ABSTRACT
Contexte. Pathologie obstétricale fréquente en Guinée, souvent de découverte fortuite, car il n'y a pas de dépistage systématique. L'objectif : était de déterminer la prévalence du diabète gestationnel (DG) en consultation prénatale dans un centre de santé urbain de la ville de Conakry. Méthodes. Il s'agissait d'une étude prospective de type descriptif et analytique Elle a été menée au centre de santéde Koulewondy du 1er novembre 2019 au 29février 2020. Le dépistage était proposé à toutes les femmes enceintes entre 24 et 27 SA. Les comparaisons statistiques étaient à l'aide du test Chi2. Les différences étaient considérées signifi catives pour p<0,05. Résultats.Le passage du dépistage ciblé sur les facteurs de risques à un dépistage systématique a permis d'avoir une prévalence du diabète gestationnel en Consultation Prénatale Recentrée (CPNR) de 16,78% dans notre série. Le profi l épidémiologique était celui d'une gestante ménagère sans niveau instruction, mariée et dont l'âge moyen était de : 28,7± 6,5 ans, la parité moyenne était de : 2,11± 1,9 accouchements , l'âge gestationnel moyen était de 27,1± 5,6 SA , la valeur prédictive positive du test de dépistage en fonction des facteurs de risque était de 32,6% et la sensibilité 0,157. Conclusion. Le dépistage demeure le meilleur moyen de prévention.
Subject(s)
Prenatal Diagnosis , Diabetes, Gestational , Mass Screening , Diabetes Mellitus , Network PharmacologyABSTRACT
Background: Each year several patients are operated on for genital prolapse in our department, but no study has yet been done to analyse the results. The objective of this study was to highlight the operating techniques used and to analyse the anatomical and functional outcomes.Methods: It was an observational, longitudinal, prospective and descriptive study which took place over a period of 2 years in the department of obstetrics and gynecology of the Ignace Deen hospital de Conakry in Guinea. This study focused on patients operated on in the department for genital prolapse.Results: During the study period, 67 patients underwent genital prolapse surgery in the department. The operating techniques used are the triple perineal operation or, associated with colposuspension and/or Richter or Mc Call, Richardson's operation, Rouhier's operation and promonto-fixation. This study recorded in the follow up a case of recurrence of hysterocele one year after a Richardson operation, a correction of all digestive and sexual functional disorders and a correction of 81.25% of functional urinary disorders. The intraoperative complications were a rectal wound, two bladder wounds and three cases of hemorrhage requiring blood transfusion. The post-operative results were good in 98.5% of the cases.Conclusions: The lower approach is the main route used for surgical treatment of prolapse. The anatomical and functional results obtained are encouraging.
ABSTRACT
Background: The objective of this study was to highlight obstetrical complications that occurred among adolescent girls who delivered at the ward and to identify factors associated with the occurrence of such complications.Methods: This was a prospective study of descriptive and analytical type extending over a period of one year from September 1, 2016 to August 31, 2017 carried out at the maternity ward of Ignace Deen National Hospital at Conakry Teaching Hospital (CHU). It covered a continuous series of 1034 deliveries among adolescent girls.Results: The frequency of childbirth among adolescent girls was 16.7%. The main complications identified were dystocia, severe preeclampsia, eclampsia, retroplacental hematoma, placenta previa, uterine rupture, severe anemia, postpartum hemorrhage and puerperal endometritis. These complications occurred among adolescent girls aged 18 to 19, christian, skin and pelvic bones secondary school or university students. Factors associated with such complications were the marital status (p=0.010), the gestational age (p=0.012), the number of prenatal consultations (p=0.001), the place of prenatal consultation (p=0.001), the reason for admission (p=0.000) and the mode of admission (p=0.000).Conclusions: Childbirth among adolescent girls is frequent in this context; complications are numerous but they are preventable in the vast majority of cases.
ABSTRACT
Background: Benign ovarian tumors are a common reason for consultation and intervention in gynecology. The objective of this was to describe the clinical, ultrasonographic, histological and therapeutic aspects of benign ovarian tumors in the department.Methods: This is a retrospective and descriptive study of three years and six months from January 1, 2016, to June 30, 2019, which focused on the records of women-operated during this period of benign ovarian tumors.Results: The incidence of benign ovarian tumors was 12.58%. The circumstances of discovery were dominated by disorders of the menstrual cycle (35.05%) followed by infertility (20.78%), the sensation of a pelvic mass (19.48%), and pelvic pain. (15.58%). The ultrasound report was in favor of a serous cyst in 74% of cases, a mucoid cyst in 14% of cases, a dermoid cyst in 9% and an endometriotic cyst in 3%. Histology revealed a serous cystadenoma in 70.13% of the cases, a mucinous cystadenoma in 16.88% of the cases, a mature poly tissue teratoma in 9.09% of the cases and an endometrial cyst in 3.90 % of the cases. Cystectomy was the most performed surgical procedure (71%).Conclusions: Benign ovarian tumors are common in our practice. The most common histological forms were serous and mucinous cystadenomas. Conservative treatment has been practiced in the majority of cases.