Introduction. High-risk pregnancies require quality obstetric care to reduce maternal, perinatal and neonatal morbidity and mortality rates. Evaluating their prevalence is necessary to strengthen treatment strategies. Material and method. Out of a total of 2371 pregnant women, 115 had a high-risk pregnancy at the Kintambo maternity ward in Kinshasa. The data collected in their files covers a period of six years. Their analyzes focus on sociodemographic characteristics, obstetric, medical and surgical histories as well as the outcomes of their pregnancies. Results. The prevalence of high-risk pregnancies is 4.85%. Several high-risk pregnancies resulted in cesarean deliveries 48.7%; abortions 47.0%; premature births 30.4%; stillbirths 15.7% and early neonatal deaths 6.1%. History such as late and multiple gestation, high multiparity (> 6), high blood pressure, third trimester hemorrhages, deliveries of low weight children and macrosomia are among other factors exacerbating the risk of pregnancy in these women giving birth. Conclusion. High-risk pregnancies represent significant prevalence in maternity wards in low-income countries, associated with various factors. Their outcomes are unfavorable and diverse.

Introduction: The partograph is the particular tool for monitoring childbirth, maternal and newborn health when used correctly. The misuse of it and/or its absence constitutes a real danger for the parturient and the newborn. Material and Method: Sixty-two (62) nurses in three health facilities in the city of Kisantu in the province of Kongo-central in the DR. Congo were followed in the maternities. The observational survey method in a cross-sectional quantitative approach was used. The results are presented as percentage and mean compliance and partogram completeness. Results: It appears from this study that the population of respondents is made up only of registered nurses (24.2%), basic graduates (37.1%) and graduates (38.7%). Their professional seniority varies from 4 to 26 years; 50% opens the partograph when the parturient arrives; the average knowledge of the partogram is 20.3% and the consideration of the parameters of the partogram is 33%. Conclusion: The observance and completeness of the partogram by nurses in the city of Kisantu is largely low compared to the prescriptions of the WHO and the ICM.

The quality of obstetrical care in maternity hospitals in most developing countries is a problem in improving the health of mothers and newborns. The maternity hospital at the Kokolo central military hospital in Kinshasa is no exception to this reality. A prospective survey on participatory observation among the midwives of the said maternity during the follow-up of labor of delivery of 50 parturients. The results of this study underwent statistical analysis with the 5% F-Snédecor test. Our results show that no midwifery intervention won 100% in its execution (physical preparation, physical examination, follow-up of labor and immediate postpartum). Statistically the difference is significant from the point of view of physical examination, and not significant from the point of view of physical preparation and obstetrical parameters (dilation, uterine revision obliteration and others).

The application in the Démocratic Republic of Congo (DRC) of to approaches (competency-based approach: ABA and objective-based approach OBA in the teaching of health sciences requires stadardization for the effectiveness of professional practice. The purpose of this study is to compare professional practice during hospital wound care. The medical technical institue of Kisantu and that of Kintandu in central Kongo served as a framework for this study. Thirty fourth-year learners respectively fifteenper school were followed during the internship. The parametric analysis based on the calculation of the mean reveals numerically superior results among learners in ABA compared to those in OBA. The difference in the highest averages among learners from two schools on different stages of the technique is 14.3 percent (ABA) against 13.6 percent (OBA). In view of this result, there is a need to generalize the competency-based approach in all nursing schools of the effectiveness of professional practice.