[Stillbirths in the department of Obstetrics and Gynecology of the Health Center of Refers Common V (CSRef CV) of the district of Bamako].

OBJECTIVES

The aims of this study were to do an epidemiological study of the still birth and to analyze maternal pathologies and gynéco-obstétricales associated.

MATERIAL AND

METHODS

We undertook a transverse exploratory study of January 1 to December 31, 2005, intended to count all the cases of still-born children in our service which they result from single or multiple pregnancy. We proceeded to one systematic audit of all the files of mortinaissance.

RESULTS

During the study period, we listed 7773 cases of births whose 390 still-born children is a frequency 50.1/1000. The Middle Age was of 26.3± 4 years, a antenatal follow-up ensured at 78.4%. The monitoring of the work of childbirth was ensured by the matrons in 52% of the cases and only 38% by the wise women. Maternal pathologies and gynéco-obstétricales frequently associated with the mortinaissance were: the genital haemorrhage (52.43%), the dystocia (24.86%), maternal pathologies with vascular lesions (20.54%), the maternal infection (12.96%) - Anaemia (4.90%), the foetal suffering (4.30%).

CONCLUSION

The mortinaissance is a frequent tragedy and often poses a medico-legal problem and of public health, better followed antenatal and a correct monitoring of work could reduce occurred of such a drama.