Evaluation De La Prematurite Superieure Ou Egale A 32 Semaine D’amenorhée A L’hopital Regional De Ziguinchor Au Sud Du Senegal (Afrique De L’ouest)

Abstract

Introduction: Prematurity is one of the leading causes of neonatal death in Africa. The objective of this work was to assess the preterm birth at the pediatric service of the regional hospital of Ziguinchor. Material and methods: This was a prospective, descriptive and analytical study of the case of hospitalized newborns whose age was between 32 SA to 36SA + 6 days. The study was conducted from May 21, 2013 to May 21, 2014. We included all premature infants at age ≥ 32SA.Those presenting a malformation were not included. We studied maternal socio-demographic, obstetric and neonatal parameters. Results: We have identified 140 newborns out of a total of 342 Preterm births and 2292 maternity births, a prevalence of 40.9% compared to preterm infants and 6.10% in relation to all births. 51.4 percent of mothers came from urban areas, 63.5 percent were between 20 and 34 years of age, not attending school in 45.7 percent, married in 72.9 percent and without work in 94.3 percent. The average gestures represented 3.09 . Arterial European Scientific Journal December 2017 edition Vol.13, No.36 ISSN: 1857 -7881 (Print) e -ISSN 1857 326 hypertension was the most common medical condition (67.7%). The followup was done by a midwife (82.1%) and 23.5% had received at least 4 NPC. Eclampsia and pre-eclampsia (48.9%) and RPM (42.8%) were common obstetric pathologies. The delivery was by caesarian (51.4%), hospital (92.1%), cephalic presentation (80%), with an average weight of 1816.79 g. An RCIU (16.4%), an RPM (61.9%). At birth, a DR (16.4%) was noted due to MMH (43.7%) and transitory tachypnea (50%). Asphyxia was reported in 3.5%. During hospitalization (6.7 days on average), 6.4% had RD caused by infection (77.7%). Other complications were infection (64.4%), hypoglycemia (28.5%), digestive hemorrhage (7.01%). The fatality rate was 7.9% due to infection (63.3%), DR (18%), haemorrhage (9%). The anthropometric measurements at the exit: P 1887.9g, T: 38.3cm, PC: 30.9cm; at 1 month P: 2387.1g, T: 46.6cm, PC: 32.8cm; at 30 months P: 12.1kg, T: 89.5cm, PC: 48.4cm. Conclusion: Moderate preterm birth accounts for almost half of the cases of prematurity in our series. Their optimal management would go through a better obstetric-neonatal collaboration but above all by the installation of kangaroo mother units Keywords: Prematurity, moderate, epidemiology, prognosis RésuméIntroduction : La prématurité est l'une des principales causes de décès néonataux en Afrique. L'objectif était de faire le bilan de la prématurité ≥ à 32 SA dans le service de pédiatrie de l'hôpital régional de Ziguinchor. Matériel et Méthodes : Il s'agissait d'une étude prospective, descriptive et analytique de dossier de nouveau-nés hospitalisés dont l'âge était compris entre 32 SA à 36SA + 6jours. L'étude s'est déroulée du 21 Mai 2013 au 21 Mai 2014. Nous avons inclus tous les nouveau-nés prématurés dont l'âge était ≥ à 32SA, n'ont pas été inclus ceux qui présentaient une malformation. Nous avons étudié les paramètres sociodémographiques maternels, obstétricaux...

Preventing prematurity: The power of determining factors and challenges in a rural district hospital in Benin

“…The literature reports that prenatal checkup and antenatal care frequency strongly influenced the outcome of the pregnancy. It was found that having low ANC frequency during pregnancy increases the risk of preterm birth (Balaka et al, 2002;Niokhor et al, 2017). The current study did not find significant association between prematurity and ANC frequency, although it was significant in bivariate analysis (p-value < 20%).…”

“…An experimental study did not find any significant association (Jagusiak, 2016). Being multiparous in this survey did not influence birth of a child prematurely while a significant relationship with multiparity was reported elsewhere (Niokhor et al, 2017). This difference could be explained by births that are spaced, although women are mostly multiparous in Benin.…”

“…The findings of that research are in agreement with this study where alcohol consumption increases the risk of giving birth to premature baby by 20 times. On the other hand, there was no significant relationship between alcohol consumption and the onset of prematurity at Zinguinchor Regional Hospital (Niokhor et al, 2017). This difference could be explained by the fact that alcohol consumption is prohibited to the majority of Muslim communities in Senegal, and therefore difficult to inspect.…”

Épidémiologie et facteurs de risque de la prématurité dans le nord-ouest algérien

“…Il faut souligner que plus de 73% des parturientes étaient âgées entre 19-34 ans au moment de l´accouchement. Le niveau de scolarité de la mère a souvent été associé au risque de prématurité [ 10 , 38 ], toutefois le niveau d´étude supérieur est considéré comme protecteur, témoignant des progrès réalisés aux développements social et médical de la santé des femmes [ 39 ]. Même si aucun lien significatif n´a été observé dans l´étude, la part des parturientes avec un niveau d´étude supérieur ne dépassait pas les 27%.…”