DOI: 10.36347/sjmcr.2023.v11i02.026

Pages: 207-214

Introduction: Medical evacuation in general is characterized by the need for the rapid transfer of a patient from one medical centre to another more equipped or better specialized. Obstetric emergencies are multiple causes of maternal and neonatal death. Purpose: Was to study the reasons for reference / medical evacuation obstetrical at the Reference Health Center of Commune V of the District of Bamako. Materials and Methods: This was a descriptive study with a retrospective collection from January 1, 2017 to December 31, 2020. Results: We collected 4280 referrals/evacuations out of 28974 admissions; or 14.8% of admissions. The median age was 26.17 years. Housewives accounted for 45.4%. Dystocia was the main reason for references/evacuations with 41.1%. The reasons for referral/evacuation were consistent in 60.3% of cases. These evacuations were relevantin 21.8%. Maternal mortality was 0.8%. Conclusion: Evacuations accounted for 14.8% (4280) of deliveries. The most commonly cited reasons were dystocia, antepartum haemorrhage and high blood pressure and its complications. Dystocia, fetal asphyxia and high blood pressure and its complications were the main diagnoses.