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Management of the Prevention of the Rhesus Alloimmunization: Case of the Mother-Child Hospital Dominique Ouattara of Bingerville/Ivory Coast/West Africa 恒河猴同种异体免疫预防管理:以宾格维尔/科特迪瓦/西非多米尼克·瓦塔拉母婴医院为例
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.1311150
Introduction: Perinatal mortality linked to fetal anemia of red cell alloimmunization in Côte d’Ivoire as in many developing countries can be explained by a lack of knowledge of Rhesus D feto-maternal alloimmunization, hence the obvious importance of carrying out a study on the problem of prevention of alloimmunization in rhesus negative births. This study takes stock of the management of this pathology in a reference hospital. Results and Discussion: Rh-negative mothers account for 6% of births, 42.7% (70/164) of women had a history of risk, about 61% of women had not had proper prophylaxis during previous pregnancies; and as many had not had follow-up of the coombs test during the current pregnancy; only 4.9% of patients had systematic prophylaxis with anti D serum at 28 weeks of pregnancy. This low rate of prevention is related to the financial difficulties of the patients, but also to a lack of knowledge of the pathology by the nursing staff. Conclusion: Good management of rhesus negative women during their pregnancy allows their incompatible child to benefit from all current treatments ensuring a healthy birth. It is therefore important for medical personnel to know how to deal with this rare disease in a small proportion of pregnant women.
与许多发展中国家一样,Côte科特迪瓦与胎儿红细胞异体免疫引起的胎儿贫血相关的围产期死亡率可以通过缺乏对恒河猴d胎母异体免疫的了解来解释,因此开展一项关于预防恒河猴阴性出生的异体免疫问题的研究具有明显的重要性。本研究评估了一家参考医院对这种病理的处理。结果和讨论:rh阴性母亲占分娩的6%,42.7%(70/164)的妇女有风险史,约61%的妇女在以前的怀孕期间没有采取适当的预防措施;由于许多人在怀孕期间没有进行库姆斯测试的后续检查;只有4.9%的患者在妊娠28周时进行了系统的抗D血清预防。这种低预防率与患者的经济困难有关,但也与护理人员缺乏病理知识有关。结论:对恒河阴性妇女妊娠期间的良好管理,使其不相容的孩子受益于目前所有的治疗,确保健康出生。因此,对于医务人员来说,了解如何在一小部分孕妇中处理这种罕见疾病是很重要的。
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引用次数: 0
Experience of Patients Who Underwent Scheduled Gynaecological Surgery at the Bogodogo University Hospital, Burkina Faso 在布基纳法索博戈多戈大学医院接受预定妇科手术的病人的经验
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.139133
Introduction: Surgery can cause anxiety and worry, such as waking up in pain, being physically harmed or dying. This study aimed to assess the experience of patients undergoing planned gynaecological surgery in the Obstetrics Gynaecology and Reproductive Medicine department of the University Hospital Centre of Bogodogo. Patients and methods: This was a cross-sectional study with prospective data collection during the period from June 1 to August 31, 2018. The study population consisted of patients who received scheduled gynaecological surgery during the period. Results: Seventy-six (76) patients underwent scheduled surgery and 62 were included. During discussion with the gynaecologist, 58 patients (93.55%) were satisfied. When the surgery was announced, 41 patients (66.13%) were anxious. At the consultation with the anaesthetist 59 patients (95.16%) were satisfied with the discussions. Fifty-five patients (88.7%) were anxious on admission to the operating theatre. The quality of care was satisfactory for 61 patients (98.39%) and all patients were satisfied with the care team. Conclusion: Periodic evaluation of patients’ experiences should therefore be incorporated into care evaluation policies in health facilities in order to contribute to continuous improvement in the quality of medical and surgical care.
手术会引起焦虑和担忧,比如在痛苦中醒来,身体受到伤害或死亡。这项研究的目的是评估在博戈多戈大学医院中心妇产科和生殖医学部门接受计划妇科手术的患者的经验。患者和方法:这是一项横断面研究,前瞻性数据收集时间为2018年6月1日至8月31日。研究人群包括在此期间接受预定妇科手术的患者。结果:76例患者接受了预定手术,其中62例纳入研究。在与妇科医生的讨论中,58例患者(93.55%)满意。宣布手术时,有41名患者(66.13%)感到焦虑。在与麻醉师会诊时,59例患者(95.16%)对讨论感到满意。55例患者(88.7%)在进入手术室时感到焦虑。61例患者(98.39%)对护理质量满意,所有患者均对护理团队感到满意。结论:应将患者经验的定期评估纳入卫生机构的护理评估政策,以促进医疗和外科护理质量的不断提高。
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引用次数: 0
Management of High Complicated Genital Infections at the Aristide De Le Dantec Hospital: Apropos of Six Cases 阿里斯蒂德·德·勒·丹塔克医院高复杂性生殖器感染的处理:六例建议
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.1311154
Objective: To study the epidemiology, the diagnostic elements and the prognosis after laparotomy surgery, of complicated upper genital infections. Patients and method: This is a retrospective study of six cases of complicated upper genital infections collected over a period of 20 months in the Obstetrics and Gynecology department of the Aristide Hospital Center of LEDANTEC. Results: The average age of the patients was 37.67, in two patients; a hysterosalpingography had been performed less than seven days before the start of the symptoms, a notion of multiple sexual partners was noted in two patients. All patients presented with acute abdominal-pelvic pain associated with vomiting in three patients. An infectious syndrome was found in two patients, adnexal pain caused in four patients and signs of peritoneal irritation (guarding and umbilical tenderness) in three patients. Para-clinically, a biological inflammatory syndrome was found in all patients, including an elevation of C-reactive protein in all patients and hyperleukocytosis in four patients and an elevation of CA 125 in two patients. The cytobacteriological examination of the pus taken intraoperatively was positive in two patients, the isolated germs were Pseudomonas aeruginosa and Enterobacter cloacae. Pelvic ultrasound was performed in all patients and revealed a cystic adnexal mass in five cases, a pyosalpinx and peritoneal effusion in two cases. Abdominal & pelvic computed tomography was performed in four patients and revealed a lateral-uterine adnexal mass in two cases, pyosalpinx in two cases, uretero-hydronephrosis and peritoneal effusion in one case. An exploratory laparotomy was performed in each patient and confirmed the diagnosis of tuboovarian abscess, the presence of pelvic adhesion and purulent effusion in four patients, the presence of false membranes in two patients, pyometra and isolated bilateral pyosaplinx were found in one patient. Radical surgical treatment was associated with double probabilistic antibiotic therapy and symptomatic treatment in all patients. The postoperative course was favorable in most cases; postoperative pneumopathy was noted and resolved under treatment.
目的:探讨并发上生殖器感染的流行病学、诊断要点及剖腹手术后的预后。患者和方法:这是对LEDANTEC阿里斯蒂德医院中心妇产科收集的20个月期间6例复杂上生殖器感染的回顾性研究。结果:患者平均年龄37.67岁,2例;在症状开始前不到7天进行了子宫输卵管造影,在两名患者中发现了多个性伴侣的概念。所有患者均出现急性腹痛和盆腔疼痛,其中3例伴有呕吐。2例患者出现感染综合征,4例患者出现附件疼痛,3例患者出现腹膜刺激症状(保护和脐痛)。临床旁,所有患者均出现生物炎症综合征,包括所有患者c反应蛋白升高,4例患者白细胞增多,2例患者CA 125升高。2例患者术中取脓液细胞细菌学检查呈阳性,分离出铜绿假单胞菌和阴沟肠杆菌。所有患者均行盆腔超声检查,5例发现囊性附件肿块,2例发现脓输卵管和腹膜积液。4例患者行腹部及盆腔计算机断层扫描,2例发现子宫外侧附件肿块,2例发现输卵管脓肿,1例发现输尿管肾积水及腹膜积液。每例患者均行剖腹探查,确诊为输卵管腔脓肿,4例患者存在盆腔粘连和脓性积液,2例患者存在假膜,1例患者发现脓膜积脓和孤立的双侧脾。根治性手术治疗与双概率抗生素治疗和对症治疗相关。大多数病例术后病程良好;术后肺部病变被发现并在治疗下消失。
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引用次数: 0
Maternal Hospital Mortality in Cotonou: Incidence, Care-Associated Adverse Events and Causes 科托努孕产妇住院死亡率:发生率、护理相关不良事件和原因
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.1310142
Introduction: Despite the many efforts made to combat preventable maternal deaths, these still remain high in Benin. It was therefore important to revisit the causes but especially the adverse events associated with care (EIS) in maternity. Objective: Determine the incidence, adverse events associated with care and causes of intra hospital maternal mortality in cotonou. Methods: This was a cross-sectional maternal mortality review study with retrospective data collection. It covered all cases of maternal death recorded between 2017 and 2021 in two (2) reference university maternities in Cotonou. Adverse events associated with care and the patient were analyzed using the maternal death audit grid validated for Benin. SPSS.26 software was used for data analysis. Results: The in-hospital maternal mortality ratio in Cotonou was 2028 maternal deaths per 100,000 live births in 2021. Only 7.2% (n = 36) of deaths were audited. The deceased mothers were 29.8 ± 7.4 years old, with no fixed monthly income in 82.7% (n = 420). Serious adverse events associated with care were: delay in decision to refer in 37% (n = 188), non-medical referral in 85.8% (n = 436) of cases, inadequate pre-referral treatment in 25.7% of cases. In receiving maternities, delay in diagnosis and inappropriate treatment at the receiving maternity were noted respectively in 22.9% and 28.6% of cases of maternal death. The direct causes of maternal death were dominated by serious obstetric hemorrhage in 43.9% (n = 223). As for the indirect causes, they were dominated by anemia excluding obstetric hemorrhages in 21.5% (n = 109). Conclusion: The in-hospital maternal mortality ratio was very high in Cotonou. The main cause was severe obstetric hemorrhage. There were several serious healthcare-associated adverse events whose correct management would significantly reduce the incidence of maternal deaths.
导言:尽管为减少可预防的产妇死亡作出了许多努力,但贝宁的死亡率仍然很高。因此,重要的是重新审视原因,特别是与产妇护理相关的不良事件。目的:确定科托努市院内孕产妇死亡率的发生率、与护理相关的不良事件及原因。方法:这是一项具有回顾性数据收集的横断面产妇死亡率回顾研究。它涵盖了科托努两所参考大学产科在2017年至2021年期间记录的所有孕产妇死亡病例。使用贝宁验证的产妇死亡审计网格分析与护理和患者相关的不良事件。采用SPSS.26软件进行数据分析。结果:2021年,科托努的住院孕产妇死亡率为每10万活产2028例孕产妇死亡。只有7.2% (n = 36)的死亡病例被审计。死亡母亲年龄为29.8±7.4岁,无固定月收入的占82.7% (n = 420)。与护理相关的严重不良事件是:37% (n = 188)的转诊决定延迟,85.8% (n = 436)的病例非医疗转诊,25.7%的病例转诊前治疗不充分。在接受治疗的产妇中,22.9%和28.6%的产妇死亡病例分别指出,在接受治疗的产妇中诊断延误和治疗不当。产妇死亡的直接原因主要是严重产科出血,占43.9% (n = 223)。间接原因以贫血为主,不包括产科出血,占21.5% (n = 109)。结论:科托努地区孕产妇住院死亡率较高。主要原因是严重产科出血。有几个严重的与保健有关的不良事件,其正确管理将大大减少产妇死亡的发生率。
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引用次数: 0
Review of Maternal Deaths in Two Health Regions of Togo: About 69 Cases (Epidemiological and Sociodemographic Aspects) 对多哥两个卫生区产妇死亡情况的审查:约69例(流行病学和社会人口方面)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.1310145
Introduction: Maternal mortality is a public health problem. It is common in hospitals in Togo. From 401 per 100,000 live births in 2013, in 2017 we are 396 per 100,000 live births. Despite several programs ranging from subsidized caesarean section (CARMA) yezou (assistance for pregnant women), the establishment of maternal death reviews in maternity wards to compensate for avoidable causes; we are seeing preventable maternal and fetal deaths in our hospitals. No study on these reviews has been done since its establishment. The objective of our study was to determine the frequency of reviews of maternal deaths, the epidemiological, sociodemographic aspects and the causes of these reviewed maternal deaths. Method: This was a descriptive and cross-sectional, multicenter study lasting four and a half years, from the 1st of January 2018 to the 30th of June 2022, relating to the review of maternal deaths in three reference hospitals of two health regions of south Togo. Any maternal death occurring in one of these hospitals during the study period was included in this survey. The data collected using a collection sheet were analyzed using Epi Info version 7 software. Results: During the study period, the maternal mortality ratio in the three hospitals was 722.3 per 100,000 live births. Only 12.2% of maternal deaths were reviewed in the three hospitals. The patients were young with an average age of 29.9 years, housewives (71%), uneducated (21.7%). The causes of maternal deaths were dominated by direct obstetric causes (89.7%). The main cause was hemorrhage (72.5%), the main cause being immediate postpartum hemorrhage (50.7%). Conclusion: This study shows that the maternal mortality ratio still remains high in our country with a low frequency of maternal death reviews. Young, poor, uneducated women are the most affected by these deaths, the main cause of which remains hemorrhage. Preventive measures deserve to be taken at all levels with a view to reducing maternal mortality.
产妇死亡率是一个公共卫生问题。这在多哥的医院很常见。从2013年的每10万例活产401例,到2017年是每10万例活产396例。尽管有一些方案,包括补贴剖腹产(CARMA) yezou(孕妇援助),在产科病房建立产妇死亡审查,以补偿可避免的原因;我们在医院看到了可预防的孕产妇和胎儿死亡。自成立以来,没有对这些审查进行过研究。我们研究的目的是确定对产妇死亡进行审查的频率、流行病学、社会人口学方面以及这些审查的产妇死亡的原因。方法:这是一项为期四年半的描述性和横断面多中心研究,从2018年1月1日到2022年6月30日,涉及多哥南部两个卫生区域的三家参考医院的孕产妇死亡情况。在研究期间,在这些医院之一发生的任何孕产妇死亡都包括在本次调查中。使用收集表收集的数据使用Epi Info version 7软件进行分析。结果:在研究期间,三家医院的产妇死亡率为每10万活产722.3例。在这三家医院中,只有12.2%的产妇死亡得到审查。患者以年龄小(平均29.9岁)、家庭主妇(71%)、文化程度低(21.7%)为主。产妇死亡的主要原因是直接产科原因(89.7%)。以出血为主(72.5%),产后立即出血为主(50.7%)。结论:本研究表明,我国孕产妇死亡率仍然较高,孕产妇死亡复核频率较低。年轻、贫穷、未受教育的妇女受这些死亡的影响最大,其主要原因仍然是出血。应在各级采取预防措施,以降低产妇死亡率。
{"title":"Review of Maternal Deaths in Two Health Regions of Togo: About 69 Cases (Epidemiological and Sociodemographic Aspects)","authors":"Baguilane Douaguibe, Dédé Régina Ajavon, Wahabou Koffi, Pakieyendou Tongou, Yendoutie Kambote, Francis Bararmna-Bagou, Romario Mawougbe, Samado Aboubakari","doi":"10.4236/ojog.2023.1310145","DOIUrl":"https://doi.org/10.4236/ojog.2023.1310145","url":null,"abstract":"Introduction: Maternal mortality is a public health problem. It is common in hospitals in Togo. From 401 per 100,000 live births in 2013, in 2017 we are 396 per 100,000 live births. Despite several programs ranging from subsidized caesarean section (CARMA) yezou (assistance for pregnant women), the establishment of maternal death reviews in maternity wards to compensate for avoidable causes; we are seeing preventable maternal and fetal deaths in our hospitals. No study on these reviews has been done since its establishment. The objective of our study was to determine the frequency of reviews of maternal deaths, the epidemiological, sociodemographic aspects and the causes of these reviewed maternal deaths. Method: This was a descriptive and cross-sectional, multicenter study lasting four and a half years, from the 1st of January 2018 to the 30th of June 2022, relating to the review of maternal deaths in three reference hospitals of two health regions of south Togo. Any maternal death occurring in one of these hospitals during the study period was included in this survey. The data collected using a collection sheet were analyzed using Epi Info version 7 software. Results: During the study period, the maternal mortality ratio in the three hospitals was 722.3 per 100,000 live births. Only 12.2% of maternal deaths were reviewed in the three hospitals. The patients were young with an average age of 29.9 years, housewives (71%), uneducated (21.7%). The causes of maternal deaths were dominated by direct obstetric causes (89.7%). The main cause was hemorrhage (72.5%), the main cause being immediate postpartum hemorrhage (50.7%). Conclusion: This study shows that the maternal mortality ratio still remains high in our country with a low frequency of maternal death reviews. Young, poor, uneducated women are the most affected by these deaths, the main cause of which remains hemorrhage. Preventive measures deserve to be taken at all levels with a view to reducing maternal mortality.","PeriodicalId":19676,"journal":{"name":"Open Journal of Obstetrics and Gynecology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135105749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cohort Study on Benefit of Martial Supplementation with EDTA Sodium Iron in Management of Gravidic Anemia at the University Clinics of Kinshasa 在金沙萨大学诊所,军事补充EDTA铁钠治疗妊娠贫血的益处队列研究
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.1310147
Background: Anemia is mainly attributed to nutritional deficiency, especially iron deficiency, which predominates during pregnancy, and is associated with parasitic diseases such as malaria and intestinal parasitosis, acute or chronic diseases such as sickle cell disease, tuberculosis, HIV infection and various micronutrients disorders. It is associated with an increased risk of low birth weight and prematurity and can contribute to impaired cognitive development in early childhood, as well as to maternal mortality. The impact on the fetus is even greater if maternal anemia onset is at an early stage, or prior to pregnancy. Iron salts, such as sulfate or fumarate, are widely used in the treatment of gravidic anemia, but due to various gastrointestinal side effects, many pregnant women are not compliant with treatment. Sodium iron EDTA, on the other hand, is highly absorbable and bioavailable. The latter improves hematological values and appears to be free from the usual iron-related side effects, hence compliance with this supplementation. Objectives: To evaluate the evolution of hemoglobin levels after sodium iron EDTA supplementation at the university Clinics of Kinshasa, to determine the frequency of gravidic anemia, the dose-dependent benefit of sodium iron EDTA supplementation in pregnant women and to identify factors associated with insufficient hemoglobin gain after supplementation. Methods: This longitudinal cohort will take place in the gynecology department of the University Clinics of Kinshasa from September 2022 to August 2023 and will include at least 54 pregnant women with anemia. Conclusion: The study will enable us to better assess the benefits of sodium iron EDTA in improving hematological values, as well as its tolerability in pregnant women suffering from anemia during pregnancy in our environment.
背景:贫血主要是由于营养缺乏,特别是缺铁,主要是在怀孕期间,并与寄生虫病,如疟疾和肠道寄生虫病,急性或慢性疾病,如镰状细胞病,结核病,艾滋病毒感染和各种微量营养素失调有关。它与低出生体重和早产的风险增加有关,并可能导致幼儿期认知发育受损以及孕产妇死亡率。如果母亲贫血发作在早期或怀孕前,对胎儿的影响甚至更大。铁盐,如硫酸盐或富马酸盐,广泛用于治疗妊娠贫血,但由于各种胃肠道副作用,许多孕妇不适应治疗。另一方面,EDTA铁钠具有高度的可吸收性和生物可利用性。后者改善血液学值,似乎没有常见的铁相关副作用,因此符合这种补充。目的:评估金沙萨大学诊所补充EDTA铁钠后血红蛋白水平的变化,确定孕妇妊娠贫血的频率,EDTA铁钠补充的剂量依赖性益处,并确定补充后血红蛋白增加不足的相关因素。方法:该纵向队列研究将于2022年9月至2023年8月在金沙萨大学诊所妇科进行,包括至少54名贫血孕妇。结论:该研究将使我们能够更好地评估EDTA铁钠在改善血清学指标方面的益处,以及在我们的环境中对妊娠期贫血孕妇的耐受性。
{"title":"Cohort Study on Benefit of Martial Supplementation with EDTA Sodium Iron in Management of Gravidic Anemia at the University Clinics of Kinshasa","authors":"Andy Muela Mbangama, Ndombasi Nelda Lemba, Ambis Joëlle Lumaya, Nkongolo Freddy Muamba, Banza Jésual Lotoy, Mubalamata Eugène-Patrick Lukusa, Nkashama Bienvenu Kazadi, Otem Christian Ndesanzim, Feruzi Michel Mangala","doi":"10.4236/ojog.2023.1310147","DOIUrl":"https://doi.org/10.4236/ojog.2023.1310147","url":null,"abstract":"Background: Anemia is mainly attributed to nutritional deficiency, especially iron deficiency, which predominates during pregnancy, and is associated with parasitic diseases such as malaria and intestinal parasitosis, acute or chronic diseases such as sickle cell disease, tuberculosis, HIV infection and various micronutrients disorders. It is associated with an increased risk of low birth weight and prematurity and can contribute to impaired cognitive development in early childhood, as well as to maternal mortality. The impact on the fetus is even greater if maternal anemia onset is at an early stage, or prior to pregnancy. Iron salts, such as sulfate or fumarate, are widely used in the treatment of gravidic anemia, but due to various gastrointestinal side effects, many pregnant women are not compliant with treatment. Sodium iron EDTA, on the other hand, is highly absorbable and bioavailable. The latter improves hematological values and appears to be free from the usual iron-related side effects, hence compliance with this supplementation. Objectives: To evaluate the evolution of hemoglobin levels after sodium iron EDTA supplementation at the university Clinics of Kinshasa, to determine the frequency of gravidic anemia, the dose-dependent benefit of sodium iron EDTA supplementation in pregnant women and to identify factors associated with insufficient hemoglobin gain after supplementation. Methods: This longitudinal cohort will take place in the gynecology department of the University Clinics of Kinshasa from September 2022 to August 2023 and will include at least 54 pregnant women with anemia. Conclusion: The study will enable us to better assess the benefits of sodium iron EDTA in improving hematological values, as well as its tolerability in pregnant women suffering from anemia during pregnancy in our environment.","PeriodicalId":19676,"journal":{"name":"Open Journal of Obstetrics and Gynecology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135156704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conservative Treatment of Breast Cancer and Oncoplasty at the Teaching Hospital Mother and Child of Jeanne Ebori Foundation in Libreville (Gabon) 利伯维尔珍妮·埃博里基金会母婴教学医院的乳腺癌保守治疗和肿瘤成形术(加蓬)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.1310148
Introduction: Breast cancer is currently the most common malignant tumour in women worldwide. Objective: To evaluate conservative treatment of breast cancer and oncoplasty at the teaching hospital Mother and Child of Jeanne Ebori Foundation (CHUMEFJE). Patients and methods: This is an observational, descriptive study, which took place from August 2019 to December 2021 at CHUMEFJE. Data were collected using patients’ medical records, and operative and pathological anatomy reports. Results: Conservative treatment and oncoplasty were performed in 12 (34.2%) patients. Of these patients, 8 (66.7%) benefited from an external technique and 2 (16.7%) from a pamectomy. Post-operative complications were dominated by lymphocele in 5 (41.6%) patients. Ten (83.3%) patients were satisfied with the post-operative aesthetic result. At the time of updating the records, 1 (8.3%) patient had died and 11 (91.7%) were alive. Conclusion: Conservative treatment and oncoplasty are giving satisfactory results at the CHUMEFJE in Libreville.
乳腺癌是目前世界范围内女性最常见的恶性肿瘤。目的:评价Jeanne Ebori基金会母婴教学医院(CHUMEFJE)乳腺癌保守治疗及肿瘤成形术的效果。患者和方法:这是一项观察性描述性研究,于2019年8月至2021年12月在CHUMEFJE进行。资料收集采用患者病历、手术及病理解剖报告。结果:保守治疗和肿瘤成形术12例(34.2%)。在这些患者中,8例(66.7%)受益于外部技术,2例(16.7%)受益于膀胱切除术。术后并发症以淋巴囊肿为主5例(41.6%)。10例(83.3%)患者术后美观满意。更新记录时,死亡1例(8.3%),存活11例(91.7%)。结论:在利伯维尔的CHUMEFJE,保守治疗和肿瘤成形术取得了令人满意的结果。
{"title":"Conservative Treatment of Breast Cancer and Oncoplasty at the Teaching Hospital Mother and Child of Jeanne Ebori Foundation in Libreville (Gabon)","authors":"Assoumou Obiang Pamphile, Minkobame Ulysse, Makoyo Opheelia, Eya’Ama Robert, Dikongo Wilson, Mewie Anouchka, Ntsame Elsy Juvette, Minto’o Junior, Bang Jacques Albert, Meye Jean François","doi":"10.4236/ojog.2023.1310148","DOIUrl":"https://doi.org/10.4236/ojog.2023.1310148","url":null,"abstract":"Introduction: Breast cancer is currently the most common malignant tumour in women worldwide. Objective: To evaluate conservative treatment of breast cancer and oncoplasty at the teaching hospital Mother and Child of Jeanne Ebori Foundation (CHUMEFJE). Patients and methods: This is an observational, descriptive study, which took place from August 2019 to December 2021 at CHUMEFJE. Data were collected using patients’ medical records, and operative and pathological anatomy reports. Results: Conservative treatment and oncoplasty were performed in 12 (34.2%) patients. Of these patients, 8 (66.7%) benefited from an external technique and 2 (16.7%) from a pamectomy. Post-operative complications were dominated by lymphocele in 5 (41.6%) patients. Ten (83.3%) patients were satisfied with the post-operative aesthetic result. At the time of updating the records, 1 (8.3%) patient had died and 11 (91.7%) were alive. Conclusion: Conservative treatment and oncoplasty are giving satisfactory results at the CHUMEFJE in Libreville.","PeriodicalId":19676,"journal":{"name":"Open Journal of Obstetrics and Gynecology","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135156350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of Unmet Transfusion Needs in the Management of Immediate Postpartum Haemorrhage at the Kalaban Coro Reference Health Centre (MALI) 评估卡拉班科罗参考保健中心在处理产后立即出血方面未满足的输血需求(马里)
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.139138
The aim was to assess transfusion needs in the management of immediate postpartum haemorrhage. Materials and Methods: this was a prospective, descriptive, analytical study from 01 January 2018 to 31 October 2018 in the gynecology and obstetrics department of the reference health center of Kalaban-Coro (Mali). Results: During the study period we recorded 32 cases of transfusion of the immediate postpartum out of 109 cases of hemorrhage or 29.35%; for a total of 2425 deliveries or a frequency of 1.31%. The main indications for blood transfusion were: postpartum haemorrhage due to tearing of the soft parts in 21.9%; retroplacental hematoma in 18.6%; uterine rupture in 12.5%; and placenta previa covering hemorrhagic in 12.5%. More than half of the transfused were evacuees, or 62.5%. Unmet transfusion requirements were 59.4%. The blood products requested were: whole blood in 99% of cases and fresh frozen plasma in only 1% of cases. Conclusion: the need for labile blood products remains a reality in obstetrics. The permanent availability of labile blood products improves the prognosis of immediate postpartum haemorrhages.
目的是评估输血需要在产后立即出血的管理。材料和方法:这是一项前瞻性、描述性、分析性研究,于2018年1月1日至2018年10月31日在卡拉班-科罗(马里)参考卫生中心的妇产科进行。结果:在研究期间,109例产后出血患者中有32例输血,占29.35%;总共2425次交付或频率为1.31%。输血的主要指征为:产后软部撕裂出血占21.9%;胎盘后血肿18.6%;子宫破裂12.5%;前置胎盘覆盖出血的比例为12.5%。输血者中有一半以上是撤离者,占62.5%。未满足输血要求的占59.4%。所要求的血液制品是:99%的病例使用全血,只有1%的病例使用新鲜冷冻血浆。结论:对不稳定血液制品的需求在产科仍然存在。长期供应不稳定的血液制品可改善产后立即出血的预后。
{"title":"Assessment of Unmet Transfusion Needs in the Management of Immediate Postpartum Haemorrhage at the Kalaban Coro Reference Health Centre (MALI)","authors":"Bocary Sidi Kone, Kalifa Traore, Mahamoudou Coulibaly, Cheickna Sylla, Sema Keita, Yacouba Sylla, Mamadou Haïdara, Mahamadou Keita, Sékou Bakary Keita, Bamba Brehima, Mamadou Kampo, Dramane Fomba, Yacouba Aba Coulibaly, Seydou Z. Dao, Modibo Dicko","doi":"10.4236/ojog.2023.139138","DOIUrl":"https://doi.org/10.4236/ojog.2023.139138","url":null,"abstract":"The aim was to assess transfusion needs in the management of immediate postpartum haemorrhage. Materials and Methods: this was a prospective, descriptive, analytical study from 01 January 2018 to 31 October 2018 in the gynecology and obstetrics department of the reference health center of Kalaban-Coro (Mali). Results: During the study period we recorded 32 cases of transfusion of the immediate postpartum out of 109 cases of hemorrhage or 29.35%; for a total of 2425 deliveries or a frequency of 1.31%. The main indications for blood transfusion were: postpartum haemorrhage due to tearing of the soft parts in 21.9%; retroplacental hematoma in 18.6%; uterine rupture in 12.5%; and placenta previa covering hemorrhagic in 12.5%. More than half of the transfused were evacuees, or 62.5%. Unmet transfusion requirements were 59.4%. The blood products requested were: whole blood in 99% of cases and fresh frozen plasma in only 1% of cases. Conclusion: the need for labile blood products remains a reality in obstetrics. The permanent availability of labile blood products improves the prognosis of immediate postpartum haemorrhages.","PeriodicalId":19676,"journal":{"name":"Open Journal of Obstetrics and Gynecology","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135799289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rationale of the Cross-Sectional Descriptive Study on Factors Associated with Failure of Vaginal Delivery Trial after Cesarean Section in the University Clinics of Kinshasa, DR Congo 刚果民主共和国金沙萨大学诊所剖宫产术后阴道分娩试验失败相关因素横断面描述性研究的基本原理
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.1310139
{"title":"Rationale of the Cross-Sectional Descriptive Study on Factors Associated with Failure of Vaginal Delivery Trial after Cesarean Section in the University Clinics of Kinshasa, DR Congo","authors":"Muela Andy Mbangama, Nkashama Bienvenu Kazadi, Otem Christian Ndesanzim, Ambis Joëlle Lumaya, Nkongolo Freddy Muamba, Mubalamata Eugène-Patrick Lukusa, Ndombasi Nelda Lemba, Banza Jésual Lotoy, Feruzi Michel Mangala, Sendeke Patrick Mogwo, Mwimba Roger Mbungu","doi":"10.4236/ojog.2023.1310139","DOIUrl":"https://doi.org/10.4236/ojog.2023.1310139","url":null,"abstract":"","PeriodicalId":19676,"journal":{"name":"Open Journal of Obstetrics and Gynecology","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
External Hemorrhoidal Thrombosis in Recent Births at the Maternity Ward of Saint Camille Hospital in Ouagadougou 瓦加杜古圣卡米尔医院产科病房新生儿外痔血栓形成情况
Pub Date : 2023-01-01 DOI: 10.4236/ojog.2023.139124
Hyacinthe Zamane, Aboubacar Coulibaly, Dantola Paul Kain, Sibraogo Kiemtore, Samira Mireille Kanagnama Sanon, Ali Ouedraogo
Introduction: External hemorrhoidal thrombosis is a clinical is the most common postpartum proctologic accident. The aim of this work was to study hemorrhoidal thrombosis in recent mothers, in order to help improve its management. Patients and Methods: This was a descriptive and analytical cross-sectional study that was carried out at Saint Camille Hospital in Ouagadougou, Burkina Faso. Data collection was prospective and took place over a period of three months from September 1 to November 30, 2019. The study population consisted of recent births. The interview with the patients and their physical examination enabled the collection of data. Results: During the study period, 384 women were examined and 56 (14.6%) of whom presented with external hemorrhoidal thrombosis. The average age of patients who presented with external hemorrhoidal thrombosis was 29 years ± 5.2. The external hemorrhoidal thrombosis appeared in the form of a painful swelling at the level of the anal margin. In multivariate analysis, dyschezia and personal history of hemorrhoidal disease were risk factors for external hemorrhoidal thrombosis in the postpartum period (OR = 37.4 [6.8 - 205.7]; OR = 23.9 [3.3 - 174.2]. Consumption of fruit and foods rich in dietary fiber were protective factors against the occurrence of this risk (OR = 0.02 [0.002 - 0.3]). Conclusion: External hemorrhoidal thrombosis remains a complication to be taken into account during the monitoring of postpartum women. It is important to encourage pregnant women to consume foods and fruits rich in fiber seem to reduce the risk of its occurrence.
简介:外痔血栓形成是临床上最常见的产后直肠意外。这项工作的目的是研究新近母亲痔疮血栓形成,以帮助改善其管理。患者和方法:这是一项描述性和分析性横断面研究,在布基纳法索瓦加杜古的圣卡米尔医院进行。数据收集是前瞻性的,并在2019年9月1日至11月30日的三个月内进行。研究人群包括最近出生的人。通过对患者的访谈和体格检查,可以收集数据。结果:在研究期间,384名妇女接受了检查,其中56名(14.6%)出现了外痔血栓形成。外痔血栓形成患者的平均年龄为29岁±5.2岁。外痔血栓形成表现为肛门边缘处疼痛的肿胀。多因素分析中,精神障碍和个人痔疮病史是产后外痔血栓形成的危险因素(OR = 37.4 [6.8 - 205.7];Or = 23.9[3.3 - 174.2]。食用水果和富含膳食纤维的食物是防止这种风险发生的保护因素(OR = 0.02[0.002 - 0.3])。结论:外痔血栓形成仍是产后监测中应注意的并发症。鼓励孕妇食用富含纤维的食物和水果似乎可以降低其发生的风险,这一点很重要。
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Open Journal of Obstetrics and Gynecology
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