Emergency Obstetric Care for the Maternity of the Saint Regional Hospital Center from 2011 to 2015: Overview and Prospect

Abstract

Objectives: The main objective of this work was to evaluate emergency obstetric care at the reference maternity hospital Saint-Louis. The specific objectives were to analyze evolving trends and propose solutions to improve the quality of obstetric care. Methodology: This was a descriptive cross-sectional study of all obstetric obstetric attendants in the period from January 2011 to December 2015.Results: We recorded 25,363 inmates in the delivery room with an annual average of 5017. The deliveries accounted for 22,975 entrants, or 90.58%. Caesareans were 4083 cases, or 17.7% of deliveries. Obstetric evacuation accounted for 3845 cases, or 16.3% of obstetric admissions. Stillbirth was 6.5 per 100 live births. We recorded a maternal mortality rate of 547.08 per 100,000 live births. The causes were direct in 70% of cases and indirect in 30%.Conclusion: The results of this work confirm a fact: the regional hospital center of Saint Louis because of its geographical position is a center of reference in the system in northern Senegal. The availability of SONUC has improved maternal and neonatal health indicators in the area. Then, it is necessary to insist on the necessity of the decentralization of the obstetric and surgical activities on the periphery.