Introduction: The use of oxytocic plants (OPs) to facilitate childbirth is old and it is a common practice in the world, particularly in northern Benin. Objective: To study the effect of oxytocic plants on the progres...Introduction: The use of oxytocic plants (OPs) to facilitate childbirth is old and it is a common practice in the world, particularly in northern Benin. Objective: To study the effect of oxytocic plants on the progress of labour. Materials and Method: This was a cross-sectional and analytical study with prospective data collection conducted in the public maternity hospitals of Parakou from 15 July 2022 to 15 August 2022. All the parturients admitted to the maternity units were included. Data were entered and processed using Epi Data 3.1fr, Epi info 7.1.3.3 and Excel 2010. The difference was statistically significant for a p-value of less than 0.05. Results: Of 297 parturients surveyed, 109 had used OPs, representing a frequency of use of 36.7%. The average age was 27.5 ± 8.9 years, with extremes of 17 and 45 years. They were in common-law unions (54.1%), housewives (32.1%), from Muslim religion (53.2%), from Bariba ethnic group and related (30.3%) and from a rural area (60.5%). These parturients were pauciparous (37.6%) and primiparous (44.9%). Six OPs were used by the parturients. These were Hybanthus enneaspermus (40.7%), Schrankia leptocarpa (12.0%), Ceratotheca sesamoides (35.2%), Cassytha filiformis (5.6%), Selaginella lepidophylla (5.6%) and Newbouldia leavis (18.5%). The parturients used the leaves (90.6%) and decoction (97.2%). The administration was oral (99.0%) without precise dosage (85.3%) in the third trimester of pregnancy (84.41%) and facilitated delivery (99.1%). Fon and related ethnic groups (p = 0.014), Yoruba and related ethnic groups (p = 0.031), rural background (p = 0.032) and multiparity (p = 0.04) were the factors associated with OPs use. These parturients had a higher risk of caesarean delivery (p = 0.001;OR = 1.8 [1.23 - 2.65]), dynamic dystocia (p = 0.001;OR = 1.3 [1.12 - 1.49]), burnout syndrome (p = 0.002;OR = 1.1 [1.02 - 1.17]), uterine rupture (p = 0.032;OR = 1.1 [0.97 - 1.17]), rapid labour (p = 0.001;OR = 1.6 [1.38 - 2.00]), and risk of postpartum haemorrhage (p = 0.002;OR = 1.15 [1.05 - 1.27]). In contrast, parturients’ use of OPs was found to reduce the risk of their newborns being transferred to neonatology (p = 0.002;OR = 0.50 [0.31 - 0.79]) and dying at birth (p = 0.021;OR = 0.19 [0.03 - 0.94]). Conclusion: The use of OPs is widespread in Parakou. Several factors were associated with it. This use had a protective effect on newborns. This study shows the need to determine the active ingredients of these OPs and emphasise a safer use of them.展开更多
Objectives -The aim of this study was to evaluate the histological characteristics of adenomatous polyps (AP), non adenomatous polyps (NAP), and colorectal cancers (CRC) diagnosed in the greater Paris area. Material a...Objectives -The aim of this study was to evaluate the histological characteristics of adenomatous polyps (AP), non adenomatous polyps (NAP), and colorectal cancers (CRC) diagnosed in the greater Paris area. Material and methods -Pathologists filled out an identification and histological questionnaire for each biopsy or surgical specimen received between 20/09/02 and 20/12/02, which had at least one colorectal polyp or CRC, taken from a patient of the greater Paris area. Results -The participation rate of pathologists was 73.3%and 10 396 patients with 16 681 lesions were included. Lesions consisted in 1 223 CRC among 1 107 patients, 9 280 AP and 6 178 NAP. Mean age of patients with CRC was 68 years, with at least one AP without CRC 62 years, and with at least one NAP without CRC or AP 58 years. The mean number of polyps per patient was 1.4, and increased with age. Average size of AP was larger than that of NAP and the size increased with age for AP but not NAP. pTNM staging of CRC was: pT0, 1%pT1, 4%pT2, 13%pT3, 63%pT4, 19%N0, 55%N1, 24%N2, 19%Nx, 2%. Conclusion -This study provides detailed data on colorectal polyps and colorectal cancers in the greater Paris region, which does not have a cancer registry. Repeated surveys could be helpful for evaluating the efficacy of screening programs in the general population.展开更多
文摘Introduction: The use of oxytocic plants (OPs) to facilitate childbirth is old and it is a common practice in the world, particularly in northern Benin. Objective: To study the effect of oxytocic plants on the progress of labour. Materials and Method: This was a cross-sectional and analytical study with prospective data collection conducted in the public maternity hospitals of Parakou from 15 July 2022 to 15 August 2022. All the parturients admitted to the maternity units were included. Data were entered and processed using Epi Data 3.1fr, Epi info 7.1.3.3 and Excel 2010. The difference was statistically significant for a p-value of less than 0.05. Results: Of 297 parturients surveyed, 109 had used OPs, representing a frequency of use of 36.7%. The average age was 27.5 ± 8.9 years, with extremes of 17 and 45 years. They were in common-law unions (54.1%), housewives (32.1%), from Muslim religion (53.2%), from Bariba ethnic group and related (30.3%) and from a rural area (60.5%). These parturients were pauciparous (37.6%) and primiparous (44.9%). Six OPs were used by the parturients. These were Hybanthus enneaspermus (40.7%), Schrankia leptocarpa (12.0%), Ceratotheca sesamoides (35.2%), Cassytha filiformis (5.6%), Selaginella lepidophylla (5.6%) and Newbouldia leavis (18.5%). The parturients used the leaves (90.6%) and decoction (97.2%). The administration was oral (99.0%) without precise dosage (85.3%) in the third trimester of pregnancy (84.41%) and facilitated delivery (99.1%). Fon and related ethnic groups (p = 0.014), Yoruba and related ethnic groups (p = 0.031), rural background (p = 0.032) and multiparity (p = 0.04) were the factors associated with OPs use. These parturients had a higher risk of caesarean delivery (p = 0.001;OR = 1.8 [1.23 - 2.65]), dynamic dystocia (p = 0.001;OR = 1.3 [1.12 - 1.49]), burnout syndrome (p = 0.002;OR = 1.1 [1.02 - 1.17]), uterine rupture (p = 0.032;OR = 1.1 [0.97 - 1.17]), rapid labour (p = 0.001;OR = 1.6 [1.38 - 2.00]), and risk of postpartum haemorrhage (p = 0.002;OR = 1.15 [1.05 - 1.27]). In contrast, parturients’ use of OPs was found to reduce the risk of their newborns being transferred to neonatology (p = 0.002;OR = 0.50 [0.31 - 0.79]) and dying at birth (p = 0.021;OR = 0.19 [0.03 - 0.94]). Conclusion: The use of OPs is widespread in Parakou. Several factors were associated with it. This use had a protective effect on newborns. This study shows the need to determine the active ingredients of these OPs and emphasise a safer use of them.
文摘Objectives -The aim of this study was to evaluate the histological characteristics of adenomatous polyps (AP), non adenomatous polyps (NAP), and colorectal cancers (CRC) diagnosed in the greater Paris area. Material and methods -Pathologists filled out an identification and histological questionnaire for each biopsy or surgical specimen received between 20/09/02 and 20/12/02, which had at least one colorectal polyp or CRC, taken from a patient of the greater Paris area. Results -The participation rate of pathologists was 73.3%and 10 396 patients with 16 681 lesions were included. Lesions consisted in 1 223 CRC among 1 107 patients, 9 280 AP and 6 178 NAP. Mean age of patients with CRC was 68 years, with at least one AP without CRC 62 years, and with at least one NAP without CRC or AP 58 years. The mean number of polyps per patient was 1.4, and increased with age. Average size of AP was larger than that of NAP and the size increased with age for AP but not NAP. pTNM staging of CRC was: pT0, 1%pT1, 4%pT2, 13%pT3, 63%pT4, 19%N0, 55%N1, 24%N2, 19%Nx, 2%. Conclusion -This study provides detailed data on colorectal polyps and colorectal cancers in the greater Paris region, which does not have a cancer registry. Repeated surveys could be helpful for evaluating the efficacy of screening programs in the general population.
