[Morbidity and mortality related to obstetrical transfers in the Bouafle health district of Ivory Coast].

During one year of observation, the reference hospital of the sanitary district Bouaflé received 112 women evacuated by peripheral structures. 90.2% of the average women who were 25.8 +/- 7.4 years old had been evacuated before their delivery. Their evacuation was mainly due to dystocia (56.2% of cases) post partum haemorrhage (5.4%) and amniotic infection (4.5%). The reasons of the evacuation did not correspond to the admission diagnosis in 45.5% of the case (51/112). The differences that could be observed concerned dystocia and ruptures of the uterus of which 2 cases out of 9 had been diagnosed before their evacuation. During the study, it was noticed the deaths of 4 mothers and 55 babies. These deaths registered most among the evacuees having used public transportation, having received less than 3 prenatal consultations, multiparous (Chi 2 = 10.32; p = 0.04) and having run more than 30 kilometers.