Introduction: Immediate postpartum hemorrhages constitute a frequent maternal complication and remain at the forefront of maternal death in our countries. Objective: Contribute to improving the management of immediate...Introduction: Immediate postpartum hemorrhages constitute a frequent maternal complication and remain at the forefront of maternal death in our countries. Objective: Contribute to improving the management of immediate postpartum hemorrhage in our context with a view to reducing maternal mortality. Patients and Methods: We conducted a retrospective descriptive and analytical study over a period of 12 months from January 1<sup>st</sup> to December 31<sup>st</sup> 2020. Results: We collected a total of 109 files on a total of 4360 deliveries. The frequency of postpartum haemorrhages was of the order of 2.5%. The most represented age group was between 20 and 24 years old. Pauciparas represented the majority of our study population. 64.5% of patients were uneducated. These hemorrhages occurred in patients who often gave birth outside the department with 63.8%. The main causes of postpartum hemorrhage were cervical tears (51.2%) and partial placental retention (30.7%). The majority of these deliveries (48.8%) were carried out by midwives followed by assistant midwives (33.2%). Active management of the third period of delivery was systematic and immediate followed by the valve examination completed by the infusion of oxytocin in case of uterine atony, tranexamic acid ans misoprostol intrarectally. In the event of persistent hemorrhage, suture of the cervical lesions, ligation of the cervical vessels or even laparotomy either for the selective ligation of the blood vessels or for the hysterectomy for hemostasis were practiced. We do not have a Nalador, nor a Bakry balloon, nor an Interventional Radiology service for embolization of the uterine arteries. We deplore 1.3% of deaths from afibrinogenemia. Conclusion: The frequency of immediate postpartum hemorrhages is lower in our health facility. This is due to the rapid handling of cases. Improving the quality of services offered to women during childbirth can further help reduce the frequency of these hemorrhages.展开更多
Introduction: In developed countries in general and particularly in the Central African Republic, clandestine abortions constitute a real health problem. The aim of our work was to study the method of carrying out cla...Introduction: In developed countries in general and particularly in the Central African Republic, clandestine abortions constitute a real health problem. The aim of our work was to study the method of carrying out clandestine abortions, to describe the profile of the providers and the complications that result from it. Patients and Methods: This was a descriptive cross-sectional study of patients hospitalized at the University Hospital Center for Sino-Central African Friendship (CHUASC) from 2015 to 2019 on 236 cases. Results: We identified a total of 254 patients for 8039 live births in the same period, a frequency of 3.16%. The age of the patients was between 15 years old and 48 years old with an average of 25 years old. Singles accounted for 42.5%. Induced abortions were more performed among students (32.6%) and the unemployed 53.6%. Contraception was used in 11.5% of cases. The methods used were numerous: misoprostol (32%), the traditional method (18%), the mechanical method (50%). In this method, we note the dilation of the cervix by the cassava stem;Hegar’s candles;the probes, which are infusion tubes cut and introduced into the cervix, of which 2 cases had escaped at the level of the uterine muscles and emerged under the skin at the pubis part two years later. The practice of induced abortions in our series was done by medical students in 37.3% followed by unqualified staff in 49.7%. It took place either at home or in centers managed by Non-Governmental Organizations. The aseptic conditions were not perfect. Some patients (43.2%) were aware of the ensuing complications. All complications were present: hemorrhage (60.7%), pelviperitonitis (23.6%), uterine perforation (6.6%), peritonitis (2.8%) and death (2%) related to sepsis. Conclusion: Clandestine abortion remains a real health problem for young Central African women.展开更多
In April,2019,the opening ceremony of the ChinaJapan Youth Exchange Promotion Year was held in Beijing.The two sides agreed to arrange for the exchange and visits of 30000 young people in the next five years.As one pa...In April,2019,the opening ceremony of the ChinaJapan Youth Exchange Promotion Year was held in Beijing.The two sides agreed to arrange for the exchange and visits of 30000 young people in the next five years.As one part of it,a 114-member youth delegation led by Yuki So,President of Shorinji Kempo Unity(SKU)from Japan,paid a friendly visit to Henan in August,2019.展开更多
[CAFIU and Japan-China Association jointly held the first essay contest in 2016 among Japanese people from all walks of life.According to the selection and awarding of 8 review panelists from China and Japan,5 partici...[CAFIU and Japan-China Association jointly held the first essay contest in 2016 among Japanese people from all walks of life.According to the selection and awarding of 8 review panelists from China and Japan,5 participants were given the Award of Excellence and 29 participants were given the Award of Participation.Selected展开更多
CAFIU and Japan-China Association jointly held the fi rst essay contest in 2016 among Japanese people from all walks of life.According to the selection and awarding of 8 review panelists
The First Essay Contest on China-Japan Friendship jointly held by Japan-China Society and Chinese Association for International Understanding was successfully organized from April to July 2016.According to the selecti...The First Essay Contest on China-Japan Friendship jointly held by Japan-China Society and Chinese Association for International Understanding was successfully organized from April to July 2016.According to the selection of 8 review展开更多
2017 marks the 45th anniversary of the normalization of China-Japan diplomatic ties.In order to boost mutual understanding between people of China and Japan and promote the improvement of bilateral relations,from Febr...2017 marks the 45th anniversary of the normalization of China-Japan diplomatic ties.In order to boost mutual understanding between people of China and Japan and promote the improvement of bilateral relations,from February22 to 26,2017,at the invitation of the展开更多
For further promoting the mutual understanding between peoples of China and Japan,enhancing people-to-people cooperation and improving Sino-Japanese relations,the Chinese Association for International Understanding(CA...For further promoting the mutual understanding between peoples of China and Japan,enhancing people-to-people cooperation and improving Sino-Japanese relations,the Chinese Association for International Understanding(CAFIU)and The Japan-China Society jointly organized the first essay contest on China-Japan friendship.展开更多
文摘Introduction: Immediate postpartum hemorrhages constitute a frequent maternal complication and remain at the forefront of maternal death in our countries. Objective: Contribute to improving the management of immediate postpartum hemorrhage in our context with a view to reducing maternal mortality. Patients and Methods: We conducted a retrospective descriptive and analytical study over a period of 12 months from January 1<sup>st</sup> to December 31<sup>st</sup> 2020. Results: We collected a total of 109 files on a total of 4360 deliveries. The frequency of postpartum haemorrhages was of the order of 2.5%. The most represented age group was between 20 and 24 years old. Pauciparas represented the majority of our study population. 64.5% of patients were uneducated. These hemorrhages occurred in patients who often gave birth outside the department with 63.8%. The main causes of postpartum hemorrhage were cervical tears (51.2%) and partial placental retention (30.7%). The majority of these deliveries (48.8%) were carried out by midwives followed by assistant midwives (33.2%). Active management of the third period of delivery was systematic and immediate followed by the valve examination completed by the infusion of oxytocin in case of uterine atony, tranexamic acid ans misoprostol intrarectally. In the event of persistent hemorrhage, suture of the cervical lesions, ligation of the cervical vessels or even laparotomy either for the selective ligation of the blood vessels or for the hysterectomy for hemostasis were practiced. We do not have a Nalador, nor a Bakry balloon, nor an Interventional Radiology service for embolization of the uterine arteries. We deplore 1.3% of deaths from afibrinogenemia. Conclusion: The frequency of immediate postpartum hemorrhages is lower in our health facility. This is due to the rapid handling of cases. Improving the quality of services offered to women during childbirth can further help reduce the frequency of these hemorrhages.
文摘Introduction: In developed countries in general and particularly in the Central African Republic, clandestine abortions constitute a real health problem. The aim of our work was to study the method of carrying out clandestine abortions, to describe the profile of the providers and the complications that result from it. Patients and Methods: This was a descriptive cross-sectional study of patients hospitalized at the University Hospital Center for Sino-Central African Friendship (CHUASC) from 2015 to 2019 on 236 cases. Results: We identified a total of 254 patients for 8039 live births in the same period, a frequency of 3.16%. The age of the patients was between 15 years old and 48 years old with an average of 25 years old. Singles accounted for 42.5%. Induced abortions were more performed among students (32.6%) and the unemployed 53.6%. Contraception was used in 11.5% of cases. The methods used were numerous: misoprostol (32%), the traditional method (18%), the mechanical method (50%). In this method, we note the dilation of the cervix by the cassava stem;Hegar’s candles;the probes, which are infusion tubes cut and introduced into the cervix, of which 2 cases had escaped at the level of the uterine muscles and emerged under the skin at the pubis part two years later. The practice of induced abortions in our series was done by medical students in 37.3% followed by unqualified staff in 49.7%. It took place either at home or in centers managed by Non-Governmental Organizations. The aseptic conditions were not perfect. Some patients (43.2%) were aware of the ensuing complications. All complications were present: hemorrhage (60.7%), pelviperitonitis (23.6%), uterine perforation (6.6%), peritonitis (2.8%) and death (2%) related to sepsis. Conclusion: Clandestine abortion remains a real health problem for young Central African women.
文摘In April,2019,the opening ceremony of the ChinaJapan Youth Exchange Promotion Year was held in Beijing.The two sides agreed to arrange for the exchange and visits of 30000 young people in the next five years.As one part of it,a 114-member youth delegation led by Yuki So,President of Shorinji Kempo Unity(SKU)from Japan,paid a friendly visit to Henan in August,2019.
文摘[CAFIU and Japan-China Association jointly held the first essay contest in 2016 among Japanese people from all walks of life.According to the selection and awarding of 8 review panelists from China and Japan,5 participants were given the Award of Excellence and 29 participants were given the Award of Participation.Selected
文摘CAFIU and Japan-China Association jointly held the fi rst essay contest in 2016 among Japanese people from all walks of life.According to the selection and awarding of 8 review panelists
文摘The First Essay Contest on China-Japan Friendship jointly held by Japan-China Society and Chinese Association for International Understanding was successfully organized from April to July 2016.According to the selection of 8 review
文摘2017 marks the 45th anniversary of the normalization of China-Japan diplomatic ties.In order to boost mutual understanding between people of China and Japan and promote the improvement of bilateral relations,from February22 to 26,2017,at the invitation of the
文摘For further promoting the mutual understanding between peoples of China and Japan,enhancing people-to-people cooperation and improving Sino-Japanese relations,the Chinese Association for International Understanding(CAFIU)and The Japan-China Society jointly organized the first essay contest on China-Japan friendship.
