ABSTRACT
In a retrospective study covering the period from January 1/1980 to December 31/1984, the authors found 1535 stillborn infants in the maternity unit of Gecamines Sendwe. The stillbirth rate was very high (30.80 per 1000). It was found that all the pregnancies in which the outcome was fatal for the fetus had not been adequately supervised: 17.84 per cent of women were never examined during their pregnancy while 82.15 per cent underwent less four prenatal visits. The group of primipara and secondipara was predominant (61.88 per cent) between the mothers which had stillborn infants. Urinary tract infection (23.95 per cent) and malaria (17.55 per cent) were the most frequent diseases found in this series.
Subject(s)
Delivery, Obstetric/standards , Fetal Death/epidemiology , Pregnancy Complications/epidemiology , Prenatal Care/standards , Adolescent , Adult , Delivery, Obstetric/methods , Democratic Republic of the Congo/epidemiology , Female , Fetal Death/etiology , Gestational Age , Humans , Infant Mortality , Infant, Newborn , Maternal Age , Middle Aged , Obstetrics and Gynecology Department, Hospital , Parity , Pregnancy , Pregnancy Outcome , Prenatal Care/statistics & numerical data , Retrospective StudiesABSTRACT
A clinical and biological study was conducted between September 1, 1983 and August 31, 1984, at the Sendwe Maternity Hospital in Lubumbashi, concerning anemia in pregnant women. This prospective study showed that 41.90 p. cent of women in this series are anemic. Per order of frequency, the anemia was normocytic in 291 patients (62.85 p. cent), microcytic in 216 (25.04 p. cent) and macrocytic in 56 (12.10 p. cent). Among the etiological factors, the most important are: poor socioeconomic development, multiple intestinal parasites and malaria. Moreover, it should be pointed out that young primiparous women represent 36 p. cent of the cases, or more than one-third of the population. In anemias occurring during pregnancy, the fetus is more vulnerable than the mother. He is the victim of a number of accidents, the most frequent in this series being intrauterine growth delay.
