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Rate of Obstetrical Complications and Medical Interventions in Low-Risk Patients: A Cohort Study in Dakar, Senegal

Open Journal of Obstetrics and Gynecology 2022年第8期12卷 842-848页

作者： Aissatou Mbodji Mamour Gueye Mouhamadou Wade assia bourragat Mame Diarra Ndiaye Simon Birane Ndour Philoméne Aissatou Diedhiou Mohamadou Nazir Sylla Diomaye Sene Magatte Mbaye Philippe Maguilen Senghor Health Center Dakar Senegal Cheikh Anta Diop University Dakar Senegal Gaston Berger University Saint-Louis Senegal

Background: “Low-risk” pregnancy is defined as a pregnancy that develops physiologically in a healthy woman and remains healthy. In practice, “low-risk” pregnancies are defined by excluding high-risk pregnancies. Objectives: Evaluate the rate of complications and medical interventions in “low-risk” pregnant women. Methods: This was a retrospective cohort study assessing the risk of obstetrical complications and medical interventions in low-risk patients from January 2010 to December 2020 at Philippe Maguilen Senghor Health Center in Dakar, Senegal. Results: There were 10,979 low-risk patients out of a total of 52,768, accounting for 20.8%. As medical interventions, episiotomy was performed in 27.5% and cesarean section in 8.7%. Acute fetal distress was observed in 4.1%. A low Apgar score at the fifth minute was observed in 1.89% (whereas it was 3.49% in high risk patients). Newborn-resuscitation was performed in 10.7%. Neonatal mortality was 5‰. Conclusion: Low-risk pregnancies are not without “risk”, and thus care-givers should prepare for risks even at dealing with low risk patients.

关键词： Risk Delivery Obstetric Complications Senegal

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