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The Free Cesarian in the Health District of Bougouni
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作者 Cheickna Sylla Soumana Oumar Traoré +7 位作者 Sitapha Dembele Seydou Z. Dao Lassana Togola Amadou Boucoum Seydou Fané ibrahima tegueté Youssouf Traoré Niani Mounkoro 《Open Journal of Obstetrics and Gynecology》 2020年第9期1233-1245,共13页
<strong>Purpose: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">The purpose of this study was to assess the impact of free caesa... <strong>Purpose: </strong><span style="font-family:;" "=""><span style="font-family:Verdana;">The purpose of this study was to assess the impact of free caesarean section on maternal-fetal prognosis. </span><b><span style="font-family:Verdana;">Materials and Methods:</span></b><span style="font-family:Verdana;"> This was a descriptive, cross-sectional, comparative analytical study of one year of non-free caesarean section and three years of free with retrospective data collection. Our study took place from January 1, 2004 to December 31, 2004 and from January 1, 2007 to December 31, 2009. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Caesarean section completion rates are 1.28%, 1.30%, 1.53%, 1.32% respectively in 2004, 2007, 2008, 2009. The average age was 27 years with extremes of 15 to 40 years. The peak of evacuations was recorded in 2007 with a rate of 89.4% and the peak of direct admissions in 2009 with a rate of 14.9%. An adequate means of transport was used in 77.20%. In 22.80% of cases an inadequate means was used. The indications of caesarean sections were dominated by preeclampsi</span></span><span style="font-family:Verdana;">a</span><span style="font-family:;" "=""><span style="font-family:Verdana;"> 211/1045 caesarean section followed by acute fetal suffering 179/1045;86/1045;placenta previa 64/1045;presentations of the shoulder </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> 53/1045;pre-rupture syndrome 44/1045;retro-placental hematoma 27/1045. In terms of maternal prognosis: we noted maternal deaths with a rate of 2.4%</span></span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">4</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">3%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">0.4% respectively in 2004</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2007</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2008</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2009. And stillbirth rates were 17.6%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">22</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">27</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">21.7% respectively in 2004</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2007</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2008</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2009</span><span style="font-family:Verdana;">. </span><span style="font-family:;" "=""><span style="font-family:Verdana;">The average length of hospitalization was 10 days. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Free caesarean section would be a factor in improving the maternal-fetal prognosis.</span></span> 展开更多
关键词 Caesarean Section Free of Charge Frequency Indications PROGNOSIS
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Epidemio-Clinical Approach and Prognosis of Teenage Delivery in the Commune VI Du District of Bamako in Mali
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作者 Soumana Oumar Traoré Cheickna Sylla +7 位作者 Alou Samaké Saleck Doumbia Saudatou Tall ibrahima tegueté Youssouf Traoré Niani Mounkoro Mamadou Traoré Amadou I. Dolo 《Open Journal of Obstetrics and Gynecology》 2020年第10期1492-1512,共21页
<strong>Objective:</strong><span style="font-family:Verdana;"> To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and per... <strong>Objective:</strong><span style="font-family:Verdana;"> To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and perinatal prognosis during the delivery of adolescent</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">girls at the reference health centre of commune VI of the district of Bamako in Mali. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This was a descriptive, cross-sectional, analytical case-control study from January 1</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">to December 31, 2018, or 12 months with prospective data collection. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> During the study period from January 01 to December 31, 2018, we recorded 1768 teenage deliveries out of a total of 9012 deliveries, a frequency of 19.61%. The average age of the cases was 17</span></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4</span><span style="font-family:""> </span><span style="font-family:Verdana;">±</span><span style="font-family:""> </span><span style="font-family:Verdana;">1 years. Single adolescent girls accounted for 14</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">67% (OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">05, P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">001) unintended pregnancies (11.67% vs. 2.3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.000007;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">5.52), the non-completion of </span><span style="font-family:Verdana;">the antenatal consultation (14.67% vs. 5.33%;P</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0001;preterm births (14.33%</span><span style="font-family:Verdana;"> vs. 7.67%);P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.01;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.5), anaemia (7.33% vs. 3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.009;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.01), instrumental extractions</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.00008, OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.87), perineal tears (P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0016;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3.05), mechanical dystocies</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0039</span><span style="font-family:Verdana;">)</span><span style="font-family:Verdana;">;low birth weights</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.039;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">2.2) were found to be significantly higher in adolescent girls than adults. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Teenage versus adult births are associated with many more maternal-fetal complications.</span></span> 展开更多
关键词 CHILDBIRTH Teenage Girls Maternal-Fetal Prognosis
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Epidemiological and Histopathological Aspect of Precancerous and Cancerous Lesions of the Cervix in the Health District of Commune 5 of Bamako, the CHU of Point “G” and the Gabriel TouréUniversity Hospital of Bamako in Mali
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作者 Soumana Oumar Traoré Saleck Doumbia +9 位作者 Cheickna Sylla Saoudatou Tall ibrahima tegueté Ichiaka Djibo Faissif Kouyaté Issa Ongoiba Youssouf Traore Oumar Moussokoro Traore Niani Mounkoro Mamadou Traore 《Journal of Cancer Therapy》 2020年第9期561-570,共10页
<strong>Objective:</strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:;" "="">The aim was to ta... <strong>Objective:</strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:;" "="">The aim was to take stock of the screening and treatment of precancerous and cancerous lesions of the cervix in the health district of commune V of Bamako, the </span><span style="font-family:;" "="">“</span><span style="font-family:;" "="">G</span><span style="font-family:;" "="">”</span><span style="font-family:;" "=""> point and the Gabriel Touré University Hospital <span>in Bamako, Mali. <b>Patients and Methods:</b> This was a descriptive, cross-sectional</span>, analytical study with retrospective and prospective data collection over an 8-year period from January 1, 2010 to December 31, 2017. This was a multi-center study. <b>Results: </b>From January 1, 2010 to December 31, 2017, 42</span><span style="font-family:;" "="">,</span><span style="font-family:;" "="">492 women were screened, representing a frequency of 24.30%. The median age of the women screened was 32 years;25% were under the age of 25. Three-fourth of the women screened was in the 20</span><span style="font-family:;" "=""> </span><span style="font-family:;" "="">-</span><span style="font-family:;" "=""> </span><span style="font-family:;" "="">49 age group. Of the 22</span><span style="font-family:;" "="">,</span><span style="font-family:;" "="">842 women screened</span><span style="font-family:;" "="">,</span><span style="font-family:;" "=""> 90.1% of them had a normal col to IVA/IVL. However</span><span style="font-family:;" "="">,</span><span style="font-family:;" "=""> 4.1% of cervical positivity </span><span style="font-family:;" "="">had </span><span style="font-family:;" "="">with acetic acid and 5.1% of positivity to Lugol. 0.7% of the women screened clinically had cancerous lesions. Histologically, 96.5% of the women screened had a normal cervix with benign lesions. For pathological histological findings, we noted 2.6% of precancerous lesions and 0.8% of squamous cell carcinomas and 0.1% of adenocarcinoma. <b>Conclusion: </b>Improved screening indicators with IVA/IV reduce the rate of morbidity and mortality from cervical cancer.</span> 展开更多
关键词 Epidemiology Histology Precancerous and Cancerous Lesions of the Cervix
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Epidemiology, the Main Reasons and Maternal-Fetal Complications of Unassisted Childbirth in the Health District of V Bamako Commune, Mali
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作者 Soumana Oumar Traoré Cheickna Sylla +10 位作者 Saleck Doumbia Alou Samaké Amadou Bocoum Seydou Fané Rokiatou Torian Sangaré Fatoumata Keita ibrahima tegueté Youssouf Traoré Niani Mounkoro Mamadou Traoré Amadou Ingré Dolo 《Open Journal of Obstetrics and Gynecology》 2020年第10期1381-1395,共15页
<strong>Objective:</strong><a name="_Hlk48773006"></a><span style="font-family:Verdana;"> To describe the epidemiological aspects, to determine the reasons leading wom... <strong>Objective:</strong><a name="_Hlk48773006"></a><span style="font-family:Verdana;"> To describe the epidemiological aspects, to determine the reasons leading women to give birth outside of health facilities and to determine the maternal prognosis.</span><span></span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> This was a cross-sectional, analytical, quantitative and qualitative descriptive study over a period from 1 June to 31</span><span style="font-family:""> </span><span style="font-family:Verdana;">December 2016 (7 months) on </span><span style="font-family:Verdana;">unassisted childbirth</span><span style="font-family:Verdana;"> in the health district of commune V of Bamako.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><b><span style="font-family:""> </span></b><span style="font-family:Verdana;">We recorded 70 unsured deliveries, a frequency of 1.04% out of a total of 6719 deliveries. The extreme ages were 15 years and 41 years with an average age of 28 years. 90% of the birth attendants were married and 10% were single. The women's profession: 48% were housewives, 11% saleswomen, 13% hairdressers, 4% female teachers. Education level: 71% were uneducated and 29% educated. Among those who are educated, their level was primary in 50%, secondary in 32% and higher in 18%. 42% had done antenatal consultation. The main reasons: ignorance of work 44.3%;religious beliefs and societal burdens 10.0%;fear of caesarean section 4.3%;late-night birth labour 5.7%;lack of financial and/or transport means 17.1%</span><span style="font-family:Verdana;">;</span><span style="font-family:Verdana;"> distance from the locality 2.9%;insecurity 2.9%. Maternal and perinatal prognosis: complications were mostly hemorrhagic and concerned 27 (39%) patients. These included uterine atony (13 cases), placental retention (8 cases), soft part lesions (6 cases). We have not recorded any maternal deaths. For the condition of newborns at the time of admission: 88% of newborns were alive, 11% were stillborn fresh and 1% stillborn macerated.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The</span><span style="font-family:""> </span><span style="font-family:Verdana;">reasons are multifactorial and seem to be a reflection of our society.</span> 展开更多
关键词 CHILDBIRTH Unsured REASONS
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Maternal and Fetal Prognosis of Uterine Rupture in the Health District of Koutiala
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作者 Cheickna Sylla Soumana Oumar Traoré +7 位作者 Sitapha Dembele Seydou Z. Dao Mamadou Traoré Amadou Boucoum Seydou Fané ibrahima tegueté Youssouf Traoré Niani Mounkoro 《Open Journal of Obstetrics and Gynecology》 2020年第9期1187-1196,共10页
<strong>Introduction:</strong><span style="font-family:Verdana;"> Uterine rupture is a complete or incomplete non-surgical continuity solution of the wall of the gravid uterus. Indeed, it i... <strong>Introduction:</strong><span style="font-family:Verdana;"> Uterine rupture is a complete or incomplete non-surgical continuity solution of the wall of the gravid uterus. Indeed, it is a Affection obstetrical condition whose maternal-fetal prognosis is poor in terms of morbidity and mortality. </span><span style="font-family:Verdana;"><strong>Objectives:</strong></span><span style="font-family:Verdana;"> To assess the risk factors for uterine rupture in the Koutiala Health District. </span><span style="font-family:Verdana;"><strong>Methods:</strong></span><span style="font-family:Verdana;"> This was a descriptive and analytical cross-sectional prospective collection study from January 1, 2019 to December 31, 2019, a 12-month period. In our study, all patients admitted to the maternity ward were included during the study period for which the diagnosis of uterine rupture was made. </span><span style="font-family:Verdana;"><strong>Results:</strong></span><span style="font-family:Verdana;"> Out of a total of deliveries, we recorded 27 cases of uterine rupture, a frequency of 1.04%. The average age of our patients was 32 years with extremes of 19 and 45 years. We notice 92.6% of uterine ruptures during the transfer. Almost 3/4 of our parturients were out of school 70.4% versus 11.1% in primary school and 18.5% in secondary school. The majority of patients affected by uterine rupture came from rural areas 85.2%. Only 14.8% were from Koutiala city. The admission time to the Koutiala Reference Health Centre was 2 hours 30 minutes in 50.85% of our patients with extremes of 15 minutes and 4 hours 30</span><span style="font-family:" color:windowtext;font-weight:normal;"=""> </span><span style="font-family:Verdana;">min. The average parity was 6.30 - 3036;large </span><span style="font-family:Verdana;">multiparous</span><span style="font-family:Verdana;"> accounted for 63% in our sample followed by </span><span style="font-family:Verdana;">multiparous</span><span style="font-family:Verdana;"> 18.5%. As for pregnancy follow-up, 100% of the patients had not performed any prenatal consultations. In 85.2% hysterrhaphy was performed intervention and hysterectomy in 14.8%. Maternal prognosis was satisfactory in 96.30% of cases. From the point of view of morbidity: 1 case of bladder-vaginal fistula was recorded and corrected by the bladder survey at home for 15 days. Late complications were the occurrence of anemia in 16 patients who were transfused and 1 case of phlebitis. We recorded 1 maternal death and 25 stillbirths. </span><span style="font-family:Verdana;"><strong>Conclusion:</strong></span><span style="font-family:Verdana;"> Uterine rupture is one of the leading causes of maternal and fetal mortality in Mali.</span> 展开更多
关键词 Uterine Rupture Maternal and Fetal Prognosis
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Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Touré 被引量:2
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作者 Amadou Bocoum Seydou Fané +14 位作者 Youssouf Traoré Siaka Amara Sanogo Ibrahim Kanté Aminata Kouma Mamadou Sima Abdoulaye Sissoko ibrahima Ongoiba Soumana Oumar Traore ibrahima tegueté Maténé Sacko Daouda Camara Alassane Traoré Assitan Wane Niani Mounkoro Amadou Dolo 《Open Journal of Obstetrics and Gynecology》 2019年第10期1336-1346,共11页
Introduction: Healthcare-associated infections (HAIs) are a public health issue. An infection is said to be associated with the care if it occurs during or after the care of a patient, and if it was neither present no... Introduction: Healthcare-associated infections (HAIs) are a public health issue. An infection is said to be associated with the care if it occurs during or after the care of a patient, and if it was neither present nor incubation at the beginning of the care. Objective: The purpose of this work was to study the bacteriology of infections associated with obstetric care in the gynecology-obstetrics department of CHU Gabriel Touré. Patients and Methods: This is an epidemiological, descriptive, analytical study conducted in the gynecology-obstetrics department of the CHU Gabriel Touré, from April 11th, 2016 to August 29th, 2016 (5 months). Data collection focused on the clinical and laboratory characteristics of healthcare-associated infections in patients during their hospitalization. Included in the study were any patients hospitalized in the Gynecology and Obstetrics Department who agreed to participate in the study. The criteria used to diagnose the associated infection were those of the Atlanta CDC. Operative wound monitoring was done up to the 30th postoperative day. Results: We have recorded 200 patients, out of whom 138 were operated on and 23 cases of bacterial infection associated with care (11.50%). The average age of the patients was 32.52 years ± 13.36 years against 29.36 years ± 10.28 years for the patients who did not present the infection. Seven point five percent of the evacuated patients had an infection associated with care. The most common types of infection were surgical site infection (60.86%), urinary tract infection (26.08%), endometritis and sepsis with 13.04% each. The isolated organisms were all resistant to Amoxicillin, to Amoxicillin + Clavulanic acid (88.88%) and to Ciprofloxacin (77.77%). The average duration of hospitalization for patients who developed the infection was 14.70 days. The lethality was 1.50%. The average cost of management of patients who developed the surgical site infection was 119,837 FCFA. Conclusion: The bacterial infections associated with the care remain frequent in our service and dominated by the infections of the operating site. Isolated organisms were all resistant to amoxicillin in 88.88% case ciprofloxacin. 展开更多
关键词 Bacterial Infection Resistances GABRIEL Touré University Hospital ANTIBIOTICS OBSTETRICS
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Perinatal Deaths in Rural a Health Area, Case of the Health District of Kadiolo, Mali
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作者 Seydou Fané Amadou Bocoum +10 位作者 Youssouf Traoré Abdoulaye Sissoko ibrahima tegueté Mamadou Sima Mamadou Salia Traoré Tiounkani Augustin Thera Yaya Sylla Alassane Traoré Soumana Oumar Traoré Aminata Kouma Niani Mounkoro 《Surgical Science》 2019年第11期385-397,共13页
The perinatal mortality is a public health issue in developing countries. In fact, the perinatal death rate seems the highest in a Malian rural area. The objective of this work was to study the perinatal mortality in ... The perinatal mortality is a public health issue in developing countries. In fact, the perinatal death rate seems the highest in a Malian rural area. The objective of this work was to study the perinatal mortality in a rural area of Mali (Kadiolo). Methodology: It was a cross-sectional descriptive study conducted in Kadiolo over 12 months. The study took place from April 1, 2016 to March 31, 2017. We have included in our study all dead fetuses in gestational age ≥ 28 weeks of amenorrhea (WA) or weight ≥ 500 grams (g) and infants died during the first week of life. Mothers who have experienced a perinatal death were included. Results: During the 12 months of study period, we have recorded a total of 2212 births out of which we have collected 205 perinatal deaths, a perinatal mortality rate of 205/2212 with 93 per 1000. The stillbirth rate was 152/2212 with 69‰ and the early neonatal mortality rate was 53/2212 with 24‰. The sociodemographic characteristic of the patients was: patient who has been evacuated 71.70%, unschooled 77.1%, coming out of the city Kadiolo 76%, young women 65% and patient who did not receive antenatal care 35%. Conclusion: Our study confirms the high rates of perinatal deaths in rural areas. The implementation of a coherent and efficient care strategy should help in reducing the still high rates. 展开更多
关键词 PERINATAL DEATHS DYSTOCIA RURAL Environment MALI
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