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RÉSUMÉ
Introduction. Les accidents funiculaires (AF) sont associés à la mortalité périnatale au Cameroun. Le but de ce travail était de rechercher les facteurs associés aux accidents funiculaires à Yaoundé pour améliorer leur prise en charge. Méthodologie. Il s’agissait d’une étude cas témoin réalisée sur une durée de six mois, du 1er novembre 2017 au 30 Avril 2018 portant sur les dossiers d’accouchées et les accouchées consentantes admises à un âge gestationnel supérieur ou égal à 28 SA révolue présentant un accident funiculaire diagnostiqué au moment de l’accouchement. dans les services de maternité de l’hôpital central de Yaoundé, du centre hospitalier universitaire de Yaoundé (CHUY) et l’hôpital gynéco-obstétrique et pédiatrique de Yaoundé (HGOPY). Résultats. Nous avons recruté 150 femmes présentant des accidents funiculaires, dont 123 cas pour 369 témoins. Les facteurs associés aux AF étaient : emploi dans le secteur privé [p=0,04], antécédent d’AF [p=0,02], suivi de la grossesse dans un centre de santé périphérique [p=0,00], réalisation de moins de 4 Consultations Prénatales (CPN) [p=0,04], statut de référence [p=0,00], hydramnios [p=0,00], Rupture Artificielle des Membranes (RAM) [p=0,00], sexe masculin [p=0,00], poids de naissance <2500g [p=0,01], insertion marginale du cordon [p=0,00], LC >70cm [p=0,00] et présentation de siège [p=0,00]. Conclusion. Les facteurs associés aux accidents funiculaires sont d’ordre clinique maternel, fœtaux et annexiels.
ABSTRACT
Introduction. Funicular accidents (AF) are associated with perinatal mortality in Cameroon. The aim of this study was to investigate the factors associated with funicular accidents in Yaoundé to improve their management. Methodology. This was a case-control study conducted over a period of six months, from November 1, 2017, to April 30, 2018, focusing on the records of women in labor and consenting women admitted at a gestational age of 28 weeks or more presenting with a diagnosed funicular accident at the time of delivery in the maternity services of the Central Hospital of Yaoundé, the University Teaching Hospital of Yaoundé (CHUY), and the Gynecological-Obstetric and Pediatric Hospital of Yaoundé (HGOPY). Results. We recruited 150 women with funicular accidents, including 123 cases and 369 controls. The factors associated with AF were: employment in the private sector [p=0.04], history of AF [p=0.02], receiving prenatal care at a peripheral health center [p=0.00], having less than 4 Antenatal Care (ANC) visits [p=0.04], referral status [p=0.00], hydramnios [p=0.00], Artificial Rupture of Membranes (ARM) [p=0.00], male sex [p=0.00], birth weight <2500g [p=0.01], marginal cord insertion [p=0.00], LC >70cm [p=0.00], and breech presentation [p=0.00]. Conclusion. The factors associated with funicular accidents are of maternal, fetal, and umbilical cord clinical nature.

Keywords

Funicular accident Yaoundé associated factor perinatal death Yaoundé accident funiculaire facteurs associés décès périnatal

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Metogo Ntsama Junie, Nnanga, Mol Henri-Leonard, & Mve Koh Valere. (2024). Evaluation of Factors Associated with Funicular Accidents in Yaoundé. HEALTH SCIENCES AND DISEASE, 25(5). https://doi.org/10.5281/hsd.v25i5.5638
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