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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Analysis of Maternal Mortality in Obstetrics and Anesthesia Resuscitation in 15 Years at Chu Point “G” about 389 Cases Bamako/Mali
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Analysis of Maternal Mortality in Obstetrics and Anesthesia Resuscitation in 15 Years at Chu Point “G” about 389 Cases Bamako/Mali

机译：在楚点“G”15年内妇产医生死亡率分析，在楚点“G”约389例BAMAKO / MALI

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Objective: Analyze the maternal mortality in the two departments of CHU Point “G” in Bamako, because of high maternal mortality rate in our country. Material and Methods: This was an analytical cross-sectional study on maternal deaths from February 19, 2005 to November 19, 2019 for patients admitted in both departments and who died during the pregnancy-puerperal period at CHU Point “G”. All the patients who died outside this pregnancy-puerperal period were not retained. The data were entered and analyzed using SPSS 12.0 software. The statistical test used was that of Chi~(2), the statistical significance threshold was fixed at 5%. Results: During our study, we recorded 389 maternal deaths out of 16,033 admissions in 15 years and 18,060 live births during the same period making a maternal mortality ratio of 2153.931 and a frequency of 2.426. At the end of our study, we noted that the frequency of maternal deaths was higher in 2014: 12.9% (50/389). The maternal death predominantly affected women aged of 20 - 24 with a frequency of 22.4% (87/389). The multiparity (166/389 making 42.7%), illiteracy (341/389 making 87.7%), the poor evacuation conditions (non-medicalized transport): 263/389 making 67.6%; the evacuation without any evacuation sheet: 259/389 making 66.6%), poor CPN (Prenatal consultation) quality (undone CPN: 191/389 making 49.1%) and the poor monitoring of delivery works (no use of partograph in 343/389 making 88.2%) were the factors favoring maternal deaths. The main causes of maternal deaths were direct in 231/389 making 59.4% with hemorrhage in first line: 21.1% (82/389), infection (61/389 cases making 15.68%), dystocia: 50 cases making 12.85% and high blood pressure and complications (38/389 making 9.76%); indirect in 158/389 cases making 40.6% (Figures 1-3). The majority of women 65.8% (256/389) of our patients died in the gynecology and obstetrics department; in the Resuscitation department 73/389 making 18.8%; in the operating room 43/389 making 11.1% and the deaths that were observed on arrivals represented 17/389 making 4.4%. In our study, 10.3% (40/389) of our patients died in the antepartum, 57.1% (222/389) in perpartum, and 32.6% (127/389) in the postpartum (Figure 4). The need not covered in blood transfusion represented 91.5% the cases either 356/389. Conclusion: The frequency of maternal deaths is very high in our country. Reducing the rate of maternal deaths requires improving the SONU (cares obstetrical and neonatal emergency).
机译：目的：由于我国孕产妇死亡率高，在巴马科省楚点“G”的两个部门孕产妇死亡率。 材料和方法：这是2005年2月19日至2019年11月19日的孕产妇死亡的分析横截面研究，对于在楚点“G”的怀孕 - 普洱t期间在怀孕 - 蒲氏期中死亡。所有在妊娠败抚率期间死亡的患者都没有保留。使用SPSS 12.0软件输入和分析数据。所使用的统计测试是Chi〜（2），统计显着性阈值固定为5％。结果：在我们的研究中，我们在15年的15年中录制了389个孕产妇死亡，并在15岁处签订了16,033名招生和18,060名同一时期使母体死亡率为2153.931和2.426频率。在我们的研究结束时，我们指出，2014年孕产妇死亡率较高：12.9％（50/389）。母亲死亡主要受影响的女性20 - 24，频率为22.4％（87/389）。多平度（166/389制作42.7％），文盲（341/389制作87.7％），疏散条件不佳（非医学运输）：263/389制作67.6％;没有任何疏散表的疏散：259/389制作66.6％），CPN差（产前咨询）质量差（未完成CPN：191/389制作49.1％）和交付工程的监测不良（343/389在343/389中没有使用参数88.2％）是有利于母体死亡的因素。孕产妇死亡的主要原因是231/389的直接发出59.4％，发出出血：21.1％（82/389），感染（61/389例，制备15.68％），Dystocia：50例，制作12.85％和高血压力和并发症（38/389制作9.76％）;间接在158/389案件中，制作40.6％（图1-3）。我们患者的大多数女性65.8％（256/389）在妇科和妇产科死亡;在复苏署73/389中达18.8％;在手术室43/389中，在抵达的11.1％和令人抵达的死亡，代理人17/389制作4.4％。在我们的研究中，10.3％（40/389）我们的患者在妊娠晚上死亡，57.1％（222/389），产后32.6％（127/389）（图4）。不需要在输血中覆盖，占356/389的91.5％。 结论：我国母体死亡的频率非常高。降低母体死亡率需要改善Sonu（关心产科和新生儿急诊）。

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