title: [Maternal morbidity associated with delivery apropos of 124 cases].
abstract: In a prospective survey, the authors related 124 cases of maternal traumatic lesions during a child birth. They were apper lesions in 13% of uterine rupture, and lower lesions in 87% cervical vaginal and vulvoperineal ruptures). Adolescent primiparas were the most concerned with an incidence of 9.12% followed by the greater number of multiparas 8.24%. Age, parity, badly or unassisted deliveries were the main factors of risk. For the uterine rupture surgical intervention was preservative in 62% of cases. Suture has been essential in lower lesions. One maternal decease is registered, the foetal forecast is bad (14 foetal decease out of 16) in the uterine rupture. Morbidity was important: 64% in cicatricial perineum, 62% in cicatricial uterine, 37% in hysterectomy. In results, that all the cases of maternal traumatic lesions observed were avoidable. The authors recommended a better pregnancy and delivery care.
authors.affiliation: Faculté de Médecine, Université de Conakry, République de Guinée Conakry.
authors.forename: F B
authors.initials: FB
authors.lastname: Diallo
authors.forename: M S
authors.initials: MS
authors.lastname: Diallo
authors.forename: B
authors.initials: B
authors.lastname: Diallo
authors.forename: T S
authors.initials: TS
authors.lastname: Diallo
authors.forename: A
authors.initials: A
authors.lastname: Dient
authors.forename: Y
authors.initials: Y
authors.lastname: Diallo
authors.forename: N D
authors.initials: ND
authors.lastname: Camara
mesh_terms: D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri / Q000293:injuries; D002921:Cicatrix / Q000209:etiology; D036861:Delivery, Obstetric / Q000009:adverse effects; D004420:Dystocia / Q000453:epidemiology; D016703:Equatorial Guinea / Q000453:epidemiology; D005260:Female; D005313:Fetal Death / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D007744:Obstetric Labor Complications / Q000453:epidemiology*; D010298:Parity; D010502:Perineum / Q000293:injuries; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care; D011446:Prospective Studies; D012307:Risk Factors; D012422:Rupture, Spontaneous; D014597:Uterine Rupture / Q000453:epidemiology / Q000601:surgery; D014844:Vulva / Q000293:injuries
vernacular_title: Morbidité maternelle liée à l'accouchement à propos de 124 observations.