Clinics in Mother and Child Health

Abstract

Quality of the Reference of the Obstetric Emergencies to the Departmental Hospital Center of Borgou (CHD/B) at Parakou (Benin)

Obossou AAA, Salifou K, Hounkpatin B, Tshabu Aguemon A, Tossou N, F Gounongbe and Perrin RX

Objective: To estimate the quality of the obstetric references of the peripheral sanitary trainings of the department of Borgou to the departmental hospital center (CHD/B).

Methodology: It was about a descriptive and analytical transverse study realized from 01 March to May 31st, 2013. We considered the sociodemographic data, the elements of the preparation and the transport of the reference were taken into account, and finally maternal and neonatal prognosis.

Results: The frequency of the referred women was 34, 6%. The average age of the referred women was 25 ± 5, 7 years old with extremes from 15 years to 44 years. The preparation of the reference was poor quality in 37, 3% of the cases. An index card of standardized reference was used only in 57, 3%. Transporting patients of the periphery in the center of reference was poor quality in 70% of the cases. The transport was made by a way other than an ambulance in 69,6% of the cases. The woman was accompanied by an agent of health in 15% of the cases. The venous access was taken in 75.4% of cases. The CHD/B was alerted before the reference only in 7,3% of the cases. 80% of the maternal deaths arose among the women referred to the sanitary trainings for an obstetric urgency.

Conclusion: The quality of the preparation significantly influence maternal prognosis. This raises the need for an evaluation and revitalization of our reference systems