La qualité du suivi de la grossesse interfère-elle avec les issues de la grossesse, en Guadeloupe ?

Léticée, N.; Vendittelli, Françoise; Ughetto, Sylvie; Janky, E.

doi:10.1016/j.gyobfe.2011.08.024

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Several authors agree that it is the rigorous application of the RPNC's content by qualified health personnel working in optimal conditions that contribute to the achievement of maternal mortality and neonatal rate reduction. According to a study conducted in Guadeloupe, it has been shown that the number of PNC has little impact on the outcome of pregnancy [6].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Mshs¹

2018

Clinics Mother Child Health

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Introduction: Care during pregnancy is important for the health of the mother and the development of the unborn baby. Objective: To evaluate the quality of Refocused Prenatal Consultations (RPNC) in one health zone of the Northern Benin. Patients and methods: This is a prospective and evaluative study carried out from March 20 th to May 25 th , 2017 in twelve health centers at the Kandi-Gogounou-Segbana health zone (KGS) in northern Benin. Sampling is systematic with extensive recruitment. The study included all midwives practicing in the study area and all pregnant women received by these midwives at one of the twelve public health centers of the KGS health zone during the study period. Each midwife and each pregnant woman are included after oral consent. Results: The quality of the Prenatal Consultation (PNC) at the KGS health zone in the Northern Benin is unsatisfactory (76.9%). Several steps of RPNC (Reception of pregnant, physical examination, tasks after examination, counseling/advices) were insufficiently executed. The best executed steps are Prevention care (92.8%), prenatal checkup (92.0%) and Interview/interrogation (91.3%). The quality of the RPNC is compromised by the lack of control and monitoring of norms and standards in force in Benin.

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Section: Discussionmentioning

confidence: 99%

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Mshs¹

2018

Clinics Mother Child Health

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“…N. Lélicée and Coll in 2013 had found 1.3% of pregnancies not in foolow-up in their series. [13] According to the Demographic Survey of Benin Health in 2018, 48% of the prenatal consultations were not well followed. [6] The prenatal consultations of sickle cell pregnant women are naturally limited.…”

Section: Clinical Aspectsmentioning

confidence: 99%

Outcome of Pregnancies Among Sickle Cell Patients Admitted to Cotonou University Hospitals (Benin) from 2008 to 2018

Patrice¹,

Tognifode²,

Azonbakin³

et al. 2020

JGO

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Objective: Study the fetal-maternal and neonantal prognosis of sickle cell pregnancies managed in Cotonou's hospitals (R. Benin). Material and methods: This is a descriptive study on retrospective data from January 2008 to December 2018. The maternities of the Lagoon Mother and Child Hospital and University (CHU-MEL) center and of the CNHU/HKM gynecology and obstetrics university clinic had served as a framework. Complete patients records were analyzed. Included were pregnant women or delivered at 28 weeks of amenorrhea (AW) or beyond, sickle cell disease SS or SC confirmed by hemoglobin electrophoresis. Sociodemographic, clinical, therapeutic, and fetal-maternal and neonatal prognosis were analyzed. EPI DATA 3.1 and SPSS 2.0 software were used to analyze our data. The difference is significant for a p-value ≤ 5%. Ethical and professional standards and rules were respected. Results: The delivery of a patient suffering from sickle cell disease represented 0.82% of births. The SS phenotype was observed in 27.3% (n=105) versus 72.7% (n=279) of SC (p=0.000). A history of obstetric complications was noted in 56.8% (n=218). The course of the current pregnancy was marked by obstetric complications in 97.4% and the most important were: the threat of premature delivery (28%) and the vaso-occlusive crisis (19.5%). The caesarean was performed in 92% of sickle cell patients. Premature delivery was observed in 60% with 6.3% very premature (28-33AW). It was registered 91% (n=352) live births, 48% (n=169) hypotrophs, 60% premature, 1.1% (n=4) intrapartum deaths and 8% (n=4) intrapartum deaths and 8% (n=31) deaths in utero. Perinatal mortality represented 9%. The after-effects of childbirth were complicated in 12% (n=46). The puerperal infections (32.6%), hypertension (28.2%) and its complications and severe anemia (19.2%) were the most common complications. Five (5) maternal deaths were deplored, ie a mortality rate of 1420 maternal deaths per 100,000 live births. Conclusion: In Benin, pregnancy and delivery of sickle cell disease are at high risk of fetal, maternal and neonatal mortality. Caesarean section was almost routine in this group. The practice of transfusion exchange or bleeding may improve prognosis.

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La qualité du suivi de la grossesse interfère-elle avec les issues de la grossesse, en Guadeloupe ?

Cited by 2 publications

References 26 publications

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Assessment of the Quality of Prenatal Consultations in the Regions of Kandi-Gogounou-Segbana in the Northern Benin

Outcome of Pregnancies Among Sickle Cell Patients Admitted to Cotonou University Hospitals (Benin) from 2008 to 2018

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