Influence of Prenatal Surveillance on Maternal and Perinatal Prognosis: A Prospective Study over 6 Months at the Maternity Ward of the Owendo University Hospital (Gabon)

作     者：Boniface Sima Ole Sidy Gérard Mba Edou Ulysse Minkobam Désire Assoume Ophélie Makoyo Komba Nathalie Ambounda Pamphile Assoumou Jacques Albert Bang Ntamack Sosthène Mayi Tsonga Jean François Meye Boniface Sima Ole;Sidy Gérard Mba Edou;Ulysse Minkobam;Désire Assoume;Ophélie Makoyo Komba;Nathalie Ambounda;Pamphile Assoumou;Jacques Albert Bang Ntamack;Sosthène Mayi Tsonga;Jean François Meye

作者机构：Department of Obstetrics and Gynaecology Owendo University Hospital Owendo Gabon Department of Obstetrics and Gynecology Faculty of Medicine of Libreville Libreville Gabon 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2024年第14卷第2期

页      面：301-311页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：ANC Insufficiency Maternal Pathologies Perinatal Death Gabon 

摘      要：Introduction: The occurrence of pregnancy in women is a risky situation. Prenatal care is necessary, which is not often the case in our context. Aim: To analyze the influence of antenatal surveillance on maternal and perinatal prognosis. Patients and Method: Preliminary longitudinal and analytical survey at the Owendo University Hospital (OHU) over 6 months. It focused on prenatal surveillance. The study population consisted of parturients who gave birth within 24 hours and we studied sociodemographic characteristics, variables related to antenatal contact, those of delivery as well as maternal and newborn outcomes. Results: 2485 deliveries were recorded and 1300 patients were retained according to the inclusion criteria. No prenatal contact (ANC0) was performed in 93 (7.15%), insufficient (ANCI) in 943 patients (72.5%), and sufficient (ANCS) in 264 patients (20.30%). Patients with low school level were significantly found when the NPC was not performed or insufficient and the same was true for the group of patients who were not employed and those who were single (p 0.005). The caesarean section rate and perinatal mortality are high in this case. Conclusion: The quality of prenatal contact is insufficient in our context. The absence or inadequacy of the latter has a strong negative impact on maternal and perinatal morbidity and mortality.