Pregnancy and public road accident: Frequency, socio-demographic and materno-fetal prognostics at the Prefectoral Hospital of Siguiri, Guinea

Objectives: To calculate the frequency of road accidents among pregnant women, to describe the epidemiological profile and to establish the maternal and fetal prognosis at the prefectural hospital of Siguiri. Methodology: this was a prospective study of a descriptive type lasting six (6) months from August 1, 2019 to January 31, 2020. It concerned all pregnant women victims of road accidents admitted to Siguiri prefectural hospital during the study period. All pregnant women who were victims of road accidents received at the hospital during the study period and who gave their consent were included. All pregnant victims of road accidents who did not give their consent were included and cases of trauma unrelated to the road accident. We conducted an exhaustive recruitment of all highway accident cases among pregnant women during the study period. The limitations or constraints of the study were the delay in the care of some pregnant women who first sought treatment from traditional healers. Results: The frequency of road accidents among pregnant women was 52.08% (n = 25) taking into account pregnant women victims of trauma (n = 48). The epidemiological profile was that of a woman in the age group 14-23 years and 24-33 years (44%), housewife (72%) and city dwellers (76%). The majority of pregnant women were received through a police requisition (68%) followed by themselves (24%). The predominant type of accident gear was two-wheeled (88 %) Pregnant women in the second trimester of pregnancy were the most affected (68%). The predominant bodily injuries were minor injuries (52%) followed by no injuries (simple contusion) (32%) and then serious injuries (poly trauma) (16%). The road accident had no impact on the pregnancy in (84%) followed by death in utero 12% then threat of premature delivery 4%. All pregnant women with minor injury or without injury (with a living fetus) received treatment with spasfon / salbutamol plus progesterone for 48 hours and delivery was directed to patients with death in utero. We recorded a maternal mortality rate of 12% and an in utero fetal death rate of 12%. Conclusion: Road accidents involving a pregnant woman are frequent in the prefecture of Siguiri, occurring in young women traveling on two-wheeled vehicles. Trauma and pregnancy management were multidisciplinary.