Current Issue : July-September Volume : 2026 Issue Number : 3 Articles : 5 Articles
Objective: To improve management of the abortion population. Patients and Method: This was a prospective cross-sectional study with a descriptive aim, conducted over a period of 8 months from April to December 2024. All spontaneous or induced abortions managed in NMCUH were included. The variables studied were epidemiological, clinical, paraclinical, and therapeutic. Data collection was carried out using a pre-established form containing the study variables. We conducted an exhaustive sampling of all women referred for abortion to the gynecological and obstetric emergency department of NMCUH during the study period who met the inclusion criteria. Results: During the study period, we collected 406 cases of abortion out of a total of 3837 patients admitted to the emergency department. Gynecological and obstetric cases in NMCUH gave a frequency of 10.58%. The age group of 21 to 26 years accounted for 34.2% (n = 139). The median age of the patients was 27 years, with extremes of 14 and 40 years. Single patients accounted for 59.1% (n = 240). Metrorrhagia accounted for 74.2% (n = 301). Malaria accounted for 73.6% (n = 299). Gestational age of 7 to 13 weeks of amenorrhea represented 68% (n = 276). Spontaneous abortion was reported in 78% of our patients. Manual intrauterine aspiration accounted for 59.9%. Anemia accounted for 25% (n = 101). Conclusion: Abortion is common in our setting with a significant prevalence. Spontaneous abortion was predominant, and the causes were mainly dominated by malaria. Management included manual vacuum aspiration, antibiotic therapy, and administration of uterotonics. Anemia was the main reported complication. Restrictions on abortion laws mean that many voluntary terminations of pregnancy are treated as spontaneous abortions; therefore, promoting comprehensive abortion care as well as safe abortion within the limits of the law in our setting is necessary....
In Africa, poor quality of care is often a major factor influencing maternal and perinatal outcomes. The objective of this study was to investigate the factors that negatively influence maternal and fetal prognosis during childbirth. Methods: The study was conducted at the Coronthie Community Medical Center. It was a cross-sectional, descriptive, and analytical study conducted from July to December 2021. Women in labor who were ≥28 weeks pregnant and who agreed to participate in the study were included. Those excluded were women who were evacuated before giving birth and those who refused to participate. Verbal consent was obtained from the patients. Results: The proportion of quality deliveries was 36.7%. The average age of the women in labor was 28.60 years. Most of the women who gave birth were professionals with a secondary education. Nearly half (45.4%) had given birth by Cesarean section, and 25.1% had developed complications. In addition, the study showed that the risk of developing maternal complications is doubled in women who have given birth by caesarean section (P = 0.026; OR-IC = 1.97 [1.13 - 3.29]). Perinatal mortality was 149/1000 live births. Conclusion: Proper management of factors that negatively influence childbirth could improve maternal and neonatal prognosis....
This study examined the role of vaginolysin (VLY), a virulence factor of the bacterium Gardnerella vaginalis (GV), in bacterial vaginosis (BV). In a group of 112 women with BV (diagnosis on the Nugent scale ≥7 points) and 122 control cases with normal microbiota, VLY levels, the state of the vaginal microecology (colposcopy, laboratory markers, pH), GV genotypes (clades 1–4), and clinical symptoms were assessed. It was found that GV also occurs in healthy women, but VLY levels are significantly higher in BV and correlate with inflammatory markers (e.g., leukocyte esterase) and symptom severity. However, the relationship is nonlinear: low and moderate VLY levels have little effect on symptoms, while high levels cause a sharp increase in symptoms. Thus, VLY is potentially important for the pathophysiology and clinical assessment of BV....
Background: Post-term pregnancy is a high-risk pregnancy. Objectives: This study evaluated the effectiveness and safety of foetal membranes stripping at 40 completed weeks of gestation on the prevalence of late-term pregnancies at the Yaounde Gynaecology-Obstetrics and Paediatrics Hospital (YGOPH). Materials and Methods: Our study is a prospective hospital-based cohort study, conducted over a period of 06 months from February 2023 to July 2023. Three hundred and eighty-eight pregnant women at 40 completed weeks of gestation were enrolled into two groups with: exposed group (those with foetal membranes stripping) and unexposed group (those without foetal membranes stripping). Stripping of foetal membranes was done just once. Participants were followed-up till delivery or attainment of 41 completed weeks of gestation. Results: Post term delivery was significantly lower in the membrane stripping group compared with the unexposed group (12% vs. 43%; P < 0.001). There was a significantly lower mean-time interval from recruitment to spontaneous labour-onset among the membranes stripping group (2.51 ± 0.98 days) compared with the unexposed group (4.33 ± 1.18; P < 0.001). Onset of spontaneous labour in the exposed group was 171 (88%) compared to the unexposed group that had 111 (57%) (P < 0.001). There was no statistically significant difference in the incidence of premature rupture of membranes and perinatal outcomes Conclusion: Stripping of the foetal membranes appears to be an effective and safe procedure in reducing the incidence of late-term pregnancies and duration of pregnancy at term in low-risk population....
Introduction: Uterine rupture is any tear of continuity of the gravid uterus, extending over one or all parts of the uterus. Objective improve the management of uterine rupture at the Chad-China Friendship Hospital. Patients and Method: This was a descriptive study with retrospective data collection over a 2-year period from 01 January 2022 to 31 December 2023 in the Obstetrics and Gynaecology Department of the Chad-China Friendship Hospital. The study population consisted of patients admitted for uterine rupture. All uterine ruptures occurring during the study period were included in this study. Data were collected on a survey form completed from medical records, the delivery register, the operative report register, and the maternal and neonatal death register. The variables studied were epidemiological, clinical, therapeutic and prognostic. Data were entered using Microsoft Word and Excel and analysed using Sphinx software. Results: A total of 39 cases of uterine rupture were recorded out of 14,023 deliveries, representing a frequency of 0.27%. The profile was that of young patients (51.2%) with an average age of 28.08 ± 6.1 years, ranging from 18 to 43 years, multiparous (35.8%), self-employed (66.6%), living mainly in urban areas (82.5%), uneducated (89.7%), all married (100%) and housewives (94.9%). The reasons for admission were dominated by lumbopelvic pain associated with bleeding (66.6%), which occurred spontaneously in the majority of cases in full-term pregnancies (92.3%) not followed up (74.4%), the aetiology of which was dominated by prolonged labour associated with excessive use of uterotonics (61.5%). Conservative surgery was performed in 89.7% of cases. We recorded 94.9% perinatal deaths and 5.1% of maternal deaths. Conclusion: Uterine rupture is a surgical emergency whose evolution and maternal-fetal prognosis depend on the speed with which it is managed....
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