[ Mort in utéro: Fréquence et facteurs de risque dans la ville de Goma en République Démocratique du Congo ]
Volume 23, Issue 4, July 2018, Pages 661–666
Kyembwa Mulyumba Michel1, Kahambwe Ekoko Grace2, Taji Leki Sosthène3, Mumbere Mathumo4, Likilo Osundja Jeremy5, and Katenga Bosunga6
1 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Goma, Goma, RD Congo
2 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Goma, Goma, RD Congo
3 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Bunia, Bunia, RD Congo
4 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université Catholique de Graben, Butembo, RD Congo
5 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
6 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
Original language: French
Copyright © 2018 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: In utero death is one of the most common situations in obstetrical practice and is often poorly tolerated by pregnant and nursing staff. The objectives of this study were to determine its frequency and to identify the risk factors at the North Kivu Provincial Hospital in Goma. Methods: This was a cross-sectional and descriptive case-control study that determined the frequency of death in utero and identified risk factors. For this study period, 55 in utero deaths were recorded out of a total of 1218 deliveries. For risk factor research, the match ratio was 2 controls with live birth for a case of death in utero. Results: The frequency of death in utero at the North Kivu Provincial Hospital in Goma was 4.5%. After adjustment, celibacy (p = 0.004, 95% OR = 4.67), parity greater than 3 (p = 0.021, 95% OR = 2.45), CPN deficiency (p = 0.000, 95% OR = 6.23), the history of in utero death (p = 0.000, 95% OR = 16.71), and morbid diseases were identified as factors associated with the risk of onset of death. utero. Conclusion: The frequency of death in utero was 4.5%. Among the factors studied, the risk of death in utero in our environment is associated with celibacy, multiparity, lack of ANC, history of MIU and morbid maternal diseases.
Author Keywords: Frequency, In utero death, Goma.
Volume 23, Issue 4, July 2018, Pages 661–666
Kyembwa Mulyumba Michel1, Kahambwe Ekoko Grace2, Taji Leki Sosthène3, Mumbere Mathumo4, Likilo Osundja Jeremy5, and Katenga Bosunga6
1 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Goma, Goma, RD Congo
2 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Goma, Goma, RD Congo
3 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Bunia, Bunia, RD Congo
4 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université Catholique de Graben, Butembo, RD Congo
5 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
6 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
Original language: French
Copyright © 2018 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: In utero death is one of the most common situations in obstetrical practice and is often poorly tolerated by pregnant and nursing staff. The objectives of this study were to determine its frequency and to identify the risk factors at the North Kivu Provincial Hospital in Goma. Methods: This was a cross-sectional and descriptive case-control study that determined the frequency of death in utero and identified risk factors. For this study period, 55 in utero deaths were recorded out of a total of 1218 deliveries. For risk factor research, the match ratio was 2 controls with live birth for a case of death in utero. Results: The frequency of death in utero at the North Kivu Provincial Hospital in Goma was 4.5%. After adjustment, celibacy (p = 0.004, 95% OR = 4.67), parity greater than 3 (p = 0.021, 95% OR = 2.45), CPN deficiency (p = 0.000, 95% OR = 6.23), the history of in utero death (p = 0.000, 95% OR = 16.71), and morbid diseases were identified as factors associated with the risk of onset of death. utero. Conclusion: The frequency of death in utero was 4.5%. Among the factors studied, the risk of death in utero in our environment is associated with celibacy, multiparity, lack of ANC, history of MIU and morbid maternal diseases.
Author Keywords: Frequency, In utero death, Goma.
Abstract: (french)
Introduction: la mort in utero est l’une des situations les plus fréquentes dans la pratique obstétricale et souvent mal tolérée par la gestante et le personnel soignant. Les objectifs de cette étude étaient de déterminer sa fréquence et d'en identifier les facteurs de risque à l'Hôpital Provincial du Nord Kivu à Goma. Méthodes: il s’est agi d’une étude transversale et descriptive, type cas-témoin, qui avait permis de déterminer la fréquence de la mort in utero et de déterminer ses facteurs de risque. Pour cette période d’étude, 55 cas de mort in utero étaient enregistrés sur un total de 1218 accouchements. Pour la recherche des facteurs de risque, le ratio d’appariement était de 2 témoins avec naissance vivante pour un cas de mort in utero. Résultats: la fréquence de la mort in utero à l'Hôpital Provincial du Nord Kivu à Goma était de 4,5%. Après ajustement, le célibat (p=0,004, OR à 95% =4,67), la parité supérieure à 3 (p=0,021, OR à 95% =2,45), l’insuffisance des CPN (p = 0,000, OR à 95% = 6,23), l'antécédent de mort in utero (p = 0,000, OR à 95% = 16,71), et de maladies morbides ont été retenus comme facteurs associés au risque de survenue de la mort in utero. Conclusion: la fréquence de la mort in utero était de 4,5%. Parmi les facteurs étudiés, le risque de survenue de mort in utero dans notre milieu est associé au célibat, à la multiparité, à l’insuffisance des CPN, aux antécédents de MIU et aux maladies maternelles morbides.
Author Keywords: Fréquence, Mort in utero, Goma.
How to Cite this Article
Kyembwa Mulyumba Michel, Kahambwe Ekoko Grace, Taji Leki Sosthène, Mumbere Mathumo, Likilo Osundja Jeremy, and Katenga Bosunga, “Death in utero: frequency, risk factors in Goma town in Democratic Republic of Congo,” International Journal of Innovation and Applied Studies, vol. 23, no. 4, pp. 661–666, July 2018.
