ABSTRACT
Objectif: evaluer la frequence et la gravite des urgences medicales neonatales et relater les signes d'alerte les plus courants chez les nouveau-nes. Methodes: Nous avons effectue une etude retrospective et descriptive allant du 1er Janvier au 31 Decembre 2009 sur les nouveau-nes hospitalises en neonatalogie au Complexe Mere Enfant au CHU Mahajanga Madagascar. Resultats: Nous avons collige 645 bebes (41;86) en situation d'urgence sur les 1541 admis. Le sexe ratio etait de 0;99. Ces urgences neonatales s'agissaient surtout; par ordre de frequence : d'une infection neonatale (54); de la prematurite (20;3); du retard de croissance intra-uterin (10;5) et de l'anoxie neonatale (6;5). Les signes d'alerte pour les familles et les agents de sante etaient surtout les irregularites thermiques (36;4) soit hypothermie ou hyperthermie; les difficultes respiratoires (7;3); et le tres faible poids de naissance (7). Conclusion: La sensibilisation; l'information et l'education des meres avant la sortie de l'hopital sur les signes d'alerte pouvant survenir chez les nouveau-nes devraient reduire la mortalite neonatale
Subject(s)
Emergency Medical Services , Nurseries, HospitalABSTRACT
"Clinical investigation of infertility in couples in Mahajanga; Madagascar"" : In Madagascar; as in other places in the world; infertility is associated with social stigmatism and an underlaying long-term risk for separation of the couple. A 12 months prospective study was carried out in 1999 in the Department of Gynecology; Obstetrics and Reproductive Health at the University Hospital in Mahajanga in order to collect data related to possible causes of infertility. For the women; serologic tests for Treponema pallidum (syphilis) and Chlamydia trachomatis were performed. And; in addition to sonography and hysterosalpingography; cervico-vaginal smears were obtained as part of the pelvic examination. A semen sample was obtained from each male partner. Of the 37 couples enrolled in the study 35 were classified as primary infertile (n=9) or secondary infertile (n=28). The mean age of the women and the men was 30.7 years (ranged 20 to 41 years) and 34.3 years (ranged 24 to 46 years); respectively. Various potential causes of infertility among the women were observed; such as hormonal disturbance (76"