Epidemiological Profile of High-Risk Pregnancies in Lubumbashi: Case of the Provincial Hospital Janson Sendwe

摘要

Maternal and child health is an important part in the health development plans in many countries. This descriptive study aimed to investigate the epidemiology of risk pregnancies managed at the provincial hospital Janson Sendwe. It was conducted from March 17 to July 15, 2015 to all pregnant women for childbirth consultant beyond 28 weeks of gestation and having at least one risk factor identified during antenatal care or a posteriori childbirth. On 535 women included in the study, we recorded 1667 risk factors in an average of 3.2 risk factors per woman. The three main risk factors were met by order of importance: the history of maternal infection (18.5%), the history of caesarean section (13.6%) and unexplained fetal or neonatal death antecedent (12.4%). The antecedent of uterine malformation (0.1%), the history of macrosomia (0.5%) and uterine height decreased (2.1%) were the least represented. It thus appears necessary to carefully monitor these women to avoid the occurrence of maternal mortality.