PROBLEM OF DYSTOCIC CHILDBIRTH AT THE MATERNAL AND INFANTILE HEALTH CENTER (CSMI) OF LUBAO, DEMOCRATIC REPUBLIC OF THE CONGO
DOI:
https://doi.org/10.59296/tjs.v2i1.36Abstract
Introduction: Dystocic deliveries are a major public health problem, especially in developing countries south of the Sahara, such as the Democratic Republic of Congo, where quality obstetric care remains scarce in rural areas. The severity of : Dystocic deliveries is related to the mortality and morbidity rates that accompany it in a context of limited resources. This study aims to determine the frequency of dystocic deliveries, the most vulnerable terrain and the most commonly used management method. Method: This was a descriptive cross-sectional and analytical study covering the period from January to December 2020 at the maternal and child health center (CSMI) in Lubao, Democratic Republic of Congo.
Results: During the study period, 138 cases of dystocia were recorded among the 268 deliveries performed, i.e. 51.5%. Mechanical dystocia was the most common (72 cases; 52.2%). Apart from the CSMI, the majority of parturients came from health facilities in the nearest health areas. The means age of the women who gave birth was 28.7 years, with a predominance of primiparous women (43.5%; 60 cases) and large multiparous women (22.5%; 31 cases), with a height greater than 150 cm (69.6%; 96 cases) and who had undergone prenatal consultations (86 cases; 62.3%). Caesarean section and episiotomy were the most common surgical procedures for mechanical dystocia, whereas clinicians used oxytocin stimulation for dynamic dystocia (p 0.00001). Eleven cases of maternal death, or 8.0%, were observed.
Conclusion: Dystocia is a major risk factor for maternal death in our setting. We recommend the allocation of qualified human resources in obstetrics and appropriate resuscitation equipment for the mother and the newborn. In addition, awareness raising in relation to the fight against early marriage and high-risk pregnancy factors must be increased.
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