@article{10.11648/j.jgo.20221002.12,
  author = {Tognifode Veronique and Aboubakar Moufalilou and Ogoudjobi Mathieu and Dakin Mohamed and Dangbemey Patrice and Gayito René and Hounkponou Fanny and Tshabu Christiane and Hounkpatin Benjamin and Denakpo Jutsin Lewis},
  title = {Maternal and Perinatal Complications of Vascular Pathologies Associated with Pregnancy: Frequency and Associated Factors in a Third Level Maternity in Benin},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {2},
  pages = {60-68},
  doi = {10.11648/j.jgo.20221002.12},
  url = {https://doi.org/10.11648/j.jgo.20221002.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.12},
  abstract = {Background and aims: Vascular pathologies (hypertensive disorders and diabetes) associated with pregnancy are important public health problem in Benin because of their frequencies and their complications. This study aims to analyze maternal and perinatal complications of vascular pathologies associated with pregnancy. Methods: This analytical cross-sectional study used retrospective data collected over a three-year period. All mothers who presented a vascular pathology and their newborns during the study period at the Clinique Universitaire de Gynécologie obstétrique (CUGO) of Centre National Hospitalier Universitaire Hubert Koutoukou Maga (CNHU-HKM) of Cotonou were included. Maternal complications associated neurological, hematological, cardio-pulmonary and renal complications whereas perinatal complications included intrauterine growth restriction, fetal asphyxia, prematurity, neonatal resuscitation, low birthweight and perinatal death. Factors associated to the complications were identified by using chi-square test and a multivariate binary logistic regression model. Analyzes were performed with SAS software version 9.4. Results: The frequency of vascular pathologies associated with pregnancy was 14.95%. Diabetes was associated in 4.57%. Their evolutions were marked by the occurrence of numerous maternal complications dominated by retroplacental hematoma (12.08%), eclampsia (08.37%) which passed through signs of eclampsism (21.07%); and hellp syndrome. Perinatal complications were dominated by prematurity (43.07%), low birthweight (29.12%), fetal asphyxia (12.32%) and perinatal death (18.59%). These complications were associated with the precocity of the diagnosis, admission mode and the importance of proteinuria. Conclusion: Maternal and perinatal complications of vascular pathologies associated with pregnancy are frequent in current obstetric practice. It is therefore urgent to implement health promotion interventions targeting the factors associated with them in order to reverse the trends.},
 year = {2022}
}

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TY  - JOUR
T1  - Maternal and Perinatal Complications of Vascular Pathologies Associated with Pregnancy: Frequency and Associated Factors in a Third Level Maternity in Benin
AU  - Tognifode Veronique
AU  - Aboubakar Moufalilou
AU  - Ogoudjobi Mathieu
AU  - Dakin Mohamed
AU  - Dangbemey Patrice
AU  - Gayito René
AU  - Hounkponou Fanny
AU  - Tshabu Christiane
AU  - Hounkpatin Benjamin
AU  - Denakpo Jutsin Lewis
Y1  - 2022/03/09
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221002.12
DO  - 10.11648/j.jgo.20221002.12
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 60
EP  - 68
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221002.12
AB  - Background and aims: Vascular pathologies (hypertensive disorders and diabetes) associated with pregnancy are important public health problem in Benin because of their frequencies and their complications. This study aims to analyze maternal and perinatal complications of vascular pathologies associated with pregnancy. Methods: This analytical cross-sectional study used retrospective data collected over a three-year period. All mothers who presented a vascular pathology and their newborns during the study period at the Clinique Universitaire de Gynécologie obstétrique (CUGO) of Centre National Hospitalier Universitaire Hubert Koutoukou Maga (CNHU-HKM) of Cotonou were included. Maternal complications associated neurological, hematological, cardio-pulmonary and renal complications whereas perinatal complications included intrauterine growth restriction, fetal asphyxia, prematurity, neonatal resuscitation, low birthweight and perinatal death. Factors associated to the complications were identified by using chi-square test and a multivariate binary logistic regression model. Analyzes were performed with SAS software version 9.4. Results: The frequency of vascular pathologies associated with pregnancy was 14.95%. Diabetes was associated in 4.57%. Their evolutions were marked by the occurrence of numerous maternal complications dominated by retroplacental hematoma (12.08%), eclampsia (08.37%) which passed through signs of eclampsism (21.07%); and hellp syndrome. Perinatal complications were dominated by prematurity (43.07%), low birthweight (29.12%), fetal asphyxia (12.32%) and perinatal death (18.59%). These complications were associated with the precocity of the diagnosis, admission mode and the importance of proteinuria. Conclusion: Maternal and perinatal complications of vascular pathologies associated with pregnancy are frequent in current obstetric practice. It is therefore urgent to implement health promotion interventions targeting the factors associated with them in order to reverse the trends.
VL  - 10
IS  - 2
ER  - 

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