Cardiopathie Préexistante et Grossesse : Connaissances et Attitudes du Personnel de Santé des Maternités de Bamako - Mali
Pre-Existing Heart Disease and Pregnancy: Knowledge and Attitudes of Health Staff in Maternities in Bamako - Mali
DOI :
https://doi.org/10.5281/hra.v2i6.5749Mots-clés :
: agents de santé, connaissances et attitudes, grossesse, cardiopathies, maternités, BamakoRésumé
RÉSUMÉ
Introduction. En Afrique surtout au Mali, les publications sont rares sur les connaissances et attitudes sur cardiopathies et grossesse, d’où notre étude dont l’objectif était d’évaluer les connaissances et attitudes. Méthodologie. Il s’agissait d’une étude CAP à visé descriptive et analytique de Novembre 2023 à Janvier 2024 dans des maternités du District de Bamako : CHU-Gabriel Touré, hôpital du District et le centre de référence commune VI. Les données ont été collectées par un questionnaire auto administré anonyme. Les variables étudiées étaient les connaissances et attitudes. Ont été inclus tous les agents de santé dans les maternités concernées. Résultats. 74 agents de 1 année à 37 années d’activité ont été inclus. La moyenne étant de 12,07±8,379 années. Un sexe ratio en faveur des femmes (64,60%). 70,20% des agents venaient des structures de niveau II et III et 56,80% des sages-femmes. Le risque pour la mère et le fœtus était connu par 91,90% des agents, un avis systématique du cardiologue souhaité dans 77% des cas contre 23% si signes de complications. Le score de stratification de de l’OMS, non connu dans 78,40% des cas et les équipes cœur-grossesse dans 52,70 % des cas. Aucune formation sur cardiopathie et grossesse dans 71,60% des cas. Conclusion. Le risque maternel et fœtal lié est connu dans nos maternités ainsi que gestion pluridisciplinaire. Mais le score de stratification du risque et les équipes cœur-grossesse ne sont pas connus.
ABSTRACT
Introduction. In Africa especially in Mali, the publications are rare on knowledge and attitudes towards heart disease and pregnancy. Hence our study whose objective was to evaluate knowledge and attitudes on heart disease and pregnancy in Bamako. Methodology. This was a KAP study with a descriptive and analytical aim from November 2023 to January 2024 in Bamako health areas: CHU-Gabriel Toure, the District Hospital and the municipality VI Reference Center. Data were collected by anonymous self-administered questionnaire. The variables studied were knowledge and attitudes. All health workers in the maternity wards concerned were included. Results. 74 health workers were included; they had between 1 year and 37 years of activity and on average 12.07±8.379 years. The sex ratio was in favor of women (64.60%). Those from level II and III structures represented 70, 20% of cases and 56.80% were midwives. The risk for the mother and fetus was known by 91, 90% of agents and a systematic opinion from the cardiologist desired in 77% of cases compared to 23% if there are signs of complications. The WHO stratification score was not known in 78.40% of cases and unknown heart-pregnancy teams in 52, 70% of cases. No training on heart disease and pregnancy in 71.60% of cases. Conclusion. The maternal and fetal risk linked to pregnancies with heart disease is known as well as multidisciplinary management. But the risk stratification score and the pregnancy heart teams are not known.
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