%0 Journal Article
%T Effect of the Covid-19 Pandemic on Prenatal Consultations for Pathological Pregnancies at the Maternity Unit of Abass Ndao Hospital, Dakar, Senegal
%A Abdoul Aziz Ndiaye
%A Djiby Sow
%A Nogaye Dieye
%A El Hadji Gueye
%A Boubacar Gueye
%A Alioune Badara Tall
%A Papa Gallo Sow
%A Oumar Sidibe
%A Ousseynou Ka
%J Open Journal of Epidemiology
%P 421-430
%@ 2165-7467
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojepi.2022.124034
%X <u>Introduction:</u> The COVID-19 pandemic has led to changes in health systems. The objective was to assess the effect of Covid-19 on the frequency of prenatal consultations (PNCs) for pathological pregnancies at the Abass NDAO Hospital Centre. <u>Materials and Methods:</u> This was primarily a retrospective study conducted at the Abass NDAO Hospital maternity ward. The target was the medical records of women followed for a pathological pregnancy at maternity from July 2019 to November 2020. Second, the department¡¯s qualified staffs were asked about their experiences with the Covid-19 pandemic. Data collection was carried out between October 2021 and February 2022. <u>Results:</u> A total of 690 prenatal charts for pathological pregnancy were collected: 375 (54%) before the pandemic compared to 315 during Covid-19 (46%). The average age of women was 28.15 years. The age group 25 and 35 was the most represented (36.81%). Reasons for consultation were dominated by threats of premature delivery (51%), followed by severe pre-eclampsia (14%) and premature membrane rupture (11%), respectively. The frequency of prenatal consultations (PNCs) was inversely related to pandemic dynamics and significant monthly variations were observed. Qualified health personnel were midwives (71.40%) and gynecologists (28.60%). During the pandemic, more than the majority of staff (67%) worked 3 days a week, and 24% of health workers 5 days. The majority of staff (60%) reported experiencing overwork during the pandemic. Non-compliance with consultation days was noted in 38% of health providers. Protective equipment was not provided to 14% of the staff. Staff difficulties during prenatal consultations were fear of occupational exposure (12%) and patient reluctance (88%). <u>Conclusion:</u> The Covid-19 pandemic is having a major impact on prenatal consultations for pathological pregnancies at Abass NDAO Hospital. Effective measures must be taken to avoid the consequences of maternal mortality and the functioning of the structure.
%K Pandemic
%K Covid-19
%K Pathological Pregnancy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=121115