Introduction : objectif de cette etude etait de faire l’etat des lieux de la prescription ambulat... more Introduction : objectif de cette etude etait de faire l’etat des lieux de la prescription ambulatoire des antibiotiques dans les services de pediatrie des centres medico communaux de Conakry. Materiels et methode : Il s’agissait d’une etude transversale de type descriptif d’une duree de 3 mois allant du 12 septembre au 12 Decembre 2017 portant sur tous les enfants âge de 0 a 15 ans qui ont beneficie de la prescription d’au moins un antibiotique en ambulatoire pendant la visite dans les services de pediatrie des centre medico communaux de Matam et Ratoma a Conakry. Resultats:- La moyenne d’âge des patients etait 3,7 ans avec des extremes de 1a 15 ans et la tranche d’âge de 1 a 4 ans etait la plus predominante 48,2%. La duree moyenne de traitement de nos patients etait de 5,89 jours avec des extremes de 1 et 10 jours. 74,2% des patients ont beneficie d’une antibiotherapie ambulatoire et 72% d’entre elles etaient jugees non justifiees en utilisant les recommandations de la societe des ...
de choix et il n'existait pas d'alternatives thérapeutiques. Chez les 3 patients ayant une suspic... more de choix et il n'existait pas d'alternatives thérapeutiques. Chez les 3 patients ayant une suspicion de réaction anaphylactique, 2 avaient des tests cutanés au tocilizumab négatifs et des réintroductions par voie SC (81 mg) négatives ; 1 patient avait un test intradermique au 1/100 e positif en lecture immédiate confirmant l'anaphylaxie au tocilizumab et le contre-indiquant. Chez le patient ayant des lésions des membres inférieurs ne survenant pas à chaque injection SC, les tests avec des lectures retardées à 48 et 96 h étaient strictement négatifs. La réintroduction de tocilizumab entraînait 4 jours plus tard un tableau de dermo-hypodermite avec des lésions livedoïdes très douloureuses des membres inférieurs, où la biopsie mettait en évidence une image de vascularite nécrosante des veinules de la jonction dermo-hypodermique respectant les artérioles et les artères ; il n'y avait pas d'argument pour une vascularite systémique associée. Conclusion Nous rapportons 2 cas de suspicion de réaction anaphylactique au tocilizumab avec test de réintroduction négatif en substituant la forme IV par la forme SC, 1 cas d'anaphylaxie prouvée et une vascularite cutanée au tocilizumab. Mots clés Anticorps monoclonaux ; Réactions d'hypersensibilité ; Tocilizumab Déclaration de liens d'intérêts Les auteurs déclarent ne pas avoir de liens d'intérêts.
Objectif : Decrire les aspects epidemio-cliniques, therapeutiques et pronostiques des hysterectom... more Objectif : Decrire les aspects epidemio-cliniques, therapeutiques et pronostiques des hysterectomies obstetricales a la maternite Donka du Centre Hospitalier Universitaire de Conakry. Materiel et methodes : Il s’agissait d’une etude retrospective transversale de 3 ans (15 Janvier 2013 au 14 Janvier 2016) menee a la Maternite de l’Hopital Donka du CHU de Conakry. Ont ete inclus les dossiers des femmes ayant subi une hysterectomie obstetricale. Les hysterectomies obstetricales etaient realisees par des obstetriciens qualifies (Assistants et Maitre-Assistants). Les dossiers obstetricaux, les registres d’accouchements et de compte-rendus operatoire ont servi de supports de collecte. Les aspects sociodemographiques, cliniques, therapeutiques et pronostiques ont ete etudies. Une analyse descriptive simple a ete realisee avec les logiciels Epi Info 6 et Microsoft Excel 2007 et les resultats exprimes en pourcentage. Resultats : La frequence des hysterectomies obstetricales etait de 0,16%. L...
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2020
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
e12065 Background: Surgical operation for breast cancer remains one of the major therapeutic appr... more e12065 Background: Surgical operation for breast cancer remains one of the major therapeutic approaches for management of breast cancer. This retrospective study aims to review different factors as...
RésuméIntroductionLa prise en charge de l’accouchement en cas d’utérus cicatriciel est l’un des s... more RésuméIntroductionLa prise en charge de l’accouchement en cas d’utérus cicatriciel est l’un des sujets les plus débattus en obstétrique moderne. L’objectif de ce travail était d’améliorer la prise en charge et le pronostic de l’accouchement sur utérus cicatriciel dans notre service et de comprendre les indications de la voie d’accouchement et les complications rapportées en cas de tentative de voie basse.Matériel et méthodesIl s’agissait d’une étude prospective descriptive et comparative réalisée du 1er août 2013 au 31 juillet 2014 dans le service de gynécologie-obstétrique de l’hôpital national Ignace-Deen du CHU de Conakry en Guinée.RésultatsNous avons colligé 546 accouchements dans un contexte d’utérus cicatriciel, soit une prévalence de 14,14 % de l’ensemble des accouchements. À l’admission, la tentative de voie basse a été indiquée chez 148 patientes (27,10 %), et celle-ci s’est déroulée avec succès dans 36,6 % des cas, soit un taux global de césarienne de 90,31 %. Les caractéristiques maternelles ayant une influence prouvée sur la décision de la voie d’accouchement étaient l’âge maternel, la parité, le mode d’accouchement, la durée écoulée depuis la dernière césarienne, le nombre de cicatrices utérines, la présentation, l’état du bassin et le type de grossesse. Le seul facteur associé au succès de la voie basse était l’antécédent d’accouchement par voie basse. Toutes les patientes ayant accouché par voie basse l’ont fait naturellement. Nous rapportons huit cas de rupture utérine et quatre cas d’hémorragie de la délivrance. Les nouveau-nés avaient un score d’Apgar supérieur ou égal à 7 dans la plupart des cas (95,66 %), et la décision de la voie d’accouchement n’avait pas influencé le score d’Apgar à cinq minutes de vie.ConclusionL’accouchement sur utérus cicatriciel est relativement fréquent dans notre service. Il est associé à un risque élevé de césarienne, mais le pronostic maternel et foetal était généralement bon. Un bon suivi prénatal et une surveillance rigoureuse de l’épreuve de travail pourraient peut-être améliorer nos résultats.AbstractIntroductionManagement of childbirth in cases where there is a scarred uterus is one of the most debated topics in modern obstetrics. The aim of this study was to improve the management and the prognosis of childbirth with a scarred uterus in our department, and to understand the indications of the type of delivery and the complications reported in cases of an attempted vaginal delivery.Materials and methodsThis is a prospective descriptive and comparative study, carried out from 1 August 2013 to 31 July 2014 in the gynaecology and obstetrics department at the Ignace-Deen National Hospital of Conakry University Hospital in Guinea.ResultsWe identified 546 births with a scarred uterus, which is a prevalence of 14.14% of all births. On admission, an attempted vaginal delivery was recommended for 148 patients (27.10%) and this was successful in 36.6% of cases, which is an overall caesarean section rate of 90.31%. The maternal characteristics that had a proven influence on the type of delivery chosen were age of the mother, parity, the mode of delivery, the time since the last caesarean section, the number of uterine scars, the presentation, the condition of the pelvis and the type of pregnancy. The only factor associated with a successful vaginal birth was a history of a vaginal delivery. All patients who gave birth vaginally did so naturally. At total of 8 cases of a ruptured uterus were reported, plus 4 cases of postpartum haemorrhage. New-borns had an Apgar score greater than or equal to 7 in the majority of cases (95.66%), and the chosen method of delivery did not influence the 5 minute post-birth Apgar score.ConclusionChildbirth with a scarred uterus is relatively common in our department. It is associated with an increased risk of caesarean section, but the maternal and foetal prognoses were generally good. Good prenatal follow-up and thorough monitoring of the study may improve our results.
Objective: To analyze the management of urological complications of gynecologic and obstetric sur... more Objective: To analyze the management of urological complications of gynecologic and obstetric surgeries. Material and Methods: We retrospectively studied 39 patients hospitalized in the Department of Urology of the Conakry Teaching Hospital for urological complications of gynecological surgery, during 9 years. The epidemiological, diagnostic, surgical and outcome parameters have been analyzed. Results: The urological complications of gynecologic surgery represent 0.29% of admissions in the Department of Urology. The mean age was 31 years with extremes of 18 and 47 years. Etiological factors were dominated by caesarean section with 74.36% of cases. The main lesions observed were vesico-vaginal and uretero-vaginal fistulas respectively 43.6% and 41.2% of cases. The mean delay of diagnosis was 5 months (extreme: 7 days to 3 years). Urine leakage from the vagina was the main symptom. The surgical treatment consisted in 17 surgeries for vesico-vaginal fistulas, 16 surgeries for uretero-v...
The objective of this study was to identify risk factors and study the causes of neonatal mortali... more The objective of this study was to identify risk factors and study the causes of neonatal mortality of LBW newborns referred to the Institute of Nutrition and Child Health. Material and Methods: This is a prospective descriptive and analytical study from March 1 to August 31, 2015, involving 250 newborns referred to the Neonatology Department of the Institute of Child Nutrition and Health (INSE). Results: During our study period, we recorded 1169 newborns, 250 of whom were referred, representing a referral frequency of 21.38%. The overall mortality rate for transferring newborns was 46.8%. Risk factors associated with neonatal mortality were gravidity (p = 0.0019), parity (p = 0.0323), occupational activities requiring physical effort (p = 0.0257), birth weight (p = 0.0008) and prematurity (p = 0.0039). Conclusion: Neonatal mortality associated with referrals is a major health problem in developing countries. There is currently no doubt that it is possible to significantly reduce perinatal mortality and morbidity rates by organizing the identification of "mother-child" couples at risk, to refer them intently to centres better equipped with technical and human resources to care for them.
Malaria is much more common in pregnant women, especially during the third trimester of pregnancy... more Malaria is much more common in pregnant women, especially during the third trimester of pregnancy, causing congenital infestation. Acute and severe complications are noted, including malignant malaria access and maternal and fetal mortality. Method: This was a three-month descriptive and analytical multicenter study, running from 1st January to 31st March 2015, conducted in 16 maternity hospitals at different levels of the health system pyramid. Results: Out of a total of 1772 mothers recruited for this study, 276 cases were tested positive (umbilical cordon and newborn's heel). Among them, we reported 130 cases tested positive at newborn's heel with congenital infestation confirmed by sampling on day 0, with a frequency of 7.3%. The average age of the mothers was 26 ± 14 years. With a predominance in the 20-35 age group (4.7%). Among mothers who were not exposed to preventive intermittent sulfadoxine pyrimethamine (IPT/SP) in malaria prevention, 6.1% of newborns tested positive. Of these, mothers who had less than 4 prenatal visits during pregnancy had a congenital malaria rate of 7.3%. Conclusion: Congenital malaria infestation exists in newborns despite adequate measures used in pregnant women (SP, antimalarial drugs). In Guinea, It is often found in newborns of mothers who suffer from malaria during pregnancy and whose prenatal cares are not regular.
This paper is based on a Cochrane review published in The Cochrane Library, issue 1, 2002 (see ww... more This paper is based on a Cochrane review published in The Cochrane Library, issue 1, 2002 (see www.CochraneLibrary.net for information) with permission from The Cochrane Collaboration and Update Software. Cochrane reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and The Cochrane Library should be consulted for the most recent version of the review.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: The management of infertile couples has seen many advances characterized today by the... more Background: The management of infertile couples has seen many advances characterized today by the different techniques of medically assisted procreation (MAP) that are increasingly practiced in the developed countries. The objective of present study is to describe our experience of multicentric management of infertile couples in our ivorian context.Methods: This is a retrospective and cohort study with descriptive purpose over 210 couples treated for infertility in the gynecology services of the University and Hospital Center of Treichville and a private clinic in Abidjan, from 1st February 2013 to 31st January 2017 (48 months).Results: The frequency of infertility was 14%, and the average age was 34.3 years for women and 43.2 years for men. The etiologies were found in 199 couples (94.8%), particularly in 136 women and 113 men. The main causes were uterine (58.1%), and hormonal (26.5%) in women and of infectious origin in men (79.7%). The majority of the patients (113 women and 97 ...
Open Access Research Journal of Biology and Pharmacy, 2021
Objectives: To calculate the frequency of road accidents among pregnant women, to describe the ep... more Objectives: To calculate the frequency of road accidents among pregnant women, to describe the epidemiological profile and to establish the maternal and fetal prognosis at the prefectural hospital of Siguiri. Methodology: this was a prospective study of a descriptive type lasting six (6) months from August 1, 2019 to January 31, 2020. It concerned all pregnant women victims of road accidents admitted to Siguiri prefectural hospital during the study period. All pregnant women who were victims of road accidents received at the hospital during the study period and who gave their consent were included. All pregnant victims of road accidents who did not give their consent were included and cases of trauma unrelated to the road accident. We conducted an exhaustive recruitment of all highway accident cases among pregnant women during the study period. The limitations or constraints of the study were the delay in the care of some pregnant women who first sought treatment from traditional he...
Open Access Research Journal of Biology and Pharmacy, 2021
Objectives: To calculate the frequency of road accidents among pregnant women, to describe the ep... more Objectives: To calculate the frequency of road accidents among pregnant women, to describe the epidemiological profile and to establish the maternal and fetal prognosis at the prefectural hospital of Siguiri. Methodology: this was a prospective study of a descriptive type lasting six (6) months from August 1, 2019 to January 31, 2020. It concerned all pregnant women victims of road accidents admitted to Siguiri prefectural hospital during the study period. All pregnant women who were victims of road accidents received at the hospital during the study period and who gave their consent were included. All pregnant victims of road accidents who did not give their consent were included and cases of trauma unrelated to the road accident. We conducted an exhaustive recruitment of all highway accident cases among pregnant women during the study period. The limitations or constraints of the study were the delay in the care of some pregnant women who first sought treatment from traditional he...
World Journal of Advanced Research and Reviews, 2021
Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomon... more Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomoniasis, describe the socio-demographic characteristics and analyze the biological samples. Methodology: This was a six (6) month cross-sectional prospective study carried out in the maternity ward (gynecological consultation) and in the laboratory of the Prefectural Hospital of Macenta. All the women who came for gynecological consultation were included in the study and among them, all those who presented a laboratory examination report for vaginal secretions and / or urine during the study period. Not included in the study were all the women who came for a gynecological consultation but who had not received a laboratory examination report for vaginal secretions and / or urine and all those already undergoing treatment to imidazole in the 15 days preceding the survey were not included. After applying the selection procedure (inclusion and non-inclusion criteria), we obtained a sample size...
World Journal of Advanced Research and Reviews, 2021
Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomon... more Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomoniasis, describe the socio-demographic characteristics and analyze the biological samples. Methodology: This was a six (6) month cross-sectional prospective study carried out in the maternity ward (gynecological consultation) and in the laboratory of the Prefectural Hospital of Macenta. All the women who came for gynecological consultation were included in the study and among them, all those who presented a laboratory examination report for vaginal secretions and / or urine during the study period. Not included in the study were all the women who came for a gynecological consultation but who had not received a laboratory examination report for vaginal secretions and / or urine and all those already undergoing treatment to imidazole in the 15 days preceding the survey were not included. After applying the selection procedure (inclusion and non-inclusion criteria), we obtained a sample size...
Introduction : objectif de cette etude etait de faire l’etat des lieux de la prescription ambulat... more Introduction : objectif de cette etude etait de faire l’etat des lieux de la prescription ambulatoire des antibiotiques dans les services de pediatrie des centres medico communaux de Conakry. Materiels et methode : Il s’agissait d’une etude transversale de type descriptif d’une duree de 3 mois allant du 12 septembre au 12 Decembre 2017 portant sur tous les enfants âge de 0 a 15 ans qui ont beneficie de la prescription d’au moins un antibiotique en ambulatoire pendant la visite dans les services de pediatrie des centre medico communaux de Matam et Ratoma a Conakry. Resultats:- La moyenne d’âge des patients etait 3,7 ans avec des extremes de 1a 15 ans et la tranche d’âge de 1 a 4 ans etait la plus predominante 48,2%. La duree moyenne de traitement de nos patients etait de 5,89 jours avec des extremes de 1 et 10 jours. 74,2% des patients ont beneficie d’une antibiotherapie ambulatoire et 72% d’entre elles etaient jugees non justifiees en utilisant les recommandations de la societe des ...
de choix et il n'existait pas d'alternatives thérapeutiques. Chez les 3 patients ayant une suspic... more de choix et il n'existait pas d'alternatives thérapeutiques. Chez les 3 patients ayant une suspicion de réaction anaphylactique, 2 avaient des tests cutanés au tocilizumab négatifs et des réintroductions par voie SC (81 mg) négatives ; 1 patient avait un test intradermique au 1/100 e positif en lecture immédiate confirmant l'anaphylaxie au tocilizumab et le contre-indiquant. Chez le patient ayant des lésions des membres inférieurs ne survenant pas à chaque injection SC, les tests avec des lectures retardées à 48 et 96 h étaient strictement négatifs. La réintroduction de tocilizumab entraînait 4 jours plus tard un tableau de dermo-hypodermite avec des lésions livedoïdes très douloureuses des membres inférieurs, où la biopsie mettait en évidence une image de vascularite nécrosante des veinules de la jonction dermo-hypodermique respectant les artérioles et les artères ; il n'y avait pas d'argument pour une vascularite systémique associée. Conclusion Nous rapportons 2 cas de suspicion de réaction anaphylactique au tocilizumab avec test de réintroduction négatif en substituant la forme IV par la forme SC, 1 cas d'anaphylaxie prouvée et une vascularite cutanée au tocilizumab. Mots clés Anticorps monoclonaux ; Réactions d'hypersensibilité ; Tocilizumab Déclaration de liens d'intérêts Les auteurs déclarent ne pas avoir de liens d'intérêts.
Objectif : Decrire les aspects epidemio-cliniques, therapeutiques et pronostiques des hysterectom... more Objectif : Decrire les aspects epidemio-cliniques, therapeutiques et pronostiques des hysterectomies obstetricales a la maternite Donka du Centre Hospitalier Universitaire de Conakry. Materiel et methodes : Il s’agissait d’une etude retrospective transversale de 3 ans (15 Janvier 2013 au 14 Janvier 2016) menee a la Maternite de l’Hopital Donka du CHU de Conakry. Ont ete inclus les dossiers des femmes ayant subi une hysterectomie obstetricale. Les hysterectomies obstetricales etaient realisees par des obstetriciens qualifies (Assistants et Maitre-Assistants). Les dossiers obstetricaux, les registres d’accouchements et de compte-rendus operatoire ont servi de supports de collecte. Les aspects sociodemographiques, cliniques, therapeutiques et pronostiques ont ete etudies. Une analyse descriptive simple a ete realisee avec les logiciels Epi Info 6 et Microsoft Excel 2007 et les resultats exprimes en pourcentage. Resultats : La frequence des hysterectomies obstetricales etait de 0,16%. L...
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2020
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
e12065 Background: Surgical operation for breast cancer remains one of the major therapeutic appr... more e12065 Background: Surgical operation for breast cancer remains one of the major therapeutic approaches for management of breast cancer. This retrospective study aims to review different factors as...
RésuméIntroductionLa prise en charge de l’accouchement en cas d’utérus cicatriciel est l’un des s... more RésuméIntroductionLa prise en charge de l’accouchement en cas d’utérus cicatriciel est l’un des sujets les plus débattus en obstétrique moderne. L’objectif de ce travail était d’améliorer la prise en charge et le pronostic de l’accouchement sur utérus cicatriciel dans notre service et de comprendre les indications de la voie d’accouchement et les complications rapportées en cas de tentative de voie basse.Matériel et méthodesIl s’agissait d’une étude prospective descriptive et comparative réalisée du 1er août 2013 au 31 juillet 2014 dans le service de gynécologie-obstétrique de l’hôpital national Ignace-Deen du CHU de Conakry en Guinée.RésultatsNous avons colligé 546 accouchements dans un contexte d’utérus cicatriciel, soit une prévalence de 14,14 % de l’ensemble des accouchements. À l’admission, la tentative de voie basse a été indiquée chez 148 patientes (27,10 %), et celle-ci s’est déroulée avec succès dans 36,6 % des cas, soit un taux global de césarienne de 90,31 %. Les caractéristiques maternelles ayant une influence prouvée sur la décision de la voie d’accouchement étaient l’âge maternel, la parité, le mode d’accouchement, la durée écoulée depuis la dernière césarienne, le nombre de cicatrices utérines, la présentation, l’état du bassin et le type de grossesse. Le seul facteur associé au succès de la voie basse était l’antécédent d’accouchement par voie basse. Toutes les patientes ayant accouché par voie basse l’ont fait naturellement. Nous rapportons huit cas de rupture utérine et quatre cas d’hémorragie de la délivrance. Les nouveau-nés avaient un score d’Apgar supérieur ou égal à 7 dans la plupart des cas (95,66 %), et la décision de la voie d’accouchement n’avait pas influencé le score d’Apgar à cinq minutes de vie.ConclusionL’accouchement sur utérus cicatriciel est relativement fréquent dans notre service. Il est associé à un risque élevé de césarienne, mais le pronostic maternel et foetal était généralement bon. Un bon suivi prénatal et une surveillance rigoureuse de l’épreuve de travail pourraient peut-être améliorer nos résultats.AbstractIntroductionManagement of childbirth in cases where there is a scarred uterus is one of the most debated topics in modern obstetrics. The aim of this study was to improve the management and the prognosis of childbirth with a scarred uterus in our department, and to understand the indications of the type of delivery and the complications reported in cases of an attempted vaginal delivery.Materials and methodsThis is a prospective descriptive and comparative study, carried out from 1 August 2013 to 31 July 2014 in the gynaecology and obstetrics department at the Ignace-Deen National Hospital of Conakry University Hospital in Guinea.ResultsWe identified 546 births with a scarred uterus, which is a prevalence of 14.14% of all births. On admission, an attempted vaginal delivery was recommended for 148 patients (27.10%) and this was successful in 36.6% of cases, which is an overall caesarean section rate of 90.31%. The maternal characteristics that had a proven influence on the type of delivery chosen were age of the mother, parity, the mode of delivery, the time since the last caesarean section, the number of uterine scars, the presentation, the condition of the pelvis and the type of pregnancy. The only factor associated with a successful vaginal birth was a history of a vaginal delivery. All patients who gave birth vaginally did so naturally. At total of 8 cases of a ruptured uterus were reported, plus 4 cases of postpartum haemorrhage. New-borns had an Apgar score greater than or equal to 7 in the majority of cases (95.66%), and the chosen method of delivery did not influence the 5 minute post-birth Apgar score.ConclusionChildbirth with a scarred uterus is relatively common in our department. It is associated with an increased risk of caesarean section, but the maternal and foetal prognoses were generally good. Good prenatal follow-up and thorough monitoring of the study may improve our results.
Objective: To analyze the management of urological complications of gynecologic and obstetric sur... more Objective: To analyze the management of urological complications of gynecologic and obstetric surgeries. Material and Methods: We retrospectively studied 39 patients hospitalized in the Department of Urology of the Conakry Teaching Hospital for urological complications of gynecological surgery, during 9 years. The epidemiological, diagnostic, surgical and outcome parameters have been analyzed. Results: The urological complications of gynecologic surgery represent 0.29% of admissions in the Department of Urology. The mean age was 31 years with extremes of 18 and 47 years. Etiological factors were dominated by caesarean section with 74.36% of cases. The main lesions observed were vesico-vaginal and uretero-vaginal fistulas respectively 43.6% and 41.2% of cases. The mean delay of diagnosis was 5 months (extreme: 7 days to 3 years). Urine leakage from the vagina was the main symptom. The surgical treatment consisted in 17 surgeries for vesico-vaginal fistulas, 16 surgeries for uretero-v...
The objective of this study was to identify risk factors and study the causes of neonatal mortali... more The objective of this study was to identify risk factors and study the causes of neonatal mortality of LBW newborns referred to the Institute of Nutrition and Child Health. Material and Methods: This is a prospective descriptive and analytical study from March 1 to August 31, 2015, involving 250 newborns referred to the Neonatology Department of the Institute of Child Nutrition and Health (INSE). Results: During our study period, we recorded 1169 newborns, 250 of whom were referred, representing a referral frequency of 21.38%. The overall mortality rate for transferring newborns was 46.8%. Risk factors associated with neonatal mortality were gravidity (p = 0.0019), parity (p = 0.0323), occupational activities requiring physical effort (p = 0.0257), birth weight (p = 0.0008) and prematurity (p = 0.0039). Conclusion: Neonatal mortality associated with referrals is a major health problem in developing countries. There is currently no doubt that it is possible to significantly reduce perinatal mortality and morbidity rates by organizing the identification of "mother-child" couples at risk, to refer them intently to centres better equipped with technical and human resources to care for them.
Malaria is much more common in pregnant women, especially during the third trimester of pregnancy... more Malaria is much more common in pregnant women, especially during the third trimester of pregnancy, causing congenital infestation. Acute and severe complications are noted, including malignant malaria access and maternal and fetal mortality. Method: This was a three-month descriptive and analytical multicenter study, running from 1st January to 31st March 2015, conducted in 16 maternity hospitals at different levels of the health system pyramid. Results: Out of a total of 1772 mothers recruited for this study, 276 cases were tested positive (umbilical cordon and newborn's heel). Among them, we reported 130 cases tested positive at newborn's heel with congenital infestation confirmed by sampling on day 0, with a frequency of 7.3%. The average age of the mothers was 26 ± 14 years. With a predominance in the 20-35 age group (4.7%). Among mothers who were not exposed to preventive intermittent sulfadoxine pyrimethamine (IPT/SP) in malaria prevention, 6.1% of newborns tested positive. Of these, mothers who had less than 4 prenatal visits during pregnancy had a congenital malaria rate of 7.3%. Conclusion: Congenital malaria infestation exists in newborns despite adequate measures used in pregnant women (SP, antimalarial drugs). In Guinea, It is often found in newborns of mothers who suffer from malaria during pregnancy and whose prenatal cares are not regular.
This paper is based on a Cochrane review published in The Cochrane Library, issue 1, 2002 (see ww... more This paper is based on a Cochrane review published in The Cochrane Library, issue 1, 2002 (see www.CochraneLibrary.net for information) with permission from The Cochrane Collaboration and Update Software. Cochrane reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and The Cochrane Library should be consulted for the most recent version of the review.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: The management of infertile couples has seen many advances characterized today by the... more Background: The management of infertile couples has seen many advances characterized today by the different techniques of medically assisted procreation (MAP) that are increasingly practiced in the developed countries. The objective of present study is to describe our experience of multicentric management of infertile couples in our ivorian context.Methods: This is a retrospective and cohort study with descriptive purpose over 210 couples treated for infertility in the gynecology services of the University and Hospital Center of Treichville and a private clinic in Abidjan, from 1st February 2013 to 31st January 2017 (48 months).Results: The frequency of infertility was 14%, and the average age was 34.3 years for women and 43.2 years for men. The etiologies were found in 199 couples (94.8%), particularly in 136 women and 113 men. The main causes were uterine (58.1%), and hormonal (26.5%) in women and of infectious origin in men (79.7%). The majority of the patients (113 women and 97 ...
Open Access Research Journal of Biology and Pharmacy, 2021
Objectives: To calculate the frequency of road accidents among pregnant women, to describe the ep... more Objectives: To calculate the frequency of road accidents among pregnant women, to describe the epidemiological profile and to establish the maternal and fetal prognosis at the prefectural hospital of Siguiri. Methodology: this was a prospective study of a descriptive type lasting six (6) months from August 1, 2019 to January 31, 2020. It concerned all pregnant women victims of road accidents admitted to Siguiri prefectural hospital during the study period. All pregnant women who were victims of road accidents received at the hospital during the study period and who gave their consent were included. All pregnant victims of road accidents who did not give their consent were included and cases of trauma unrelated to the road accident. We conducted an exhaustive recruitment of all highway accident cases among pregnant women during the study period. The limitations or constraints of the study were the delay in the care of some pregnant women who first sought treatment from traditional he...
Open Access Research Journal of Biology and Pharmacy, 2021
Objectives: To calculate the frequency of road accidents among pregnant women, to describe the ep... more Objectives: To calculate the frequency of road accidents among pregnant women, to describe the epidemiological profile and to establish the maternal and fetal prognosis at the prefectural hospital of Siguiri. Methodology: this was a prospective study of a descriptive type lasting six (6) months from August 1, 2019 to January 31, 2020. It concerned all pregnant women victims of road accidents admitted to Siguiri prefectural hospital during the study period. All pregnant women who were victims of road accidents received at the hospital during the study period and who gave their consent were included. All pregnant victims of road accidents who did not give their consent were included and cases of trauma unrelated to the road accident. We conducted an exhaustive recruitment of all highway accident cases among pregnant women during the study period. The limitations or constraints of the study were the delay in the care of some pregnant women who first sought treatment from traditional he...
World Journal of Advanced Research and Reviews, 2021
Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomon... more Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomoniasis, describe the socio-demographic characteristics and analyze the biological samples. Methodology: This was a six (6) month cross-sectional prospective study carried out in the maternity ward (gynecological consultation) and in the laboratory of the Prefectural Hospital of Macenta. All the women who came for gynecological consultation were included in the study and among them, all those who presented a laboratory examination report for vaginal secretions and / or urine during the study period. Not included in the study were all the women who came for a gynecological consultation but who had not received a laboratory examination report for vaginal secretions and / or urine and all those already undergoing treatment to imidazole in the 15 days preceding the survey were not included. After applying the selection procedure (inclusion and non-inclusion criteria), we obtained a sample size...
World Journal of Advanced Research and Reviews, 2021
Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomon... more Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomoniasis, describe the socio-demographic characteristics and analyze the biological samples. Methodology: This was a six (6) month cross-sectional prospective study carried out in the maternity ward (gynecological consultation) and in the laboratory of the Prefectural Hospital of Macenta. All the women who came for gynecological consultation were included in the study and among them, all those who presented a laboratory examination report for vaginal secretions and / or urine during the study period. Not included in the study were all the women who came for a gynecological consultation but who had not received a laboratory examination report for vaginal secretions and / or urine and all those already undergoing treatment to imidazole in the 15 days preceding the survey were not included. After applying the selection procedure (inclusion and non-inclusion criteria), we obtained a sample size...
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