Indications et Pronostic de l’Utilisation de la Sonde de Foley dans le Déclenchement du Travail d’Accouchement à la Maternité du CHU Kara, Nord Togo en 2023

  • Kossi Edem Logbo-Akey Gynécologue-obstétricien, Service de gynécologie-obstétrique du CHU Kara, Togo
  • Tina Kétévi Gynécologue-obstétricien, Service de gynécologie-obstétrique du CHU Sylvanius Olympio, Lomé, Togo
  • Yendoube Pierre Kambote Gynécologue-obstétricien, Service de gynécologie-obstétrique du CHU Kara, Togo
  • Akila Bassowa Gynécologue-Obstétricien, Service de gynécologie-obstétrique du CHU Campus, Lomé, Togo
  • Kignomon Bingo M’bortché Gynécologue-obstétricien, Clinique ATBEF, Lomé Togo
  • Noe Kibandou Patchidi CHU Sylvanius Olympio, Lomé, Togo
  • Dede Regina Ajavon Gynécologue-obstétricien, Service de gynécologie-obstétrique du CHU Kara, Togo
  • Abdoul Samadou Aboubakari Gynécologue-obstétricien, Service de gynécologie-obstétrique du CHU Kara, Togo
Keywords: Déclenchement artificiel du travail, sonde de Foley, CHU Kara

Abstract

Objectifs : déterminer les indications et pronostic de l’utilisation de la sonde de Foley dans le déclenchement de la grossesse à la maternité du CHU Kara, nord Togo en 2023. Méthodologie :il s’agissait d’étude descriptive à recrutement rétrospectif d’une période de 12 mois allant du 01 Juillet 2022 au 31 Juin 2023 à la maternité du CHU Kara. Ont été inclus tous les dossiers des accouchements dans le service suite à la pose de la sonde de Foley durant la période d’étude. Les paramètres étudiés étaient : utilisation de la sonde de Foley, caractéristiques socio-démographiques, indications, pronostic. Résultats : le taux d’utilisation de la sonde de Foley était de 8%. L’âge moyen des gestantes était de 26,9ans, avec des extrêmes de 17ans et 42ans. Elles étaient nullipares (35,5%) et les primipares (22,6%). Les indications étaient dominées par le dépassement de terme et terme prolongé (48,4%) suivis de la prééclampsie (11,3%) et des morts in utéro (9,7%). Le score de Bishop initial était défavorable chez toutes les gestantes. A la chute de sonde, le score de Bishop était favorable dans 77,4% des cas. La sonde seule avait suffi à déclencher le travail dans 31,2% des cas. L’administration d’ocytocine a été nécessaire dans 65,7% des cas pour indure le travail. L’accouchement a été effectué par voie basse dans 74,2 % des cas. Les nouveau-nés avaient un Apgar ≥ 8 dans 80,6% des cas. Conclusion : L’apport de la sonde de Foley dans le déclenchement du travail réduit le taux d’accouchement par césarienne, avec un pronostic maternel et fœtal favorable.

 

Objectives: To determine the indications and prognosis Foley catheter use in labour induction. Methodology: Retrospective and descriptive study from 01 July 2022 to 31 June 2023 at the Kara University Hospital maternity unit. All deliveries in the department following Foley catheter insertion during the study period were included. Results: The rate of Foley catheter use was 8%. The average age of pregnant women was 26.9 years, with extremes of 17 and 42 years. They were nulliparous (35.5%) and primiparous (22.6%). Indications were dominated by overdue and prolonged terms (48.4%), followed by pre-eclampsia (11.3%) and death in utero (9.7%). The initial Bishop score was unfavorable in all pregnant women. When the catheter was dropped, the Bishop score was favorable in 77.4% of cases. The catheter alone was sufficient to induce labour in 31.2% of cases. Administration of oxytocin was necessary in 65.7% of cases to induce labour. Delivery was vaginal in 74.2% of cases. The newborns had an Apgar ≥ 8 in 80.6% of cases. Conclusion: The use of Foley catheter to induce labour reduces the rate of caesarean delivery, with a favourable maternal and foetal prognosis.

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References

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Published
2023-11-30
How to Cite
Logbo-Akey, K. E., Kétévi, T., Kambote, Y. P., Bassowa, A., M’bortché, K. B., Patchidi, N. K., Ajavon, D. R., & Aboubakari, A. S. (2023). Indications et Pronostic de l’Utilisation de la Sonde de Foley dans le Déclenchement du Travail d’Accouchement à la Maternité du CHU Kara, Nord Togo en 2023. European Scientific Journal, ESJ, 19(33), 140. https://doi.org/10.19044/esj.2023.v19n33p140
Section
ESJ Natural/Life/Medical Sciences

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