Prescription médicamenteuse chez la femme enceinte au centre de santé communautaire de Bacodjicoroni, Bamako.

EnglishAim : The objective of this study was to describe the consumption of medicines in pregnant women in Mali in a first level structure of the health pyramid. Methods : We carried out a prospective study using non-participatory observation of 205 pregnant women at the Baco-djicoroni community health center in commune V of Bamako District from 22 February to 27 April 2007 from a questionnaire. Results : A total of 205 women responded to the questionnaire. They were of different educational level and occupation with no higher level of education. The gestational age was between 15 and 24 years (54.2%). Multigestes were the most prevalent at 67.8%. Non-gynecological obstetric pathologies were dominant (36.1%), and antenatal consultation was the most common reason for consultation (91%). Orders of poor quality were the most represented (98.5%). Antianaemic/Vitamins were the most prescribed (30%). More than 81.5% of the prescribed drugs were in DCI. The price of prescriptions varied between 100 to 1500 FCFA was the most represented (50.2%). Prescriptions with 1-3 drugs were the most represented at 63.9%. The potentially dangerous drugs prescribed were 18 cases. Low participation of midwives in the prescription of drugs compared to health auxiliaries. Conclusion : This study shows that Malian women took medication during pregnancy. Anti-anemia / vitamins were the most prescribed. We recommend the training of therapeutic health workers. francaisObjectif : L’objectif de cette etude etait de decrire la consommation de medicaments chez les femmes enceintes au Mali dans une structure de premier niveau de la pyramide sanitaire. Methodes : Nous avons mene une etude prospective par l’observation non participative sur 205 femmes enceintes au centre de sante communautaire de Bacodjicoroni en commune V de District de Bamako du 22 fevrier 2007 au 27 avril 2007 a partir d’un questionnaire. Resultats : Un total de 205 femmes a repondu au questionnaire. Elles etaient de niveau d’instruction et de profession diverse avec absence de niveau d’instruction superieur. L’âge des gestantes se situait entre 15 et 24 ans (54,2%). Les multigestes etaient les plus presentes soit 67,8%. Les pathologies non gyneco-obstetriques etaient dominantes (36,1%). La consultation prenatale a ete le motif de consultation la plus frequente (91%). Les ordonnances de qualite mauvaise ont ete les plus representees (98 ,5%). Les antianemiques/Vitamines etaient les plus prescrits (30%). Plus de 81,5% des medicaments prescrits etaient en DCI. Le prix des ordonnances variait entre 100 a 1500 FCFA etaient le plus representees soit 50,2%. Les ordonnances comportant 1 a 3 medicaments etaient les plus representees soit 63,9%. Les Medicaments potentiellement dangereux prescrits etaient de 18 cas. Une faible participation des sages-femmes dans la prescription des medicaments par rapport aux auxiliaires de la sante. Conclusion : Cette etude montre que les femmes maliennes ont pris des medicaments pendant leur grossesse. Les antianemiques/vitamines etaient les plus prescrits. Nous recommandons la formation des agents de sante en therapeutique.