Prognosis of Deliveries at the Regional Hospital of Saint Louis

Few studies on the prognosis of cerebral uterine deliveries have been conducted in Senegal, particularly in the northern region of Senegal. To this end, we conducted a prospective study, whose purpose is to evaluate deliveries on scar uterus and improve care.

Methodology: This prospective descriptive cross-sectional study, which was conducted at the maternity ward of the Saint Louis Regional Hospital Center, was conducted from January 1st to July 31st, 2017.

Results: The deliveries on scar uterus accounted for 155 cases out of 2658 deliveries at the maternity ward of the Saint Louis Regional Hospital during the study period, a prevalence of 6%. The dominant age group was 25-32 years old. The average age was 28.9 years with extremes ranging from 20 to 41 years old.

We had a caesarean section rate of 52.3% and 47.7% vaginal delivery, of which 70.7% spontaneously expelled and 29.3% had a suction cup.

Caesarean section indications were mainly of maternal and adnexal origin, with 91.1% and 8.9% respectively. We had a bleeding hemorrhage of 9.7% and a dehiscence of the old scar 14% after a vaginal delivery.An intraoperative complication was noted of type sensory block deficit, resulting in a pain sensation peroperatively. In the immediate post operative period, post-cesarean peritonitis was noted. We had no maternal deaths. 2.3% of neonatal deaths were recorded during the study.

Conclusion: Progress remains to be made in the management of scar uteri deliveries. The materno-fetal prognosis may be improved by systematic and early reference of patients to the referral center.

Keywords: Cesarean section, cicatricial uterus, maternal mortality.