence. Studies in Health Services Organization and Policy. 2001 ;18 :239-257.
Keita N, Hizazi Y, Diallo M S. Study of maternal mortality at Donka University Hospital in Guinea. Journal Gynecology Obstetrics. Reproductive Biology. 1989;180:849-853
Maternity without risks. Information on activities around the world: November 1993-February 1994, number 13. 15.
WHO. Family Health Division. What is the Safe Motherhood Initiative. Safe Motherhood. 1991 ;n°5.
WHO. Women's health and safe motherhood: the role of the obstetrician and gynecologist, proceedings of a pre-congress workshop organized by the WHO/FIGO Joint Task Force, 19-20 October 2008, Rio de Janeiro (Brazil). SMI34 /PF WHO Geneva ; 2010.