<strong>Objective:</strong><a name="_Hlk48773006"></a><span style="font-family:Verdana;"> To describe the epidemiological aspects, to determine the reasons leading wom...<strong>Objective:</strong><a name="_Hlk48773006"></a><span style="font-family:Verdana;"> To describe the epidemiological aspects, to determine the reasons leading women to give birth outside of health facilities and to determine the maternal prognosis.</span><span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> This was a cross-sectional, analytical, quantitative and qualitative descriptive study over a period from 1 June to 31</span><span style="font-family:""> </span><span style="font-family:Verdana;">December 2016 (7 months) on </span><span style="font-family:Verdana;">unassisted childbirth</span><span style="font-family:Verdana;"> in the health district of commune V of Bamako.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><b><span style="font-family:""> </span></b><span style="font-family:Verdana;">We recorded 70 unsured deliveries, a frequency of 1.04% out of a total of 6719 deliveries. The extreme ages were 15 years and 41 years with an average age of 28 years. 90% of the birth attendants were married and 10% were single. The women's profession: 48% were housewives, 11% saleswomen, 13% hairdressers, 4% female teachers. Education level: 71% were uneducated and 29% educated. Among those who are educated, their level was primary in 50%, secondary in 32% and higher in 18%. 42% had done antenatal consultation. The main reasons: ignorance of work 44.3%;religious beliefs and societal burdens 10.0%;fear of caesarean section 4.3%;late-night birth labour 5.7%;lack of financial and/or transport means 17.1%</span><span style="font-family:Verdana;">;</span><span style="font-family:Verdana;"> distance from the locality 2.9%;insecurity 2.9%. Maternal and perinatal prognosis: complications were mostly hemorrhagic and concerned 27 (39%) patients. These included uterine atony (13 cases), placental retention (8 cases), soft part lesions (6 cases). We have not recorded any maternal deaths. For the condition of newborns at the time of admission: 88% of newborns were alive, 11% were stillborn fresh and 1% stillborn macerated.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The</span><span style="font-family:""> </span><span style="font-family:Verdana;">reasons are multifactorial and seem to be a reflection of our society.</span>展开更多
文摘<strong>Objective:</strong><a name="_Hlk48773006"></a><span style="font-family:Verdana;"> To describe the epidemiological aspects, to determine the reasons leading women to give birth outside of health facilities and to determine the maternal prognosis.</span><span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> This was a cross-sectional, analytical, quantitative and qualitative descriptive study over a period from 1 June to 31</span><span style="font-family:""> </span><span style="font-family:Verdana;">December 2016 (7 months) on </span><span style="font-family:Verdana;">unassisted childbirth</span><span style="font-family:Verdana;"> in the health district of commune V of Bamako.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><b><span style="font-family:""> </span></b><span style="font-family:Verdana;">We recorded 70 unsured deliveries, a frequency of 1.04% out of a total of 6719 deliveries. The extreme ages were 15 years and 41 years with an average age of 28 years. 90% of the birth attendants were married and 10% were single. The women's profession: 48% were housewives, 11% saleswomen, 13% hairdressers, 4% female teachers. Education level: 71% were uneducated and 29% educated. Among those who are educated, their level was primary in 50%, secondary in 32% and higher in 18%. 42% had done antenatal consultation. The main reasons: ignorance of work 44.3%;religious beliefs and societal burdens 10.0%;fear of caesarean section 4.3%;late-night birth labour 5.7%;lack of financial and/or transport means 17.1%</span><span style="font-family:Verdana;">;</span><span style="font-family:Verdana;"> distance from the locality 2.9%;insecurity 2.9%. Maternal and perinatal prognosis: complications were mostly hemorrhagic and concerned 27 (39%) patients. These included uterine atony (13 cases), placental retention (8 cases), soft part lesions (6 cases). We have not recorded any maternal deaths. For the condition of newborns at the time of admission: 88% of newborns were alive, 11% were stillborn fresh and 1% stillborn macerated.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The</span><span style="font-family:""> </span><span style="font-family:Verdana;">reasons are multifactorial and seem to be a reflection of our society.</span>
