[Assessment of the use of partogram at the district maternity hospital of commune II in Bamako area].
OBJECTIVE
To estimate the use of the partogram at the district hospital of commune II in Bamako area; to identify the risk factors by pregnant women and her newborn babies; to appreciate the filling quality of the partogram; to determine the sensibility, the specificity and the predictive worth of the alert line.


METHODS
Our study has been conducted at the district hospital of commune II in Bamako area because of his high examination rate. The study was retrospective, analytic and transversal, conducted during 12 months (from first January 2005 to 31 st December 2005). Were considered in this study, partograms of all pregnant women, who have been admitted to delivery in the hospital during the study period and whom labor was monitored with partogram from latence phase or active phase. Were excluded, partograms of women, who has delivered at home, the one who have suffered prophylactic cesarean and the one who have been admitted with a cervix dilatation ≥ 8 cm.


RESULTS
287 partograms (18.85%) were correctly filled; 64% of the deliveries were performed left of the alert line; 31.3%right of the alert line; 4.7% right of the action line. 83.04% of the pregnant women performed at least one prenatal examination, the age bracket of 15 to 19 years shows a little predominance with 27% of cases; 46.71% among them have delivered right of the alert line. The primigravidas represent 32% of the sample; among them, 38% got over the alert line and 7.93% the action line. Women smaller than 150 cm represent 1.05% ( 16 cases). In this bracket 68.75% (11 cases) suffered caesarean, 31.25% (5 cases) delivered normal. The caesarean has been performed again by 61.45% of the pregnant women,who had a previous cesarean, 29.52% have delivered normal. Concerning the newborn babies, 1.24% coming from the 84.95% deliveries whom labor time was lower than 10 hours, 51.98% those coming from the 13.27% deliveries whom labor time was between 11 and 24 hours, 100% of those coming from the 1.77% deliveries whom labor time was over 24 hours, had a low Apgar score at birth. 65.06% of the newborn babies delivered from the 5.45% women with greenish amniotic liquid have a low Apgar score again 3.32% of those from 73.32% with clear amniotic liquid.
Diarra
I
I
Maternité de Garnison de Kati. issabafing@yahoo.fr
Camara
S
S
Maiga
M K
MK
D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000592:standards*; D005260:Female; D006801:Humans; D008302:Mali; D008427:Maternal Health Services; D008499:Medical Records; D008991:Monitoring, Physiologic / Q000592:standards*; D011247:Pregnancy; D012189:Retrospective Studies