Mabiala-Maye
University Of Nebraska Medical Center USA.
Title: Epidemiological profile of rural pregnant women: a case study in the republic of congo
Biography
Biography: Mabiala-Maye
Abstract
Introduction: Healthcare inequity remains a cause of great concern in the Republic of Congo. The impact on maternal health, particularly in rural areas, reflects this. Objectives: Assess the quality of maternal health in Congolese northern rural areas to provide an epidemiological profile and illustrate the health and well-being of rural pregnant women to inspire further research in the area. Patients and methods: Descriptive cross-sectional study from January to July 2020 at the Health Center of Bétou in Likouala, Congo. All pregnant women who received their first prenatal consultation were included. Data were collected from the registers and processed using MS Excel®. Results: A total of 2,897 women were included in the first prenatal consultation. Of these, 1,572 came at least to the third prenatal consultation (54.26%), 1,638 (56.54%) for birth. Pregnancies were pathological in 13.77% of cases (n=399). Sexually transmitted infections were found in 12.7% (n=368) of pregnant women. HIV test coverage was 11.63% (n=337) and positive cases were found in 0.37% (n=11). The cesarean section rate was 3.69% (n=107). Maternal and neonatal deaths represented 696/100,000 (n=9) and 23.4/1000 (n=22) live births, respectively. Conclusion: This work shows high morbidity and mortality among pregnant women in Bétou, low coverage of HIV testing, and low participation in prenatal consultations services. The availability of qualified human and material resources is a challenge