Survey of Anesthesic Risk Factors During Obstetric Emergency at the Peace Hospital in Ziguinchor

The low socioeconomic level and instability in the southern area of Senegal impact on the social life of women. Thus access to family planning as well as antenatal care is moderate. Many pregnant women come to consultation in obstetric emergencies. These emergencies are very common situations that predominate in anesthetic practice. The anesthesia practiced on pregnant women result in complications. The purpose of our study was to determine the prevalence and anesthetic risk factors during obstetric emergencies. We carried out a retrospective, descriptive and analytical study over the period of twelve months in the Anesthesia and intensive care unit of the Peace Hospital in Ziguinchor. Included were all patients operated under anesthesia for obstetric emergencies. During this study period, 325 patients had been operated. The prevalence of obstetric emergencies was 82.49%. Patients under the age of 20 accounted for 13% and those aged 20 to 34 years 70.9%. General anesthesia was performed in 28%. All anesthetic procedures were performed in an emergency situation with ASA a？￥ III at 27.5%. Anesthetic procedures were carried out in 70% by a senior technician in anesthesia. Risk factors for obstetric complications remain a reality in our practice. They are often enameled by complications that may put at stake the maternal and fetal life prognosis