Les Évacuations Obstétricales à l'Hôpital Fousseyni Daou de Kayes

RESUMEObjectif. Decrire le profil des evacuations obstetricales dans le service de gynecologie obstetrique de l'hopital Fousseyni Daou de Kayes. Population et methodes. Il s'agissait d'une etude prospective transversale descriptive qui s'est deroulee a l'hopital Fousseyni Daou de Kayes du 1er janvier 2008 au 31 decembre 2008. Notre etude portait sur les toutes les femmes enceintes, toutes les parturientes et toutes les femmes ayant accouche et evacuees en urgence par une structure a l'hopital Fousseyni Daou de Kayes. Les donnees ont ete recueillies a partir du carnet de consultation prenatale, du registre d’accouchement, du registre d’hospitalisation, du registre de compte rendu operatoire, de la fiche d’evacuation, du partographe et du registre de reference / evacuation. Resultats. Durant notre periode d'etude nous avons enregistre 3807 femmes dans le service ; parmi elles, 322 femmes avaient ete evacuees soit une frequence de 8,45%. Le mois de juin a ete la periode ou le taux d'evacuation etait le plus eleve (13,6%). La tranche d'âge 20-35 ans etait la plus representee (57%). La distance moyenne parcourue pour les evacuations etait de 70,67 km. L’hemorragie a ete le motif d'admission le plus retrouve avec une frequence (20,8%). La cesarienne a ete realisee chez 45,5% des femmes evacuees. Le taux de deces maternel chez les femmes evacuees etait de 5,9%. Conclusion. L'evacuation obstetricale est une pratique courante dans notre service. Les principaux parametres qui influencent le pronostic des femmes evacuees sont l’âge, la distance et les conditions d’evacuation.ABSTRACTObjective. To analyze obstetrical evacuations pattern in the obstetrical gynecology department of the Fousseyni Daou hospital in Kayes. Population and methods. This was a prospective cross-sectional descriptive study that was conducted at the Fousseyni Daou Hospital in Kaye from 1 January 2008 to 31 December 2008. Our study included all pregnant women, all parturients and all women who had delivered and were evacuated in an emergency by a structure at the Fousseyni Daou Hospital in Kayes. The data were collected from the prenatal consultation booklet, the delivery register, the hospitalization register, the operative report register, the evacuation form, the partograph and the referral/evacuation register. Results. During our study period we registered 3807 women in the department, of whom 322 women had been evacuated (8.45%). The month of June was the period with the highest evacuation rate (13.6%). The 20-35 age group was the most represented (57%). The average distance travelled for evacuations was 70.67 km. Haemorrhage was the most common reason for admission (20.8%). Caesarean section was performed in 45.5% of the women evacuated. The maternal death rate among evacuated women was 5.9%. Conclusion. Obstetric evacuation is a common practice in our department. The main parameters that jeopardize the prognosis of evacuated women are age, distance and conditions of evacuation.