La lutte contre la mortalité maternelle au Burkina Faso est-elle adaptée pour réduire les trois retards ?

Sombie, I; Mèda, Zièmlé Clément; Savadogo, Léon G. Blaise; Somé, Donmozoun Télesphore; Bamouni, Sophie Fatoumata; Dadjoari, Moussa; Sawadogo, Ramata Windsouri; Sanon-Ouédraogo, Djénéba

doi:10.3917/spub.182.0273

Cited by 12 publications

(4 citation statements)

References 58 publications

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“…It was not possible in this study to specify whether there were dysfunctions in the referral that could have an impact on maternal and perinatal prognosis. However, studies have already shown that referrals in health systems in developing countries are characterized by the first and second delays [35].…”

Section: Discussionmentioning

confidence: 99%

Maternal and Perinatal Complications of Vascular Pathologies Associated with Pregnancy: Frequency and Associated Factors in a Third Level Maternity in Benin

Véronique¹,

Aboubakar²,

Ogoudjobi³

et al. 2022

JGO

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Background and aims: Vascular pathologies (hypertensive disorders and diabetes) associated with pregnancy are important public health problem in Benin because of their frequencies and their complications. This study aims to analyze maternal and perinatal complications of vascular pathologies associated with pregnancy. Methods: This analytical cross-sectional study used retrospective data collected over a three-year period. All mothers who presented a vascular pathology and their newborns during the study period at the Clinique Universitaire de Gynécologie obstétrique (CUGO) of Centre National Hospitalier Universitaire Hubert Koutoukou Maga (CNHU-HKM) of Cotonou were included. Maternal complications associated neurological, hematological, cardio-pulmonary and renal complications whereas perinatal complications included intrauterine growth restriction, fetal asphyxia, prematurity, neonatal resuscitation, low birthweight and perinatal death. Factors associated to the complications were identified by using chi-square test and a multivariate binary logistic regression model. Analyzes were performed with SAS software version 9.4. Results: The frequency of vascular pathologies associated with pregnancy was 14.95%. Diabetes was associated in 4.57%. Their evolutions were marked by the occurrence of numerous maternal complications dominated by retroplacental hematoma (12.08%), eclampsia (08.37%) which passed through signs of eclampsism (21.07%); and hellp syndrome. Perinatal complications were dominated by prematurity (43.07%), low birthweight (29.12%), fetal asphyxia (12.32%) and perinatal death (18.59%). These complications were associated with the precocity of the diagnosis, admission mode and the importance of proteinuria. Conclusion: Maternal and perinatal complications of vascular pathologies associated with pregnancy are frequent in current obstetric practice. It is therefore urgent to implement health promotion interventions targeting the factors associated with them in order to reverse the trends.

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Section: Discussionmentioning

confidence: 99%

Maternal and Perinatal Complications of Vascular Pathologies Associated with Pregnancy: Frequency and Associated Factors in a Third Level Maternity in Benin

Véronique¹,

Aboubakar²,

Ogoudjobi³

et al. 2022

JGO

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“…In an historical cohort (2008-2010) conducted in Niger in 2017, the authors made the same conclusion that the majority (74.9%) of maternal deaths occurred in patients from rural areas (28). In a "three delays model" analysis of maternal death, Sombié et al summarized the main factors contributing to maternal mortality, including poor access to emergency obstetric care, especially in rural areas (29,30).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with hospitalization outcomes for cases of anemia in pregnancy at a regional level in Burkina Faso

Ilboudo

Savadogo

Traoré

et al. 2021

Preprint

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Background The complications related to anemia in pregnancy are common in referral hospitals of Burkina Faso. This study aimed to analyze the hospital discharge results of cases of anemia for the mother-pregnancy entity at a regional level in Burkina Faso. Methods An hospital-based historical cohort study was conducted on anemia cases identified from hospital records of pregnant women admitted between 2009 and 2011 in the maternity wards of public referral hospitals of the “Cascades” region in Burkina Faso. The hospitalization result was favorable if it was satisfactory for both the mother and the pregnancy, and unfavorable in the other cases. The factors associated with unfavorable hospital discharge were identified through multivariable logistic regression. Results A total of 1815 cases of biological anemia in pregnancy were included in the study. The result of hospitalization for the mother-pregnancy entity was unfavorable in 42.6% of cases. The factors associated with unfavorable hospital discharge were rural residence (OR = 1.32; 95% CI: 1.00-1.74), evacuation cases (OR = 1.96; 95% CI: 1.48–2.60), 1st or 2nd trimester of pregnancy (OR = 2.74; 95% CI: 2.03–3.68), severe anemia (OR = 2.46; 95% CI: 1.75–3.46), moderate anemia (OR = 1.39; 95% CI: 1.05–1.85) and poor quality of anemia prevention (OR = 2.81; 95% CI: 1.62–4.88). The unfavorable hospital discharge was less frequent in women in couple (OR = 0.46; 95% CI: 0.26–0.84), in nulliparous and primiparous (OR = 0.69; 95% CI: 0.54–0.88). Age, income level and reason for admission were not associated with the unfavorable hospital discharge. Conclusion There was a high frequency of unfavorable hospital discharge of anemia cases for the mother-pregnancy entity in Burkina Faso. Multiple maternal factors were associated with these issues.

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“…Formerly a French colony, abortion in Burkina Faso is legally restricted to cases of fetal malformation, rape, incest, or when the pregnancy presents a danger to women's health. Even in these cases where the laws make clear provision for abortion access (for rape survivors, for example), the challenges in the implementation of the related policies and lack of awareness about the laws lead to a crucial lack of access to legal abortion services (Ouedraogo and Ouattara 2013;Sombié et al 2018;Amnesty International 2009). Out of these legal conditions, women who induce abortion and providers who deliver abortion services risk prosecutions (imprisonment and fines).…”

Section: Introductionmentioning

confidence: 99%

“I wasn’t ready”: abortion decision-making pathways in Ouagadougou, Burkina Faso

Ouedraogo

Senderowicz

Ngbichi

2020

Int J Public Health

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Objectives This study explores abortion decision-making trajectories in Ouagadougou, Burkina Faso, examining the spaces for decision making that young people manage to create for themselves within restrictive policy, gender norms and other constraints. Methods The study presents data collected from observations in three referral health facilities in Ouagadougou and interviews (with 31 young women (aged 17-25) who had sought abortions and five men (aged 20-25) whose partners had done so). Using inductive content analysis, we capture the different streams, actors and rationales in the decision-making process, as well as the pattern of negotiation. Results Abortion decision-making trajectories are complex and affected by a range of factors including fertility desires, relationship stability and financial stability. The process can include intense periods of negotiation between intimate partners when their rationales are discordant. Constraints on women's decision making include restrictive policy environment, coercion from partners (threats, emotional blackmail and even physical force) and pressure from people in and out of their social network. Conclusions In a context where legal abortion is highly restricted and women's decision-making power is constrained, the abortion decision making appears as collective, operates in an uncertain time frame, an unofficial social environment and has an unpredictable collaborative mechanism. Keywords Abortion Á Young people Á Ethnography Á Burkina Faso Á West Africa Á Decision making This article is part of the special issue ''Sexual and reproductive health of young people-Focus Africa.'' The Rudolf Geigy Foundation (Basel, Switzerland) funded the open access publication of this article.

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La lutte contre la mortalité maternelle au Burkina Faso est-elle adaptée pour réduire les trois retards ?

Abstract: Due to their inadequacy and poor quality, the interventions failed to significantly reduce the three delays. Priority needs to be given to new interventions, especially community-based interventions, and reinforcement of the quality of care by health training.

Cited by 12 publications

References 58 publications

Maternal and Perinatal Complications of Vascular Pathologies Associated with Pregnancy: Frequency and Associated Factors in a Third Level Maternity in Benin

Maternal and Perinatal Complications of Vascular Pathologies Associated with Pregnancy: Frequency and Associated Factors in a Third Level Maternity in Benin

Factors associated with hospitalization outcomes for cases of anemia in pregnancy at a regional level in Burkina Faso

“I wasn’t ready”: abortion decision-making pathways in Ouagadougou, Burkina Faso

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