Journal de la grossesse et de la santé infantile

Abstrait

Epidemiological and Prognostic Aspects of the Trauma during Pregnancy at the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso

Adama Ouattara, Lankoande Bako Natacha, Ouédraogo Smaila, Porgo Alidou, Tougma Sanou Aline, Zongo Nayi, Sawadogo Yobi Alexis, Millogo Traore Francoise, Ouedraogo Marie Charlemagne, Ouedraogo Ali and Thieba Bonane Blandine

Objectives: To study the epidemiological and prognostic aspects of trauma during pregnancy at the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso.
Patients and Methods: This was a descriptive retrospective study over a 2 year period from January 1, 2015 to December 31, 2017. Included in our sample were all pregnant women admitted for trauma during pregnancy in the department of gynecology and obstetric in the University Teaching Hospital Bogodogo of Ouagadougou.
Results: We recorded 112 emergency consultations for trauma and pregnancy out of a total of 13,367 gynecoobstetrical consultations, or a frequency of 0.9%. The average age of our patients was 25.9 ± 5 years and the average parity was 3 with extremes of 0 and 8. Housewives accounted for 50% of patients and evacuation was the mode of admission in 74.6%. The etiologies of trauma were dominated by road accidents in 82.6% of cases, falls in 9.8% of cases and brawls in 7.6% of cases. The mean gestational age of onset of trauma was 26.3 ± 7. A notion of polytrauma was found in 4 patients. The fetal prognosis was marked in the 1st quarter by 3 cases of abortion, in the 2nd quarter by
5 cases of intrauterine fetal death and in the 3rd quarter by 10 cases of threatened premature delivery.
Conclusion: Trauma during pregnancy is frequent in the UTH-B. The implementation of a national prevention strategy for this association will improve the prognosis of mothers and children.