title: [Dystocia risk score: a decision making tool to combat maternal mortality].
abstract: As a way to prevent maternal mortality and stillbirth, the dystocia risk score includes three components: a left column provides a list of eight characteristics to check for in the woman; an upper horizontal section provides a checklist of possible outcomes of the pregnancy itself: and a rectangular grid indicates the prognosis in three zones: a large red (dangerous), a medium-sized grey (doubtful) and a small blue (hopeful). The DRS is positive if there is at least one cross in the dangerous zone and/or two crosses in the doubtful zone (it indicates that the woman should be referred to a center specialized in obstetric emergency care); elsewhere, the DRS is negative. The validation test gives good results (sensitivity=83.61%, specificity=90.05%, positive predictive value=72.34%, and negative predictive value=94.04%). Its large-scale use would accelerate the identification of pregnant women with a high risk of dystocia. Their timely referral to specialized emergency obstetrics centers would increase the efficacy of care and reduce the levels of maternal mortality and stillbirth.
authors.affiliation: Santé publique, unité de formation et de recherche, université Gaston-Berger, Saint-Louis, Sénégal. pndiayempsp@gmail.com
authors.forename: Papa
authors.initials: P
authors.lastname: Ndiaye
authors.forename: Khadim
authors.initials: K
authors.lastname: Niang
authors.forename: Issakha
authors.initials: I
authors.lastname: Diallo
mesh_terms: D000328:Adult; D004420:Dystocia / Q000453:epidemiology* / Q000517:prevention & control; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D017533:Marital Status; D008428:Maternal Mortality / Q000639:trends*; D009774:Obstetrics; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D015203:Reproducibility of Results; D018570:Risk Assessment; D012675:Senegal / Q000453:epidemiology; D050497:Stillbirth / Q000453:epidemiology
keywords: Accouchement; Childbirth; DRS; Dystocia; Dystocie; Maternal mortality; Mortalité maternelle; SRD