TITLE:
Dead Fœtale in Utéro: Hospitable Frequency, Etiologies and Maternal Prognosis to the Service of Obstetric Gynecology of the Hospital National Donka, CHU of Conakry, Guinea
AUTHORS:
Boubacar Siddi Diallo, Abdourahmane Diallo, Ibrahima Sory Balde, Mamadou Hady Diallo, Ibrahima Conte, Ousmane Balde, Ibrahima Sylla, Diakaria Daou Sidibe, Telly Sy, Namory Keita
KEYWORDS:
MFIU, Frequency, Etiologie
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.4,
April
28,
2019
ABSTRACT: Objectives: The objectives of this work were to calculate the
frequency of MFIU, to describe the epidemiological profile, to identify the
étiologies and to establish the maternal prognosis. Methodology: It was
about a prospective survey of analytic type
spreading on one period of twelve (12) month achieved to the service of Obstetric Gynecology of the
hospital National Donka, FALLEN from Conakry. Results: On 5226 childbirths,
we recorded 208 cases of MFIU, either a
frequency of 3.98%. The epidemiological
profile was the one of a teenager or aged woman (more of 35 ans) with respectively (8.17%)
and (7.20%), sans follow-up prénatal (10.41%), nullipare (6.02%), célibataire (7.80%), ménagère (5.02%) and non scolarisée (5.16%). The MFIU occurred in the age group of 32 - 36 SA. L’absence of the MAF was the
main motive of consultation 94.23%. All cases of MFIU benefitted from a confirmation
scan. The vasculo-renal syndromes and their complications were the main
étiologie 43.75%; follow-up of the malaria is 13.94%. The majority of
the gestantes were delivered by low way 98.08%. The induction of work
has been made mainly to the misoprostol (Cytotec 200 μg) either 81.86% against 10.78% of Syntocinon in
drip. The maternal morbidity has especially been dominated especially by the hemorrhages
in the case of long length retention and the infections when the membranes are
broken either 1.44% against 98.56% of case of good maternal prognosis. No
maternal death has been recorded. Conclusion: The prenatal consultation
offer recentered and the one of medical correct cares of the vasculo-renal
syndromes and the malaria could reduce the cases of death fœtale efficiently in utero.