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[Premature delivery. Epidemiology and prognosis at the Dakar University Hospital Center]
C A Cisse1, C Tall-Diaw, S Sow
1Clinique Gynécologique et Obstétricale, Centre Hospitalier Universitaire A. Le Dantec, Dakar RP, Sénégal.
A prospective study included 131 premature births registered from January to December 1996 giving a rate of 28 per 1,000 deliveries. The epidemiological profile was one of a primiparous woman, mean age 25 years, admitted in a clinical situation of irreversible premature birth (91.6%). The prematurely born infant was hypotrophic in 48.8% of the cases with term less than or equal to 32 weeks. Vaginal delivery was achieved in most cases. Risk factors identified were: poor prenatal care (no prenatal check-up in 25%) and obstetrical factors (29.8%). The neonatal outcome included neonatal suffering (64.7%) and high mortality (30.7%). Care of premature infants is relatively costly with a mean daily cost of $US 30 per day besides the cost of laboratory tests and personnel costs.
A prospective study included 131 premature births registered from January to December 1996 giving a rate of 28 per 1,000 deliveries. The epidemiological profile was one of a primiparous woman, mean age 25 years, admitted in a clinical situation of irreversible premature birth (91.6%). The prematurely born infant was hypotrophic in 48.8% of the cases with term less than or equal to 32 weeks. Vaginal delivery was achieved in most cases. Risk factors identified were: poor prenatal care (no prenatal check-up in 25%) and obstetrical factors (29.8%). The neonatal outcome included neonatal suffering (64.7%) and high mortality (30.7%). Care of premature infants is relatively costly with a mean daily cost of $US 30 per day besides the cost of laboratory tests and personnel costs.