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Research Article
Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa
Ouattara Adama*,
Lompo Dieudonné,
Diallo Sadio,
Sawadogo Yobi Alexi,
Kiemtoré Sibraogo,
Ouédraogo Issa,
Ouédraogo Charlemagne Marie Ragna Newende
Issue:
Volume 11, Issue 6, November 2023
Pages:
133-136
Received:
4 September 2023
Accepted:
6 November 2023
Published:
17 November 2023
Abstract: Background: In developing countries, spontaneous bilateral tubal ectopic pregnancy is a very rare pathology. That form of extra-uterine pregnancy can lead to serious complication with high maternal morbidity and mortality if intervention is delayed. When diagnosed before the stage of complications, in particular tubal rupture, it essentially poses the problem of preserving subsequent fertility Case: the clinical case we present was documented in Burkina Faso, a country with limited resources in West africa, at the gynecology obstetrics and reproductive medicine department of the Bogdogo university hospital. We are sharing the case of a 30-year-old para 1 gravida 2 patient who presented the signs of unbroken ectopic pregnancy. An ultrasound scan noted a left and right tubal ectopic pregnancy. At laparotomy, bilateral non ruptured tubal ectopic pregnancy was encountered. We decided to perform a left total salpingectomy with good hemostasis. The right ectopic pregnancy was treated with a salpingotomy with careful extraction of the conception product to maintain fertility. Our patient became pregnant 6 months after treatment. The situation was diagnosed in January 2022. Conclusion: bilateral ectopic pregnancy in a woman wishing to have children can be treated to preserve the patient's future fertility especially in developing countries where medically assisted reproduction is not yet available.
Abstract: Background: In developing countries, spontaneous bilateral tubal ectopic pregnancy is a very rare pathology. That form of extra-uterine pregnancy can lead to serious complication with high maternal morbidity and mortality if intervention is delayed. When diagnosed before the stage of complications, in particular tubal rupture, it essentially poses ...
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Research Article
Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo)
Buambo Gauthier Regis Jostin*,
Potokoue Sekangue Samantha Nuelly,
Ongagna Ickobo Nogaelle,
Mokoko Jules César,
Eouani Max Levy Emery,
Itoua Clautaire
Issue:
Volume 11, Issue 6, November 2023
Pages:
137-142
Received:
15 October 2023
Accepted:
31 October 2023
Published:
17 November 2023
Abstract: Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in labor with a healthy non-myomatous uterus. The variables studied concerned the prepartum and peripartum periods. The p-value of the probability was considered significant for a value less than 0.05. Results. The women who gave birth with a scarred uterus were older (31 vs 28 years old; p<0.05); paucigest (OR=2.7[1.5-4.8]; p<0.05); not referred (OR=1.7[1.01-2.9]; p<0.05); followed in private clinics (OR=1.8 [1.01-3.4]; p<0.05); by obstetricians (OR=1.7[1.02-3.04]; p<0.05). They benefited the most from the prognosis of childbirth (OR=2.9[1.5-5.5]; p<0.05) and carried out the preoperative assessment (OR=3.9[1.4-11.2]; p<0.05) and the pre-anaesthetic consultation (OR=32.8 [4.2-255.2]; p<0.05). Caesarean section was the preferred delivery route (OR=1.9[1.1-3.2]; p<0.05) and prophylactically (15.6% vs 1.6%; p<0.05). The maternal prognosis was not influenced by the presence of the uterine scar. Conclusion. The profile of the mother with a scarred uterus differs from that of mothers with a healthy uterus. Prenatal contacts refocused on the scar, the prognosis of childbirth and the monitoring of labor are necessary to improve maternal prognosis.
Abstract: Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in...
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Review Article
Beneficial Impacts of Iron Fortification Versus Iron Supplementation During Pregnancy in Anaemia Prevention for Both Mother and Newborn in Developing Country
Nargis Fatema*,
Chhanda Majumder,
Salma Lovereen,
Asma Habib,
Alpana Adhikary,
Mala Banik,
Rumana Naznin,
Shamima Begum,
Mehrose Alam Chowdhury,
Naseem Mahmud,
Nazma Siddiquee
Issue:
Volume 11, Issue 6, November 2023
Pages:
143-151
Received:
2 November 2023
Accepted:
20 November 2023
Published:
29 November 2023
Abstract: Iron deficiency is the most common micronutrient shortfall globally, and it disproportionately affects young children and expecting mothers. An iron deficit impacts children's neurodevelopment, adults' immune responses, and women's pregnancy outcomes. Iron supplementation and fortification programs have been successful in reducing this health burden. But for those who already have adequate iron in their bodies, iron fortification and supplements are probably not necessary, and they may even be harmful to some populations of individuals who do not have enough iron. In order to help decision-makers weigh the benefits and drawbacks of fortifying and supplementing with iron in pregnant women who are iron-deficient, iron-sufficient, or iron-overloaded, this research looks at the physiology of iron as a nutrient. The World Health Organization (WHO) states that iron deficiency accounts for approximately 50% of anemia cases worldwide, making iron deficiency anemia (IDA) the most common micronutrient disease. Even while it affects both developed and developing nations equally, developing nations nevertheless have a larger prevalence of it. The WHO reported that 65.5% of preschool-age children in South-East Asia suffer from anemia, making that region the world with the highest prevalence of anemia. The disorder was also present in 48.2% and 45.7% of non-pregnant and pregnant women, respectively. The most common nutritional shortfall worldwide, especially during pregnancy, is iron insufficiency. Anemia, especially severe anemia, has been linked in the literature to a higher risk of maternal death. Additionally, it exposes moms to a variety of perinatal risks. The effects of iron and iron-folate supplementation have been the subject of several research in the past, but information on the effectiveness and caliber of evidence supporting these therapies is few. With and without folate supplementation, the effects of iron fortification and iron supplementation on maternal anemia are discussed in this article, which also offers outcome-specific quality. For people who need supplementary or fortified iron during pregnancy, a moderate iron dose plan would probably be most beneficial. However, there may not be a single technique that is now widely accepted.
Abstract: Iron deficiency is the most common micronutrient shortfall globally, and it disproportionately affects young children and expecting mothers. An iron deficit impacts children's neurodevelopment, adults' immune responses, and women's pregnancy outcomes. Iron supplementation and fortification programs have been successful in reducing this health burde...
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Research Article
Connecting Links Between Diminished Ovarian Reserve and Recurrent Miscarriages
Xinfang Zeng*
,
Yuanfang Zhu,
Danmin Lin
Issue:
Volume 11, Issue 6, November 2023
Pages:
152-155
Received:
5 November 2023
Accepted:
25 November 2023
Published:
6 December 2023
DOI:
10.11648/j.jgo.20231106.14
Downloads:
Views:
Abstract: For the past few years, the incidence of Recurrent Pregnancy Loss (RPL) has been on the rise, which not only plagues many couples who are preparing for pregnancy, but also has such a tremendous negative impact on the patients body and mind. Recurrent pregnancy loss is defined as two or more clinically confirmed pregnancy losses, including embryo and foetal loss, before 20-24 weeks of pregnancy. The diagnosis of early pregnancy loss is relatively straightforward, although progress in predicting and preventing recurrent pregnancy loss has been hampered by the lack of a standardized definition, uncertainty surrounding pathogenesis and a highly variable clinical presentation. The prognosis for couples with recurrent pregnancy loss is usually favourable, although the likelihood of a successful pregnancy depends on the age of the mother and the number of previous losses. Chromosomal errors, uterine anatomical defects, autoimmune diseases and endometrial dysfunction may contribute to recurrent pregnancy loss. As research continues, diminished ovarian reserve (DOR) is gaining more and more attention. Through reading related articles, this paper presents a review of the effect of diminished ovarian reserve on recurrent miscarriage, with the aim of exploring the relationship between DOR and RPL, and whether DOR has an impact on women's pregnancy outcomes.
Abstract: For the past few years, the incidence of Recurrent Pregnancy Loss (RPL) has been on the rise, which not only plagues many couples who are preparing for pregnancy, but also has such a tremendous negative impact on the patients body and mind. Recurrent pregnancy loss is defined as two or more clinically confirmed pregnancy losses, including embryo an...
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Research Article
Hysterectomies: Indications, Approaches and Prognosis in the Gynaecology and Obstetrics Department of the Hôpital National Ignace Deen, University Hospital Centre of Conakry, Guinea
Tolno Tamba Julien*,
Diallo Abdourahamane,
Balde Fatoumata Diaraye,
Tolno Pascal,
Bangoura Salematou,
Sy Telly
Issue:
Volume 11, Issue 6, November 2023
Pages:
156-159
Received:
3 October 2023
Accepted:
30 October 2023
Published:
11 December 2023
Abstract: Introduction: The aim of the study was to determine the indications, the different approaches and the prognosis of hysterectomies in the Gynaecology and Obstetrics Department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Methodology: This was a 5-year (January 2017 - December 2021) retrospective, longitudinal, descriptive study of all complete records of patients who had undergone a hysterectomy of patients who underwent hysterectomy in the department. The study variables were quantitative and qualitative, divided into sociodemographic, clinical, therapeutic and prognostic modalities. Results: The frequency of hysterectomies was 1.2% (n=208) of all surgical procedures (n=17456) and 20.2% of all gynaecological procedures (n=1028). The mean age of the patients was 49.8 ±11.3 years, with extremes of 18 and 75 years. The 40 to 49 age group was the most represented (37.5%). These women were married (77.4%), not in education (68.3%), employed (63.5%) and referred (56.3%). Large multiparous women (37.5%) and non-menopausal women (57.2%) were most concerned. The indication for hysterectomy was dominated by uterine fibromyoma (45.67%), followed by genital prolapse (14.9%), endometrial cancer (13.9%) and cervical cancer (10.1%). The abdominal route was the most commonly used (85.09%). Total hysterectomy (91.82%) was the most common type of operation, combined with adnexectomy (37.02%). Morbidity was dominated by anaemia (13.94%) and we recorded 3 deaths (1.44%). Conclusion: Hysterectomy is a fairly frequent surgical procedure in our department and its indications are dominated by uterine fibromyoma, genital prolapse, endometrial cancer and cervical cancer. Improving the technical platform and mastering the various surgical techniques will considerably reduce the morbidity and mortality associated with this surgical procedure in our context.
Abstract: Introduction: The aim of the study was to determine the indications, the different approaches and the prognosis of hysterectomies in the Gynaecology and Obstetrics Department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Methodology: This was a 5-year (January 2017 - December 2021) retrospective, longitudinal, descrip...
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Research Article
Surgical Management of Obstetrical Complications in the General Surgery Department of the Hospital National Ignace Deen, University Hospital Centre of Conakry January 2018 December 2021, Guinea
Tolno Tamba Julien*,
Bangoura Salematou,
Kourouma Kadiatou,
Tolno Pascal,
Sy Telly,
Toure Aboubacar
Issue:
Volume 11, Issue 6, November 2023
Pages:
160-163
Received:
3 October 2023
Accepted:
30 October 2023
Published:
11 December 2023
Abstract: Introduction: Obstetric complications are defined as the appearance of new pathological phenomena involving the digestive system following surgical procedures on the uterus carried out for preventive, diagnostic or therapeutic purposes. the aim of the study was to describe the surgical management of obstetric complications in the general surgery department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Material and methods: This was a 4-year retrospective descriptive study (January 2018 to December 2021) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients with one or more obstetric complications who received surgical management during the study period were included. Sociodemographic, clinical, therapeutic and evolutionary variables were studied. Results: Out of 1664 patient files, we recorded 105 cases of obstetric complications, i.e. a frequency of 6.31%. The mean age was 27.52 ± 5 years, with extremes of 16 and 45 years. Housewives were the most common (57.1%). The main obstetric complications were acute generalised post-caesarean peritonitis (34.3%) followed by acute intestinal obstruction (24.8%). Management consisted of excision-suturing of breaches, resection of flanges and peritoneal cleansing with drainage. Conclusion: Obstetric complications are fairly frequent in our practice and are dominated by peritonitis and intestinal obstruction. Early and multidisciplinary management can improve the vital prognosis.
Abstract: Introduction: Obstetric complications are defined as the appearance of new pathological phenomena involving the digestive system following surgical procedures on the uterus carried out for preventive, diagnostic or therapeutic purposes. the aim of the study was to describe the surgical management of obstetric complications in the general surgery de...
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Case Report
A Case Report of Umbilical Artery Thrombosis
Danmin Lin,
Xiaoling Guo*,
Xinfang Zeng,
Limin Zhong
Issue:
Volume 11, Issue 6, November 2023
Pages:
164-167
Received:
8 November 2023
Accepted:
27 November 2023
Published:
11 December 2023
Abstract: Umbilical artery thrombosis is a perinatal disease with low incidence rate and high mortality. Umbilical artery thrombosis is very rare. Research data show that the pregnancy outcome of fetuses with umbilical artery thrombosis is usually poor, and umbilical artery thrombosis is rare. Prenatal screening and diagnosis of umbilical artery thrombosis are usually performed through ultrasound examination. So far, no consensus has been reached on treatment. We reported a rare case of umbilical artery thrombosis combined with abnormal umbilical vein catheter blood flow in late pregnancy. Emergency cesarean section was performed after emergency admission. Thrombosis was observed in one umbilical artery during and after surgery pathology. Follow up the postpartum and newborn babies, and both are in good condition. During pregnancy, the number and morphology of umbilical arteries should be carefully observed. The treatment of umbilical artery thrombosis should be based on clinical conditions, and timely termination of pregnancy if necessary may be suitable for improving adverse pregnancy outcomes.
Abstract: Umbilical artery thrombosis is a perinatal disease with low incidence rate and high mortality. Umbilical artery thrombosis is very rare. Research data show that the pregnancy outcome of fetuses with umbilical artery thrombosis is usually poor, and umbilical artery thrombosis is rare. Prenatal screening and diagnosis of umbilical artery thrombosis a...
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Research Article
Obstetric Perineal Morbidity After Clitoral Re-exposure (CR) in Patients Who Have Undergone Genital Mutilation: A Retrospective Study
Ouattara Adama*,
Bonzi Laetitia,
Sawadogo Yobi Alexi,
Kiemtore Sibraogo,
Ouedraogo Issa,
Ouedraogo Charlemagne Marie
Issue:
Volume 11, Issue 6, November 2023
Pages:
168-173
Received:
13 November 2023
Accepted:
4 December 2023
Published:
11 December 2023
Abstract: Background: Female genital mutilation is a real public health problem in developing countries. the consequences of this practice are sometimes obstetric and are responsible for high maternal and perinatal mortality. Objective: To analyse the effect of clitoral re-exposure surgery in patients who have undergone female genital mutilation on obstetric perineal complications. Material and methods: This is a retrospective cohort study, exposed - unexposed, multi-centric, carried out in two university hospitals in Ouagadougou, Burkina Faso: Yalgado-Ouédraogo and Bogodogo. We studied the first delivery of patients operated on for CR (exposed) between March 2006 and March 2019 (over 13 years), compared with a group of unexposed women (victims of unreconstructed FGM). A ratio of two unexposed women to one exposed woman was used. The two groups were comparable according to the matching criteria. Results: We included 44 patients who had given birth after CR and 88 non-operated (unexposed) patients. Patients who had undergone FGM had more perineal lesions during childbirth than patients who had undergone CR. In fact, women not operated on for CR were 2 times more likely to suffer a perineal tear than women operated on for CR (RR = 1.93; 95% CI (1.22-3.07); p = 0.005). The same applies to episiotomy, for which women not operated on for CR were 2.62 times more likely to undergo than women operated on for CR (RR=2.62; 95% CI (1.60-4.28), p=0.000). Conclusion: Clitoral re-exposure is associated with better obstetric perineal adaptation.
Abstract: Background: Female genital mutilation is a real public health problem in developing countries. the consequences of this practice are sometimes obstetric and are responsible for high maternal and perinatal mortality. Objective: To analyse the effect of clitoral re-exposure surgery in patients who have undergone female genital mutilation on obstetric...
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Research Article
Management of Precancerous Lesions of the Uterine Cervix by Loop Electrosurgical Resection at the Bogodogo University Hospital: Eight Months of Activity Report
Ouattara Adama*,
Akadiri Samira,
Sawadogo Yobi Alexi,
Kiemtore Sibraogo,
Ouedraogo Issa,
Ouedraogo Charlemagne Marie
Issue:
Volume 11, Issue 6, November 2023
Pages:
174-179
Received:
13 November 2023
Accepted:
4 December 2023
Published:
11 December 2023
Abstract: Background: Cervical cancer is a real public health problem, especially in developing countries, with a very high mortality rate due to a very weak screening system. Objective: To review eight months of management of precancerous lesions of the uterine cervix using loop electrosurgical resection (LEEP) at the Bogodogo University Hospital (CHU-B) in Ouagadougou. Methodology: This was a descriptive cross-sectional study. It was conducted in the precancerous lesion screening unit of the CHU-B in Ouagadougou. Patients with large lesions on visual examination and/or cytology, not eligible for cryotherapy, underwent LEEP from 7 May 2021 to 30 January 2022, a period of 8 months. The variables studied included the results of the cervical examination, clinical manifestations during treatment, histological results of the specimens and elements of the post-operative surveillance of the beneficiaries. The data were entered on a microcomputer and the graphs were produced using Excel, Word and Epi-info software. Results: In 8 months 23 days, 237 cases of precancerous lesions had been detected. LEEP of these lesions was performed in 54.85% of cases. LEEP was indicated in the majority of cases (38.5%) for large lesions. Patients presented signs and/or symptoms during the operation in 53.1% of cases. Post-operative complications occurred in 63.8% of cases. Healing was complete in 96.9% of cases. Conclusion: The management of precancerous cervical lesions by LEEP is effective at CHU-B in Ouagadougou. It is an advantageous and effective therapeutic method for the treatment of low-grade and high-grade precancerous lesions. Promoting this technique and training staff in its use will make an effective contribution to the fight against cervical cancer in Burkina Faso.
Abstract: Background: Cervical cancer is a real public health problem, especially in developing countries, with a very high mortality rate due to a very weak screening system. Objective: To review eight months of management of precancerous lesions of the uterine cervix using loop electrosurgical resection (LEEP) at the Bogodogo University Hospital (CHU-B) in...
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