%0 Journal Article
%T Obstetric Emergencies at the Kara University Hospital Maternity Ward: Sociodemographic, Etiological and Prognostic Aspects
%A Logbo-Akey Kossi Edem
%A Bassowa Akila
%A Ketevi Tina
%A Kambote Yendoub¨¦
%A Patchidi Kibandou
%A Amewouho Kofi
%A Ajavon D¨¦d¨¦ R¨¦gina
%A Aboubakari Abdoul-Samadou
%J Open Journal of Obstetrics and Gynecology
%P 69-76
%@ 2160-8806
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojog.2024.141008
%X <strong>Introduction: </strong><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">Obstetric emergencies are common throughout the world and more
particularly in developing countries where they are responsible for high
maternal-fetal mortality and morbidity. </span><b><span style=\"font-family:Verdana;\">Objective:</span></b><span style=\"font-family:Verdana;\"> Study obstetric
emergencies in the maternity ward of Kara University Hospital. </span><b><span style=\"font-family:Verdana;\">Method:</span></b><span style=\"font-family:Verdana;\"> Retrospective
and descriptive study from April 1, 2022 to March 30, 2023, carried out in the Obstetrics
and Gynecology Department of Kara University Hospital. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">Eight
hundred and thirty-five (835) obstetric emergencies were recorded out of 2215
admissions, </span><i><span style=\"font-family:Verdana;\">i.e.</span></i><span style=\"font-family:Verdana;\"> a frequency of
37.7%. The average age of the patients was 26.7 with a range of 14 and 45
years. They were primigravidas (36.7%) and nulliparous (38.7%), referred
(84.7%) and came from rural areas (72%). Emergencies occurred in the 3</span><sup><span style=\"font-family:Verdana;\">rd</span></sup><span style=\"font-family:Verdana;\"> trimester in 74.1% and in parturients (54.1%). Preeclampsia (27%), cessation of
progression of labor due to feto-pelvic disproportion (12.4%), postpartum
hemorrhage (7.5%) constituted </span><span style=\"font-family:Verdana;\">the main obstetric
emergencies. In 44.8%, the delivery was carried out vaginally. Magnesium
sulfate was the most us</span><span style=\"font-family:Verdana;\">ed drug, </span><i><span style=\"font-family:Verdana;\">i.e.</span></i><span style=\"font-family:Verdana;\"> 30.1%; followed by anti</span><span><span style=\"font-family:Verdana;\">hypertensive
medications in 28.1%. Blood transfusion was performed in 24.3%. The evolution
was simple in 90.9%. The maternal fatality rate was 1.6%. The perinatal case
fatality rate was 12.3%. </span><b><span style=\"font-family:Verdana;\">Conclusion:</span></b><span style=\"font-family:Verdana;\"> Obstetric emergen</span></span><span style=\"font-family:Verdana;\">cies are
common, dominated by preeclampsia, stopping progress of labor and postpartum
hemorrhages. They are responsible for high morbidity and mortality.</span></span>
%K Obstetric Emergency
%K Kara University Hospital
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=130564