Prenatal Consultation Associated with Maternal and Fetal Complications During Delivery in Military Hospital of Soavinandriana Madagascar

Romuald Randriamahavonjy, Fidiniaina Mamy Randriatsarafara, Zafindrasoa Domoina Rakotovao-Ravahatra, Lovamampionona Andriamihajason, Hajanirina Rakotomahenina, Hery Rakotovao Andrianampanalinarivo


Maternal and fetal complications represent a public health problem. The aim of this study is to identify the effects of prenatal consultation (PNC) in pregnant women to the maternal and fetal complications of deliveries in Military hospital of Soavinandriana (CENHOSOA). This is an analytical study using "Historical Cohort" comparing two groups of population, one group have done PNC or "PNC+" and the other group without PNC or "PNC-".

The study was conducted in the CENHOSOA over a period of 13 months from 01 May 2012 to May 31, 2013. During the study period, we have include 296 (23.2%) belonged to the group of PNC- and 982 (76.8%) to the PNC+. The proportion of term birth is lower in PNC- than PNC+ (80.4% versus 93.3%,  p<10-6). The cesarean section was high in the PNC- group in comparison with the "PNC+" (32.1% versus 24.1% p<10-2). Group of PNC- have a relative risk RR = 6.64, 95% CI [1.22 – 36.05] of dyspnea. Infections and phlebitis are non significant in the two groups. Concerning fetal complication, PNC- group had RR=1.99, 95% CI [1.13 – 3.52] to have APGAR score<7 and RR=2.65, 95% CI [1.58 – 4.47] of weight <2,000mg. Concerning complications conducting in deaths, mother with PNC- had RR=3.32, 95% CI [0.21 – 52.88] of maternal death and newborns had RR=2.65, 95% CI [0.72 – 9.82] to intrauterine fetal death. In brief, maternal and fetal complications have been more frequent among women who have not had PNC. The state should promote the practice of adequate and well-conducted PNC for the good of the mother and the baby.


Prenatal consultation; pregnancy; complications; infection; intrauterine fetal death.

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United Nations. Millenium Development Goal Reports 2008, New York: DESA, 2008.

Malick K.A., Darmstadt M., Rachel A. and al. Why is maternal mortality not declining faster in Africa despite improved health provision? Shock of cultures or bad health system organization ? INED, 2011,12, pp 335-356.

United Nations Children's Fund. National Report on the Implementation in Madagascar of the Plan of Action for a World Fit for Children, Geneva UNICEF, 2007.

Directorate of Research, Studies, Evaluation and Statistics. The perinatal situation in France in 2010, Paris, DREES, 2011.

Maria K., Richard M., Clamroch K.M. and al. Prenatal care in Kinshasa: beliefs, knowledge and obstacles to appropriate programming, Cahiers de santé, April-June, 2005, pp 93-97.

Hannalka O., Ildiko F., Marta K. and al. The perinatal outcome of pregnency without prenatal care : a retrospective study in Szeged Hungary, Eur J Obstet Gynecol Biol, 2002, 100, 2, pp171-173.

Blondel B., Du Tilh P., Delour and al. Poor antenatal care and pregnancy outcome, Eur Obstet Gynecol Reprod Biol, 1993, 50, pp 191-196.

Feijen D.J., Jansen D., Baarveld F. Determinants of late and/or inadequate use of prenatal health care in high-income countries: a systemic review, Eur J Public Health, 2011 november, 22, 6, pp 904-913.

Martins M. Prenatal surveillance in six communes of the Braga Distict in Portugal, La revue de la sage femme, 2012, 11, pp 144-149.

Ouedraogo N.L. Risk factors associated with intrauterine growth restriction : Case-control study in the city of Ougadougou (Burkina Faso), Paris, UPMC, 2005.

Oul El. Joud, Bouvier- Colle M.H. Study of the frequency and risk factors of dystocia in 7 cities of West Africa, J Gynecol Obstet Biol Reprod, 2002, 31, pp 50-62.

Leticée N, Venditelli, Ughetto S et al. Does the quality of pregnancy monitoring interfere with pregnancy outcomes in Guadeloupe? Gynecol Obstet Fertil. 2013 ; 41 :282-8.

Andriamandimbison Z., Randriambololona D. M.A., Rasoanandrianina B.S., Hery R.A. Causes of in utero fetal deaths: 225 cases at Befelatanana Hospital, Madagascar, .Medecine et Santé tropicale, 2013, 23, pp 78-82.

Line C. Fetal death in utero: about 152 cases [Thèse], Human medecine , Nice, 1996, 112p.


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