[Morbidity and mortality related to obstetrical transfers in the Bouafle health district of Ivory Coast]. / Morbidité et mortalité liées aux transferts obstétricaux dans le district sanitaire de Bouaflé en Côte d'Ivoire.

During one year of observation, the reference hospital of the sanitary district Bouaflé received 112 women evacuated by peripheral structures. 90.2% of the average women who were 25.8 +/- 7.4 years old had been evacuated before their delivery. Their evacuation was mainly due to dystocia (56.2% of cases) post partum haemorrhage (5.4%) and amniotic infection (4.5%). The reasons of the evacuation did not correspond to the admission diagnosis in 45.5% of the case (51/112). The differences that could be observed concerned dystocia and ruptures of the uterus of which 2 cases out of 9 had been diagnosed before their evacuation. During the study, it was noticed the deaths of 4 mothers and 55 babies. These deaths registered most among the evacuees having used public transportation, having received less than 3 prenatal consultations, multiparous (Chi 2 = 10.32; p = 0.04) and having run more than 30 kilometers.