The lack of Respectful Maternity Care (SMR) is a significant failure in birth facilities in many low-income countries. Mvuzi maternity ward at the hospital of the same name in Matadi Kongo Central, DR. Congo is not to be outdone. The specific objectives of this study were to assess the knowledge of birth attendants and midwives on respectful maternity care; determine the time at which practitioners integrate this care, and describe the main reasons for the low integration of SMR. Twenty (20) health professionals assigned to the maternity unit made up the sample size. The observation technique complemented by the face-to-face interview were used as data collection tools. The present study found that the mean age was 39.5 (range 23–56 years); 50% of them had a low level of education (graduates and nurses from basic school); 65% had less than five years of professional experience. SMR are integrated with a long delay (75% at delivery, 20% at reception and 5% at consultation). Among these types of care, those relating to women’s rights are almost unknown (5%); Physical care is also less and less applied (20%) and safe care (75%). Lack of motivation (60%) is the main reason for not integrating SMR into this health facility. We conclude that the integration of SMR through staff training and the establishment of a monitoring and enforcement unit is a necessity to enhance women’s rights to motherhood.

Gestational diabetes is a public health problem that requires special monitoring given the divertit of factors involved. The specific objectives of this study are: to describe the epidemiological profile of pregnant women in order to identify the particularities of those who develop gestational diabetes; and then calculate the relative risk of gestational diabetes in pregnant women. Nine Teen (19) pregnant women were being investigated at the Kimbanseke maternity hospital in the eastern part of the city of Kinshasa. Data are collected through interviews and observations. These data concerned socio-demographic characteristics, paraclinical examinations (blood glucose), family, medical, gynaecological and obstetric history as well as dietary habits. Seven (7) pregnant women had developed gestational diabetes, an incidence rate of 36.84%. Regarding history: the risk of gestational diabetes increases with lack of occupation (1.61 times); in the first and second trimester of pregnancy (1.60 times) and with large mass (1.15 times). This risk is higher if the pregnant person has a history of diabetes (2.76 times); hyperglycemia (2.28 times); if the pregnant woman has had surgery for ovarian cyst (2.13 times) and if she had given birth with malformation with malformation in the past (1.50 times). For pregnant women with glycosuria (5.40 times); angina infection (3.73 times); if high blood pressure (2.76 times); in case of genital infection (1.81 times); obesity (1.62 times); if fasting blood glucose is high (1,15 times). As for treatment habits: the risk is 8.25 times higher for pregnant women taking insulin; and 5.41 times more for pregnant women on diet. We conclude that the risk of gestational diabetes increases with sociodemographic profile, medical, surgical, obstetric history, and treatment habits.

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.