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899 Newborns and Infectious Risks:Experience of Maternity Hospital Souissi-Rabat
  1. A Barkat,
  2. L Benmiloud,
  3. M Kabiri
  1. Faculté de Médecine et de Pharmacie de Rabat, Université Souissi, Rabat, Morocco

Abstract

The objective of our study is to assess the prevalence of infectious perinatal risk situations in the delivery maternity room in Souissi hospital in Rabat, Morocco.

Materials and Methods A prospective study about all infants born in maternity Souissi (Rabat) during one year: from first January to 31 December 2010. We included all newborns symptomatic or not at birth and whose mothers have at least one infectious case histories from the following: rupture of membrane ≥ 12 hours, chorioamnionitis, urinary tract infection and/or genital, fever ≥ 38°c before or in early labor.

Results On a total of 14792 live births, 1602 newborns were prone to a risky infection (10.83%). Prolonged rupture of membranes showed 1341 cases including 59 newborns were premature. The duration of the rupture was between 12 and 24 hours in 44.30% of cases, between 24 and 48 hours in 44, 37% of cases and more than 48 hours in 11.33% of cases. On 133 cases of chorioamnionitis (10.67%) 129 newborns were full-term and 7 were premature.

The obstetric decision was caesarean section delivery in 25.78% of cases. 4.74% of newborns had respiratory distress with a single case of death in the first hours of life. 4.50% were preterm and 8.86% were hypotrophy. Hospitalization was required from the outset in 1059 cases among which 133 were hospitalized. For other patients an inflammatory report was requested. The were followed as outpatients.

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