%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