Introduction: Prematurity is one of the leading causes of neonatal death in Africa. The objective of this work was to assess the preterm birth at the pediatric service of the regional hospital of Ziguinchor. Material and methods: This was a prospective, descriptive and analytical study of the case of hospitalized newborns whose age was between 32 SA to 36SA + 6 days. The study was conducted from May 21, 2013 to May 21, 2014. We included all premature infants at age ≥ 32SA.Those presenting a malformation were not included. We studied maternal socio-demographic, obstetric and neonatal parameters. Results: We have identified 140 newborns out of a total of 342 Preterm births and 2292 maternity births, a prevalence of 40.9% compared to preterm infants and 6.10% in relation to all births. 51.4 percent of mothers came from urban areas, 63.5 percent were between 20 and 34 years of age, not attending school in 45.7 percent, married in 72.9 percent and without work in 94.3 percent. The average gestures represented 3.09 . Arterial European Scientific Journal December 2017 edition Vol.13, No.36 ISSN: 1857 -7881 (Print) e -ISSN 1857 326 hypertension was the most common medical condition (67.7%). The followup was done by a midwife (82.1%) and 23.5% had received at least 4 NPC. Eclampsia and pre-eclampsia (48.9%) and RPM (42.8%) were common obstetric pathologies. The delivery was by caesarian (51.4%), hospital (92.1%), cephalic presentation (80%), with an average weight of 1816.79 g. An RCIU (16.4%), an RPM (61.9%). At birth, a DR (16.4%) was noted due to MMH (43.7%) and transitory tachypnea (50%). Asphyxia was reported in 3.5%. During hospitalization (6.7 days on average), 6.4% had RD caused by infection (77.7%). Other complications were infection (64.4%), hypoglycemia (28.5%), digestive hemorrhage (7.01%). The fatality rate was 7.9% due to infection (63.3%), DR (18%), haemorrhage (9%). The anthropometric measurements at the exit: P 1887.9g, T: 38.3cm, PC: 30.9cm; at 1 month P: 2387.1g, T: 46.6cm, PC: 32.8cm; at 30 months P: 12.1kg, T: 89.5cm, PC: 48.4cm. Conclusion: Moderate preterm birth accounts for almost half of the cases of prematurity in our series. Their optimal management would go through a better obstetric-neonatal collaboration but above all by the installation of kangaroo mother units Keywords: Prematurity, moderate, epidemiology, prognosis
RésuméIntroduction : La prématurité est l'une des principales causes de décès néonataux en Afrique. L'objectif était de faire le bilan de la prématurité ≥ à 32 SA dans le service de pédiatrie de l'hôpital régional de Ziguinchor. Matériel et Méthodes : Il s'agissait d'une étude prospective, descriptive et analytique de dossier de nouveau-nés hospitalisés dont l'âge était compris entre 32 SA à 36SA + 6jours. L'étude s'est déroulée du 21 Mai 2013 au 21 Mai 2014. Nous avons inclus tous les nouveau-nés prématurés dont l'âge était ≥ à 32SA, n'ont pas été inclus ceux qui présentaient une malformation. Nous avons étudié les paramètres sociodémographiques maternels, obstétricaux...
