Current Issue : July - September Volume : 2018 Issue Number : 3 Articles : 5 Articles
Objective: To compare the evolution of the operative site in the presence or\nabsence of an occlusive skin dressing. Patients and methods: Prospective,\ncomparative study that took place at the University Hospital of Brazzaville\nfrom January 1st to August 31st, 2016. 120 patients were randomly recruited\ndivided into two groups: A study group consisting of 60 patients without a\ndressing and a control group consisting of 60 patients. Results: Sociodemographic\ncharacteristics were similar in both groups, as well as pre- and intraoperative\ncharacteristics. Postoperative complications included parietal infection\n(3 vs. 4 cases, p > 0.05), one case of disunion, and one case of skin irritation\nby the plaster in the study group. The duration of healing was shorter in\nthe control group compared to the study group (11 �± 2 days vs. 12 �± 2, p >\n0.05). The average cost of care equipment was 3.5 times higher for the group\nwith dressing (5120 FCFA vs. 18620 FCFA, p < 0.05). In the study group, only\none patient was afraid of seeing her wound. Patients in the control group were\nless satisfied, indeed they dreaded the time of removal of the plaster because\nof the pain....
Aim: To report a case of bilateral tubal molar and embryonic pregnancy diagnosed\nand treated at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou,\nBurkina Faso. Observation: It was an 18-year-old patient, G2P0 with\nno known pathological history. She was received in obstetric emergencies for\nsuspicion of ectopic pregnancy in a two-month amenorrhea context. At the\nadmission, the physical examination had found a sensitivity of the hypogastric\nregion with a cry of the umbilicus and the bleeding. At pelvic ultrasound, the\nuterus was empty with a medium-abundance pelvic effusion and a left extra\nuterine mass. The initial rate of beta HCG was 5700 ml IU per ml. A framed\nlaparotomy was carried out. The operative exploration has revealed a right\ntubal pregnancy cracked and a left unbroken tubal pregnancy. The diagnosis\nof a bilateral ectopic pregnancy was retained. A right salpingectomy and a left\ntubal caesarean section were carried out. Histological analysis confirmed the\ndiagnosis of a left embryonic ectopic pregnancy associated with a right molar\nectopic pregnancy. Conclusion: The systematic use of histological analysis for\nany extra uterine pregnancy treatment is required to not ignore an associated\nmolar pregnancy....
Background: The application of invasive obstetric procedures has an end\npoint of reducing the Caesarean section rate. The declining rate of use of these\nprocedures is one of the reasons for increasing Caesarean section rates in our\nenvironment. Objective: The aim of the study was to determine the practice\nof operative vaginal deliveries among obstetricians practicing in Nigeria and\nto evaluate the reasons for non-use of these procedures. Methodology: It was\na questionnaire based study. The questionnaires were administered to practitioners\nof Obstetrics in the various centres in Nigeria. Data was collated and\nanalyzed with Epi-Info statistical software version 7.0 (Center for Disease\nControl and Prevention, USA), and conclusions were drawn by means of descriptive\nstatistics. Results: A total of 1200 questionnaire were distributed but\n1104 were returned and used for analysis. This gave a response rate of 92%.\nThe age distribution of the respondents showed that the 20 - 30 year age\ngroup had the least number of respondents 22 (2%) while 41 - 50 age group\nhad the highest number of respondents 486 (4%). The majority of the respondents\nwere males 839 (76%). In terms of duration of practice, 449 (40.7%)\nof the respondents had more than 6 years duration of practice while 256 (23.2)\nhad practiced for less than 3 years. Tertiary centres had highest number of\nrespondents 71.8%. The distribution of the respondents according to the geopolitical\nzones in Nigeria are; South-East (57.6%), South-South (19.6%), South\nWest (11.4%), North-West (4.9%), North-East (3.8%), North-Central (2.7%).\nThe practice of these procedures among respondents were: External cephalic\nversion (68.0%), Symphysiotomy (41.7), Forceps delivery (68.8%), Destructive\ndelivery (60.1%), Vaginal breech delivery (85.5%), Vacuum extraction (84.8%). Reasons for the non-use included: Risk of perinatal/maternal morbidity and mortality greater than benefit (25.7%), Lack of equipment (22.4%),\nLack of skills (16.6%), Decline by patients (6.5%), Not in the departmental\nprotocol (26.2%), Not evidence based (34.6%), Patient preferred Caesarean\nsection (5.6%), Outdated (32.6%), fear of litigation (32.7%). The mean rate of\ncaesarean section according to rates reported from different centres was 25.2%\nwhile the individual centre rates ranged from 2% to as high as 51%. Conclusion:\nThere is a decline in the practice of operative obstetric procedures\namong obstetricians practicing in Nigeria. There is an urgent need to reverse\nthis trend by increased training and re-training of manpower, provision of\nnecessary equipment, more research to provide supportive evidence of need\nand inclusion in protocols....
Background: The study of ASA etiology is very important in the diagnosis\nand treatment of infertility. Studies of presence of antisperm antibodies in the\nbodies of unmarried women are very rare, so that this article aims at studying\nthe possible causes and interpretations behind the development of antisperm\nantibodies in virgins. Methodology: The study included 5 single women with\npositive ASA. Description and clinical history of the patients was assessed by\nspecial questionnaire provided for this purpose. All laboratory investigations\nand diagnostic procedures were done in the hospital from 1st August to 15th\nDecember 2017. Results: The mean serum antisperm antibody concentrations\n(64.3 IU/ml) which is considered positive titer. The incidence of ASA among\nvirgins is 2.22%. Complete blood count is normal except for slight increase in\nWBC count and percentage of basophils, monocytes and lymphocytes. This\nstudy recorded high concentrations of serum total IgG and IgM levels (1875\nIU/ml and 295 IU/ml respectively). The UTI was confirmed by counting total\nbacterial concentration (178,250 CFU/ml) in the urine, and diagnosis of suspected\ncauses showed the following species: Escherichia coli, Klebsiella\npneumonia, Staphylococcus aureus , and Proteus mirabilis. Conclusions:\nThere are two suggested mechanisms to explain ASA in virgins: 1) antigen\ncross-reactivity between sperm and bacterial antigens to which antibodies can\nreact; 2) induction of the immune system by antigens of sperm ingested into\nthe gastrointestinal tract with contaminated food and drink. Recommendations:\nit is recommended to conduct a research study that include a large\nnumber of virgins for investigating ASA to confirm our results and build a\nscientific generalizations , in addition to animal studies for testing the role of\nsperm ingestion in the induction of immune system....
Purpose. Intimate partner violence (IPV) is a serious, preventable public health concern that largely affects women of reproductive\nage. Obstetrician-gynecologists (ob-gyns) have a unique opportunity to identify and support women experiencing IPV to improve\nwomen�s health. Considering recent efforts to increase IPV awareness and intervention, the present study aimed to provide a\ncurrent evaluation of nationally representative samples to assess ob-gyn readiness to respond to IPV as well as patient IPV-related\nexperiences. Methods. 400 ob-gyns were randomly selected from American College of Obstetricians and Gynecologists� (ACOG)\nCollaborative Ambulatory Research Network. Each physician was mailed one physician survey and 25 patient surveys. Results. IPV\ntraining/education and IPV screening practices were associated with most measures of ob-gyn readiness to respond to IPV. Among\nrespondents, 36.8% endorsed screening all patients at annual exams; however, 36.8% felt they did not have sufficient training to\nassist individuals in addressing IPV.Workplace encouragement of IPV response was associated with training, screening, detection,\npreparation/knowledge, response practices, and resources. Thirty-one percent of patients indicated their ob-gyn had asked about\npossible IPV experiences during their medical visit. Conclusion. Findings highlight specific gaps in ob-gyns� IPV knowledge and\nresponse practices to be further addressed by IPV training...
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