Impact of quality of care during childbirth on maternal and foetal morbidity and mortality in the Obstetrics and Gynecology Department of Coyah Prefectural Hospital, Guinea

Abstract

Summary: In Africa, care during childbirth depends on routine practices to the detriment of quality. The aim of this study was to examine the quality of delivery care at the Coyah prefectural hospital. Methods: The study was conducted at Coyah Prefectural Hospital. It was a cross-sectional, descriptive and analytical study lasting 6 months, from 1 May to 30 October 2020. Parturients whose term was ≥ 28 SA and who agreed to participate in the study were included. Data were entered, analysed and presented using Word. A Epi Info 7.2.2.6 software. Pearson's kh2 test with a significance level of 0.005 was used. Results: The frequency of deliveries was 17.75%. The average age of parturients was 25.38 years. Most parturients (98.46%) were married, had no formal education (47.69%) and were self-employed (42.5%). Nulliparous women represented 30.6% of the sample and most parturients (60.38%) gave birth vaginally. The main complications observed in the mother were anaemia, trauma to the perineum and post-partum haemorrhage, while fetal complications were dominated by acute fetal distress (10.19%) and respiratory distress (2.5%). Maternal mortality was 11/1000 and neonatal mortality 12.3/100. Conclusion: The outcome of childbirth is influenced by several factors, the correct management of which could improve maternal and neonatal prognosis.