Placenta Previa at Souro Sanou Teaching Hospital, Burkina Faso (About 142 Cases)

Introduction: Placenta previa is an obstetric emergency that can be life-threatening for both mother and foetus. Despite the progress made in diagnosis and treatment, it continues to be feared by obstetricians because of high maternal and perinatal mortality and increased morbidity. This study aims to investigate the diagnostic, therapeutic and prognostic aspects of placenta previa at the Sourô Sanou University Hospital in Bobo-Dioulasso. Method: This was a descriptive cross-sectional study with retrospective data collection from January 1, 2016 to December 31, 2018. Included were 142 pregnant women admitted to the maternity ward of the Sourô Sanou University Hospital (CHUSS) and diagnosed with placenta previa during pregnancy, labor, or in the postpartum period. Result: The frequency of placenta previa was 0.89%;the average age of patients was 28.51 years with extremes of 16 and 44 years. The multigestations represented 28.17% and the pauciparous 31.69%. Patients with a uterine scar represented 15.49%. Ultrasound diagnosis was made in 38 patients (26.76%). Placenta previa was recovered in 56.34% of cases. Patients with severe anaemia were 28.87%, and 57.04% of the anaemic cases received blood transfusion. Caesarean section was performed in 93.66% of patients. Four maternal deaths (2.81%) and 30 stillbirths (27.02%) were reported. Conclusion: Placenta previa remains a fairly frequent pathology with a non-negligible lethality rate and perinatal mortality in the maternity ward of the Sourô Sanou University Hospital.

Delivery on Scarred Uterus at Souro Sanou Teaching Hospital, Burkina Faso (about 531 Cases)

Introduction: Therapeutic conduct for delivery via a scarred uterus is controversial in modern obstetrics. Some authors recommend a ceasarean section. The purpose of this study was to analyse the conduct and prognosis of delivery via scarred uterus at Souro Sanou Teaching Hospital in Bobo-Dioulasso. Methods: We conducted a descriptive cross-sectional study from January 1 to December 31, 2017. Data were collected from medical, birth, and operating room records. Result: In total, 531 scared uterus deliveries and 5293 deliveries have been recorded in our study;the frequency of deliveries via a scarred uterus was 9.96%. The average age of the patients was 28.02 years old, with extremes of 17 and 44 years. The average parity was 2.34, with extremes of 1 and 8. Patients with a spacing interval between births of at least 24 months accounted for 86.6% of observed patients. Patients with a single scar uterus made up 70.6% of the population. There were 349 (65.73%) patients who had an emergency caesarean section during a previous delivery. The trial of vaginal delivery via a scarred uterus was conducted on 182 patients with a success rate of 89.56%. There was no maternal death. However, we noted 23 foetal deaths (4.33%). Conclusion: More than 50% of parturient women with a single caesarean uterine scar who underwent the uterine test gave birth vaginally in our department. However, like most previous studies on the subject, we recommend vaginal delivery in the presence of a prior caesarean-scarred uterus whenever possible.

Knowledge, Attitudes and Contraceptive Practices among Young People from the Youth Listening Center of the Burkinabè’s Family Well-Being Association in Bobo-Dioulasso City

Objective: To study the knowledge, attitudes and practices regarding contraception among young people in the Burkinabè’s family well-being association for youth listening center in Bobo-Dioulasso city. Methods: This was a survey of 635 clients in the youth listening’s center of Bobo-Dioulasso city, Burkina Faso. These clients were gradually included by random choice from January 15 to April 15, 2018. The data were collected by self-administered written questionnaire under the supervision of an investigator and after a free and informed verbal agreement of the participant. The analysis was done using the software Epi info version 7.1.1.0. Results: The average age of the respondents was 20.62 years. Female respondents were more numerous, 508 (80%). Contraceptive methods were known by 98.12% of respondents and 61.42% said they were always using them. Two-thirds of clients (67%) cited at least two benefits of contraceptive methods which were correct. Condoms were the best-known method (92.60%) and also the most used (92.56%). But emergency contraception was known by 30.71% of participants. Young people who were already sexually active accounted for 73.54% of the sample with a mean age at their first sexual intercourse of 18.42 years. Conclusion: The majority of respondents knew contraceptive methods. However, risky sexual behaviors and misconceptions about contraception remain. The setting up of family planning services within schools and the teaching of a reproductive health module in all secondary schools will contribute to improve their sexual and reproductive health.