Analysis of Factors Influencing Maternal and Fetal Prognosis during Childbirth at a Community Medical Center in Conakry, Guinea: Case of the Bernard Kouchner Municipal Medical Center in Coronthie

In Africa, poor quality of care is often a major factor influencing maternal and perinatal outcomes. The objective of this study was to investigate the factors that negatively influence maternal and fetal prognosis during childbirth. Methods: The study was conducted at the Coronthie Community Medical Center. It was a cross-sectional, descriptive, and analytical study conducted from July to December 2021. Women in labor who were ≥28 weeks pregnant and who agreed to participate in the study were included. Those excluded were women who were evacuated before giving birth and those who refused to participate. Verbal consent was obtained from the patients. Results: The proportion of quality deliveries was 36.7%. The average age of the women in labor was 28.60 years. Most of the women who gave birth were professionals with a secondary education. Nearly half (45.4%) had given birth by Cesarean section, and 25.1% had developed complications. In addition, the study showed that the risk of developing maternal complications is doubled in women who have given birth by caesarean section (P = 0.026; OR-IC = 1.97 [1.13 - 3.29]). Perinatal mortality was 149/1000 live births. Conclusion: Proper management of factors that negatively influence childbirth could improve maternal and neonatal prognosis.