Introduction: The objective of this study was to evaluate the management and maternal and perinatal prognosis of obstetric evacuations in the Gynecology-Obstetrics department of the Ignace Deen National Hospital.

Materials and Methods: This was a prospective descriptive study of 6 months, from March 1 to August 31, 2023 , focusing on pregnant women, women in labor and postpartum women evacuated to the department.

Results: The frequency of obstetric evacuations was 7.70%. The mean age was 24.69 years. Evacuations were provided by taxi (87.33%). Private clinics (36.45%) and community medical centers (35.33%) were the most frequent referral facilities. Vasculorenal syndrome (21.56%), acute fetal asphyxia (12.44%), and dystocia (8.88%) were the most frequent reasons for evacuation. Management included cesarean section (80.87%), administration of antihypertensive medication (16.88%), and soft tissue suturing (18.44%). Blood transfusion was required in 6% of patients. Maternal mortality was 4.44%, and neonatal mortality was 19.58%.

Conclusion: Obstetric evacuation is a negative factor in maternal and perinatal prognosis. Reducing maternal and perinatal morbidity and mortality would require a standardization of evacuation criteria, medicalization of evacuation methods and reduction of journey time.