TITLE:
Perinea Trauma during Childbirth: Socio Demographical Aspect and Management at Obstetrical Gynecology Department Donka National Hospital (Guinea-Conakry)
AUTHORS:
O. Baldé, M. H. Diallo, I. Sylla, M. N. Mamy, A. B. Barry, I. S. Baldé, A. D. Diallo, M. D. Baldé, N. Keita
KEYWORDS:
Perinea Traumatism, Epidemiology, Management, Donka
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.11,
November
14,
2019
ABSTRACT: Perineal trauma is a non-surgical solution of continuity of posterior
perineal committing under the effect of a violent exertion during childbirth.
It occurs at the time of disengagement, either from the head or the posterior
shoulder. Objectives: To calculate
the perinea trauma during childbirth,
describe the socio demographic profile of
the women in childbed, identify
contributory effects and appreciate the maternal prognostic. Methodology: It was a prospective study, descriptive type of 6 months (from
May 19 to November 20, 2014). It took place at the maternity ward of Donka
National Hospital. It concerned all received parturient, women in bed of a single fetus in the unit and having
had a perineum traumatism. The real ones were epidemiologic, therapeutic
clinical and prognostic. Results: We have recorded 110 perinea
traumatism cases over 3496 childbirth let say a frequency of 3%. The socio demographic profile of the woman who did
perinea traumatism was a teenager (42.7%), professional occupation (29.1%),
married (88.2%), schooled, secondary and Technical level (42.7%), primary (70%)
having had more than 3 prenatal consultations (73.6%). Contributory effects
were: prim parity, young age, instrumental extraction by obstetrical forceps
and the fetal weight between 2500 to 3999 g. Surgical management was (100%).
The following were simple in 88.2% cases versus 11. 8% of complications. Conclusion: The reduction of this frequency requests systematical practice and corrects recentered prenatal consultations and the respect of episiotomy indications.