Emergency C-Section on Multi-Scar Uterus: Maternal and Fetal Prognosis at the Nianankoro Fomba Hospital in Segou, Mali

T. Traoré, Seydou T. Traoré, S. Dao, Abdoul K. Ballo, K. Sidibé, B. Donigolo, B. Traoré, F. Kané, A. Coulibaly, Abdrahamane Diarisso, A. Sidibé, A. Camara, Yacouba Dembélé, Thierno Boubacar Bagayoko, A. Sanogo, A. Bah, A. Kassogué, H. Toungara, Seydina Alioun Beye, A. Théra, Y. Traoré, I. Téguété, N. Mounkoro, A. Dolo
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Abstract

Background: Multi-scar uterus is a uterus with two or more scars due to surgery or trauma. Objective: The aim was to compare the maternal and fetal prognosis of emergency C-sections of bi-scar uteruses to those of uteruses with at least 3 scars at the Nianankoro Fomba Hospital in Segou. Materials and Methods: It was a descriptive and analytical cross-sectional study with prospective data collection over a 24-month period from March 20, 2018, to March 20, 2020. Results: In 2 years, we collected 103 emergency C-sections for multi-scar uterus out of 1198 C-sections with a frequency of 8.6%. The age group of 20 to 35 years was the most represented with 86.4%. The bi-scar uteruses were the most frequent with 77.7%. In 71.8% of cases, the C-section was performed during the latent phase of labor. The C-section was performed under loco-regional anesthesia in 89.3% of cases. Difficulties in hemostasis and bladder injury were the most frequent intraoperative accidents. Surgical site infection was the main postoperative complication. No maternal deaths
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多瘢痕子宫急诊剖腹产:马里塞古Nianankoro Fomba医院的母婴预后
背景:多瘢痕子宫是指由于手术或外伤导致子宫有两个或两个以上疤痕。目的:比较Segou县Nianankoro formba医院急诊剖宫产双瘢痕与至少3瘢痕子宫的母婴预后。材料和方法:这是一项描述性和分析性横断面研究,前瞻性数据收集时间为2018年3月20日至2020年3月20日,为期24个月。结果:2年来,我们收集了1198例多瘢痕子宫急诊剖宫产103例,发生率为8.6%。20 - 35岁年龄组占86.4%。双瘢痕子宫最为常见,占77.7%。在71.8%的病例中,剖腹产是在分娩潜伏期进行的。89.3%的病例在局部麻醉下进行剖腹产。术中最常见的事故是止血困难和膀胱损伤。手术部位感染是主要的术后并发症。无产妇死亡
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