[Maternal morbidity associated with delivery apropos of 124 cases]. / Morbidité maternelle liée à l'accouchement à propos de 124 observations.

ABSTRACT

In a prospective survey, the authors related 124 cases of maternal traumatic lesions during a child birth. They were apper lesions in 13% of uterine rupture, and lower lesions in 87% cervical vaginal and vulvoperineal ruptures). Adolescent primiparas were the most concerned with an incidence of 9.12% followed by the greater number of multiparas 8.24%. Age, parity, badly or unassisted deliveries were the main factors of risk. For the uterine rupture surgical intervention was preservative in 62% of cases. Suture has been essential in lower lesions. One maternal decease is registered, the foetal forecast is bad (14 foetal decease out of 16) in the uterine rupture. Morbidity was important 64% in cicatricial perineum, 62% in cicatricial uterine, 37% in hysterectomy. In results, that all the cases of maternal traumatic lesions observed were avoidable. The authors recommended a better pregnancy and delivery care.