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Objective: Describe the implementation of Respectful Maternal Care in health facilities in the capital and discuss lessons learned. Methods: This was a cross-sectional descriptive study by direct observation of providers from November 29 to December 01, 2020. It consisted of a baseline assessment of pilot sites prior to training in respectful maternal care, followed by the traditional five-day training and an extension to urban health centers, due to their on-site training in SONUB (obstetric and neo-natal care) Basic emergency natals) including the Respectful Maternal Care Training Module (PMF). Random random sampling by random draw, three guards per site, a midwife with a parturiente and their families, providers of health centers in post-training follow-up, were observed through the seven (7) performance standards (Table2) on the skills received. The investigators were clinical synthesis students who were trained in the use of the tool. Results: 199 providers (138 midwives, 49 nurses and 12 doctors) were trained in PMSC in the 24 health facilities in the capital. Post-training follow-up through providers made the following findings in the different areas of PMSCs: The seven (7) standards were observed prior to training in the 6 pilot sites (Center Médical Communal (CMC) of Matam, Minière, Ratoma, Coléah, Bernard Kouchner and the maternity hospital of the National Ignace Deen Hospital) (Fig.1), two were achieved or 0.3 the practice improved compared to the situation of the basic evaluation: in the seven areas of respectful maternal care evaluated and monitored, performance varied by area from 26% to 100% (Fig.2). In health centers, good practice was observed with the observation of skills during post-training follow-up: In the seven areas monitored, performance varied from 50% to 100% (Fig.3) Conclusion: SMR. integration was effective in 25 health facilities in the city of Conakry; training, internal and external regular supervision and provider awareness are essential to sustain PMSCs in daily practice.

Objective: To assess the quality of filling of the modified partograph from WHO at CMC Matam. Methods: This was a retrospective descriptive study by clinical audit (AC), carried out on a sample of obstetric records of parturients who gave birth in the maternity unit of the CMC of Matam from January 1 to December 31, 2020, it consisted of a evaluation of the use of the partograph using an audit sheet prepared for this purpose. The random sampling with one step in ten 1/10 was used for the sampling. The parameters related to the performance of the partograph, the progress of labor (hourly rate, fetal state, materno-fetal outcome.) Were evaluated, the traceability of events related to maternal condition, acts and treatments carried out during labor as well as immediate postpartum surveillance data. Data was collected and analyzed using SPSS 20.0 and MS Excel 2010 software. Results: We retained 470 files. The sample represented 87.45% of all parturients whose monitoring required the opening of a partograph during the study period; its behavior met the standard in more than 87, 41% of cases; The hourly rhythm, and the precise moment of each act were notified and respected in 66.60% of the cases, the progress of the work was correctly notified and respected in 28.72% of the cases; the presentation level and the fetal heart rate were reported and respected in 28.78% and 85.96% respectively; the method of entering into labor was notified and complied with in 95.7% of cases. Conclusion: The modified WHO partograph has some shortcomings in relation to its performance, which can be corrected by supportive supervision.