[Analysis of transfers in the Gynecology and Obstetrics Department of Bangui Hospital].
During a study carried out over twelve months in the National Reference Center for Gynecology and Obstetrics at Bangui Hospital, we recorded 1,369 cases of evacuation in a total 5,020 admissions to the department. This corresponds to a frequency of 27.3%. In 73.8% of cases, this intervention was performed for obstetric reasons. It was justified in 73.1% of cases, and 96.5% of the justified interventions were for obstetric reasons. The unjustified interventions led to a normal delivery in 97% of cases. Errors in diagnosis were detected in 16.5% of the cases. In terms of prognosis, we recorded 91 deaths in the perinatal period (96 per thousand live births) and 37 maternal deaths (of the 39 recorded in the department), accounting for 94.9% of all maternal deaths, with a mortality rate of 2.7% for women undergoing uterine evacuation. Infant mortality was higher in cases of late intervention. The most frequent causes of death of the mothers were hemorrhagia on delivery, severe infection, rupture of the uterus and the tearing of soft tissues.
Sépou
A
A
Service de gynécologie-obstétrique de l'hôpital communautaire de Bangui, Centrafrique.
Yanza
M C
MC
Nguembi
E
E
Dotte
G R
GR
Nali
M N
MN
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002423:Cause of Death; D002488:Central African Republic / Q000453:epidemiology; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology*; D006176:Gynecology / Q000706:statistics & numerical data*; D006302:Health Services Research; D006748:Hospital Departments / Q000706:statistics & numerical data*; D006764:Hospitals, Community; D006801:Humans; D007231:Infant, Newborn; D008428:Maternal Mortality; D008875:Middle Aged; D009017:Morbidity; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data*; D010360:Patient Transfer / Q000706:statistics & numerical data*; D011159:Population Surveillance; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011379:Prognosis