受精ジャーナル:体外受精 - 体外受精 - 世界中、生殖医学、遺伝学、幹細胞生物学
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概要

Trauma in pregnancy at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Burkina Faso: Epidemiological, Clinical, Therapeutic and Prognostic Aspect

Ali Ouédraogo, Francoise D. Traoré/Millogo, Mohamed Tall, Andre Simpore, Mariam Savadogo, Charlemagne Ouédraogo, Blandine Thieba/Bonane and Jean Lankoandé

Objective: To study the epidemiological, clinical, therapeutic and prognostic aspects of trauma in pregnancy at the Yalgado Ouedraogo teaching hospital in Ouagadougou.

Patients and Methods: A descriptive retrospective study was done over a period of three years from 1st January 2010 to 31st December 2012. Were included in our sample, all pregnant women admitted for trauma in pregnancy and eligible in three clinics: obstetrics/gynecology, orthopedics, general and visceral surgery. The data was collected using a structured questionnaire and were entered and processed using Epi data 3.1 and SPSS.

We recorded 224 emergency consultations for trauma in pregnancy out of 26,735 obstetric and gynecological consultations which gives a frequency of 0.8%. The mean age of our patients was 25.9 ± 5 years and mean parity was 1. Housewives accounted for 50% of patients and referrals were the mode of admission in 74.6% of cases. The causes of injury were dominated by road traffic accidents in 82.6% of cases, falls in 9.8% and assault in 7.6%. The mean gestational age of onset of trauma was 26.3 ± 7weeks amenorrhea. The management was multidisciplinary with a medical component in 99.1% of cases, obstetric component in 13% of cases, a visceral surgery component in 6.7% of cases and an orthopedic component in 4.2% case. Multiple traumas were found in 4 patients. The fetal prognosis showed in the 1st trimester 3 cases of abortion in the 2nd trimester 5 cases of intrauterine fetal death and in the 3rd trimester 10 cases of preterm labor

Conclusion: Traumas during pregnancy are relatively common. The complications of these traumas are severe and in their management are multidisciplinary. The establishment of a national strategy to prevent trauma in pregnancy will improve the prognosis for mother and child.