Epidemiologic factor of natal mortality in the gynecology of obstetrical service in national hospital Donka of university teaching hospital of Conakry (Guinea)

Abstract

Objective: To calculate natal mortality rate in hospital, to identify and to analyze risk factor and causes of death.

Patients and methods: A 1 year retrospective and analytic study of type cas/witness conducted in the gynecology obstetric service of Donka of CHU Conakry to 1st January to 31 December 2008, concerned  received woman files from 28 weeks of amenorrhea having delivered stillbirths (case), and children been born living (witnesses). The statistical test of X² has been calculated with a degree of significance of 5% for the comparison of data.

Results: The rate of the natal mortality was 336 for 5226 Births that is a frequency of 64.2 for 1000 births in life. The seizure occurred in the ante partum, 234/336 (69,64%). We recorded 336 stillborn for 5226 childbirths is a frequency of 64.2 for 1000 with a predominance in ante partum (69.64%). The fashion of childbirth by high voice, the masculine fetal, the weight, the young maternal age, the without childbirth, the married, badly follow prenatal and the source of mothers are the identified risk factor with a statistically meaningful difference, p <0,0000. The maternal cases were hypertension (43, 58%), Fetal: cases suffered (75%) and annexed cases were abruptio placenta (88.25%) with p <0,000. The natal mortality was highest to the women with badly following in prenatal. Prenatal consultation based on the pregnancy women with plan birth and effective use partogramme amount the work can reduce the natal mortality.