The authors report the clinical case of a multipara whose intracervical myoma had been diagnosed during the prenatal follow-up and who was delivered into the vagina during labor. Caesarean section was indicated to avo...The authors report the clinical case of a multipara whose intracervical myoma had been diagnosed during the prenatal follow-up and who was delivered into the vagina during labor. Caesarean section was indicated to avoid rupture of the pedicle during fetal expulsion. The myomectomy was performed in a second operation via the vagina, without complications.展开更多
Introduction: Developing countries are characterized by a high maternal mortality rate, particulary related to the management of childbirth. The author describes in this work 588 childbirth labors that took place with...Introduction: Developing countries are characterized by a high maternal mortality rate, particulary related to the management of childbirth. The author describes in this work 588 childbirth labors that took place without any medical supervision. Method: All patients who reached the hospital with a full cervix dilation were included in the study. The outcomes of those childbirth labors without medical supervision were evaluated at the maternal and neonatal level. Results and Discussion: The average age of the patients was 28.1 ± 13 years with 47% nulliparous and 30% pauciparous. These patients represented 14% of all births;59% of the patients had had three and five prenatal consultations. 71% of them came straight from home and had meconium-stained amniotic fluid. The APGAR score was greater than 6 in 94% of newborns, and 66.7 of them weighed between 2500 and 3500 g. Only 0.9% of patients coming from home needed a caesarean section. Conclusion: Home birth is not yet possible in Africa because it is not supervised by professionals who know the risks of childbirth, its complications and recognize the warning signs;however, the results of this preliminary study show that the issue of home childbirth in Côte d’Ivoire can be reconsidered subject to greater involvement of medical staffs.展开更多
The authors report the case of a pregnant victim of a road accident, complicated by uterine rupture. The maternal outcome was favorable, with a fetal death. The interest of this observation lies in the 3 delays descri...The authors report the case of a pregnant victim of a road accident, complicated by uterine rupture. The maternal outcome was favorable, with a fetal death. The interest of this observation lies in the 3 delays described by Thaddeus and Maine involved in the maternal mortality of the developing countries.展开更多
文摘The authors report the clinical case of a multipara whose intracervical myoma had been diagnosed during the prenatal follow-up and who was delivered into the vagina during labor. Caesarean section was indicated to avoid rupture of the pedicle during fetal expulsion. The myomectomy was performed in a second operation via the vagina, without complications.
文摘Introduction: Developing countries are characterized by a high maternal mortality rate, particulary related to the management of childbirth. The author describes in this work 588 childbirth labors that took place without any medical supervision. Method: All patients who reached the hospital with a full cervix dilation were included in the study. The outcomes of those childbirth labors without medical supervision were evaluated at the maternal and neonatal level. Results and Discussion: The average age of the patients was 28.1 ± 13 years with 47% nulliparous and 30% pauciparous. These patients represented 14% of all births;59% of the patients had had three and five prenatal consultations. 71% of them came straight from home and had meconium-stained amniotic fluid. The APGAR score was greater than 6 in 94% of newborns, and 66.7 of them weighed between 2500 and 3500 g. Only 0.9% of patients coming from home needed a caesarean section. Conclusion: Home birth is not yet possible in Africa because it is not supervised by professionals who know the risks of childbirth, its complications and recognize the warning signs;however, the results of this preliminary study show that the issue of home childbirth in Côte d’Ivoire can be reconsidered subject to greater involvement of medical staffs.
文摘The authors report the case of a pregnant victim of a road accident, complicated by uterine rupture. The maternal outcome was favorable, with a fetal death. The interest of this observation lies in the 3 delays described by Thaddeus and Maine involved in the maternal mortality of the developing countries.
