%0 Journal Article
%T Obstetric References in Disadvantaged Environments: Case of References to the University Hospital Center of Kara, in Northern Togo
%A Kossi Edem Logbo-Akey
%A Bassowa Akila
%A Kofi Mawoul¨¦ Am¨¦wouho
%A Ketevi Tina
%A Yendoub¨¦ Pierre Kambote
%A D¨¦d¨¦ R¨¦gine Diane Ajavon
%A Baguilane Djoauguibe
%A Abdoul-Samadou Aboubakari
%A Koffi Akpadza
%J Open Journal of Obstetrics and Gynecology
%P 267-277
%@ 2160-8806
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojog.2024.142025
%X Introduction: References are frequent and most often carried out
in emergency situations. The objective of this study was to describe the
epidemiological and clinical profile of obstetric referrals to the CHU-Kara. Methodology: This was a retrospective cross-sectional descriptive study conducted from September
1, 2022, to February 28, 2023, at CHU-Kara, focusing on obstetric referrals to
the Gynecology-Obstetrics department. Result: 828 patients were referred for obstetric reasons out
of 1295 admissions, representing a frequency of 63.9%. The average age was
25.04 years. They were primigravida (38.3%), unemployed (62.7%). Motorcycles
were the main means of transportation, accounting for 53.1% of cases. The
average distance to reach the referral center was 31.6 km, covered in an
average of 71 minutes. In 40.7% of cases, patients had less than 4 prenatal
consultations and were referred in peripartum (56.6%) for pre-eclampsia (14%),
post-term pregnancy (11.8%), dystocia (10.5%). Eighty-six point nine percent
(86.9%) of the referred patients were able to deliver during their stay in the
department, of which 61.7% had vaginal deliveries. The maternal and perinatal
mortality rates were 0.7% and 14.9%, respectively. Conclusion: Obstetric referrals to Kara University Hospital are
frequent during the perpartum period and are often carried out by motorbike.
%K Obstetric Referral
%K Epidemiology
%K Prognosis
%K CHU-Kara
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=131409