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Serious Obstetrical Complications Admitted in an Intensive Care Unit in Benin

Received: 24 August 2021    Accepted: 8 September 2021    Published: 23 September 2021
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Abstract

Introduction: Most complications in pregnancy, delivery or post natal period are managed by obstetricians. However, some are admitted to intensive care units (ICU), for ressucitation. The aim of this study was to describe the epidemiological and clinical profils of patients admitted in the intensive care unit for serious obstetrical complications at the University Associated Hospital of Mother and Child (CHU-MEL). Materials and Methods: This was a descriptive cross-sectional study with prospective data collection from October 1 to from October 1 to December 31, 2019. Were included pregnant and women delivered and within 42 days of the postpartum period admitted to the intensive unit care and presenting one of the criteria of severe maternal morbidity as defined by the EPIMOMS study. The analysis of the data was done with the STATA software. Results: The proportion of admissions to the intensive care unit was 15.44%. The patients were young (mean age 27 years), educated (76.19%), primigravida (39.05%), primiparous (38.1%) and without any particular history (85.71%). Most of them were referred from the peripheral health centers. The main reasons were complications of hypertension during pregnancy (53.33%), bleeding complications (42.86%) and infectious complications (7.62%). The most used products were antibiotics (92.38%), analgesics (89.52%), uterotonics (82.66%), anticoagulants (75.24%), magnesium sulfate (51.43%). Conclusion: Serious obstetrical complications are frequent. Their management needs an ICU well equipped especially in reference hospital. It is important that the references respect the norms to avoid that the patients arrive in a critical state.

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 5)
DOI 10.11648/j.jgo.20210905.13
Page(s) 150-154
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Serious Obstetrical Complication, Intensive Unit Care, Benin

References
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[5] Tchaou BA, Tshabu-Aguèmon C, Hounkponou FM, Brouh Y, Aguémon AR, Chobli M. Severe obstetrical morbidities in intensive care at the university hospital of Parakou in Benin: 69 cases. Rev D'Anesthesiology Emergency Medicine. 2013; 18 (3): 9.
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[7] Lelong E, Pourrat O, Pinsard M, Goudet V, Badin J, Mimoz O, et al. Intensive care unit admissions of women during pregnancy or post partum: circumstances and prognosis. A retrospective series of 96 cases. Rev Internal Medicine. 2013; 34 (3): 141-7.
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[12] Filippi V, Ronsmans C, Gohou V, Goufodji S, Lardi M, Sahel A, and al. Maternity wards or obstetric emergency rooms? Incidence of near misses in African hospitals. Acta Obstet Gynecol Scand. 2005; 84 (1): 11-6.
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Cite This Article
  • APA Style

    Aboubakar Moufalilou, Akodjenou Joseph, Tognifode Véronique Medesse, Dangbemey Patrice, Zounma Mawuwè Caleb, et al. (2021). Serious Obstetrical Complications Admitted in an Intensive Care Unit in Benin. Journal of Gynecology and Obstetrics, 9(5), 150-154. https://doi.org/10.11648/j.jgo.20210905.13

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    ACS Style

    Aboubakar Moufalilou; Akodjenou Joseph; Tognifode Véronique Medesse; Dangbemey Patrice; Zounma Mawuwè Caleb, et al. Serious Obstetrical Complications Admitted in an Intensive Care Unit in Benin. J. Gynecol. Obstet. 2021, 9(5), 150-154. doi: 10.11648/j.jgo.20210905.13

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    AMA Style

    Aboubakar Moufalilou, Akodjenou Joseph, Tognifode Véronique Medesse, Dangbemey Patrice, Zounma Mawuwè Caleb, et al. Serious Obstetrical Complications Admitted in an Intensive Care Unit in Benin. J Gynecol Obstet. 2021;9(5):150-154. doi: 10.11648/j.jgo.20210905.13

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  • @article{10.11648/j.jgo.20210905.13,
      author = {Aboubakar Moufalilou and Akodjenou Joseph and Tognifode Véronique Medesse and Dangbemey Patrice and Zounma Mawuwè Caleb and Tonato-Bagnan Angeline and Zoumenou Eugene},
      title = {Serious Obstetrical Complications Admitted in an Intensive Care Unit in Benin},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {9},
      number = {5},
      pages = {150-154},
      doi = {10.11648/j.jgo.20210905.13},
      url = {https://doi.org/10.11648/j.jgo.20210905.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210905.13},
      abstract = {Introduction: Most complications in pregnancy, delivery or post natal period are managed by obstetricians. However, some are admitted to intensive care units (ICU), for ressucitation. The aim of this study was to describe the epidemiological and clinical profils of patients admitted in the intensive care unit for serious obstetrical complications at the University Associated Hospital of Mother and Child (CHU-MEL). Materials and Methods: This was a descriptive cross-sectional study with prospective data collection from October 1 to from October 1 to December 31, 2019. Were included pregnant and women delivered and within 42 days of the postpartum period admitted to the intensive unit care and presenting one of the criteria of severe maternal morbidity as defined by the EPIMOMS study. The analysis of the data was done with the STATA software. Results: The proportion of admissions to the intensive care unit was 15.44%. The patients were young (mean age 27 years), educated (76.19%), primigravida (39.05%), primiparous (38.1%) and without any particular history (85.71%). Most of them were referred from the peripheral health centers. The main reasons were complications of hypertension during pregnancy (53.33%), bleeding complications (42.86%) and infectious complications (7.62%). The most used products were antibiotics (92.38%), analgesics (89.52%), uterotonics (82.66%), anticoagulants (75.24%), magnesium sulfate (51.43%). Conclusion: Serious obstetrical complications are frequent. Their management needs an ICU well equipped especially in reference hospital. It is important that the references respect the norms to avoid that the patients arrive in a critical state.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Serious Obstetrical Complications Admitted in an Intensive Care Unit in Benin
    AU  - Aboubakar Moufalilou
    AU  - Akodjenou Joseph
    AU  - Tognifode Véronique Medesse
    AU  - Dangbemey Patrice
    AU  - Zounma Mawuwè Caleb
    AU  - Tonato-Bagnan Angeline
    AU  - Zoumenou Eugene
    Y1  - 2021/09/23
    PY  - 2021
    N1  - https://doi.org/10.11648/j.jgo.20210905.13
    DO  - 10.11648/j.jgo.20210905.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 150
    EP  - 154
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20210905.13
    AB  - Introduction: Most complications in pregnancy, delivery or post natal period are managed by obstetricians. However, some are admitted to intensive care units (ICU), for ressucitation. The aim of this study was to describe the epidemiological and clinical profils of patients admitted in the intensive care unit for serious obstetrical complications at the University Associated Hospital of Mother and Child (CHU-MEL). Materials and Methods: This was a descriptive cross-sectional study with prospective data collection from October 1 to from October 1 to December 31, 2019. Were included pregnant and women delivered and within 42 days of the postpartum period admitted to the intensive unit care and presenting one of the criteria of severe maternal morbidity as defined by the EPIMOMS study. The analysis of the data was done with the STATA software. Results: The proportion of admissions to the intensive care unit was 15.44%. The patients were young (mean age 27 years), educated (76.19%), primigravida (39.05%), primiparous (38.1%) and without any particular history (85.71%). Most of them were referred from the peripheral health centers. The main reasons were complications of hypertension during pregnancy (53.33%), bleeding complications (42.86%) and infectious complications (7.62%). The most used products were antibiotics (92.38%), analgesics (89.52%), uterotonics (82.66%), anticoagulants (75.24%), magnesium sulfate (51.43%). Conclusion: Serious obstetrical complications are frequent. Their management needs an ICU well equipped especially in reference hospital. It is important that the references respect the norms to avoid that the patients arrive in a critical state.
    VL  - 9
    IS  - 5
    ER  - 

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Author Information
  • Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

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