RESUMEN
Background: Low birthweight is one of the main causes of neonatal death, after asphyxia and infections. This study purpose is to determine the epidemiological aspects and prognosis of this condition.Methods: This was a descriptive and analytical cross-sectional study. Data were collected prospectively from July 1st to September 30th, 2021 within Bogodogo Teaching Hospital. The study population included the overall newborns and their mothers.Results: The low birthweight frequency was estimated at 17.26% of live births. The average age was 26.06±5.8 years. Housewives accounted for 68.6% of cases against 78.9% for mothers in union. Unschooled mothers accounted for 38.3%. Mothers having medium socio-economic status accounted for 83.1% of cases. The average number of gesture was 2.60±1.62 and average parity was 2.72±1.76. Premature newborns accounted for 51.1% of cases. Females represented 55.6% of cases, giving a sex ratio of 0.80. The average weight was 1970.64±375.21 g with extremes of 900g and 2450g. The neonatal mortality rate was estimated at 9.4%. Occupation (p=0.003), marital status (p=0.001), place of residence (p=0.011), socioeconomic level (p=0.000), body mass index (p=0.001) and multiple pregnancy (p= 0.01) were statically associated with low birthweight at term.Conclusions: At the end of this study, it appears that further action is still needed to reduce low birthweight frequency, which implies improving the socio-economic conditions of the population.
RESUMEN
Background: Low birthweight is one of the main causes of neonatal death, after asphyxia and infections. This study purpose is to determine the epidemiological aspects and prognosis of this condition.Methods: This was a descriptive and analytical cross-sectional study. Data were collected prospectively from July 1st to September 30th, 2021 within Bogodogo Teaching Hospital. The study population included the overall newborns and their mothers.Results: The low birthweight frequency was estimated at 17.26% of live births. The average age was 26.06±5.8 years. Housewives accounted for 68.6% of cases against 78.9% for mothers in union. Unschooled mothers accounted for 38.3%. Mothers having medium socio-economic status accounted for 83.1% of cases. The average number of gesture was 2.60±1.62 and average parity was 2.72±1.76. Premature newborns accounted for 51.1% of cases. Females represented 55.6% of cases, giving a sex ratio of 0.80. The average weight was 1970.64±375.21 g with extremes of 900g and 2450g. The neonatal mortality rate was estimated at 9.4%. Occupation (p=0.003), marital status (p=0.001), place of residence (p=0.011), socioeconomic level (p=0.000), body mass index (p=0.001) and multiple pregnancy (p= 0.01) were statically associated with low birthweight at term.Conclusions: At the end of this study, it appears that further action is still needed to reduce low birthweight frequency, which implies improving the socio-economic conditions of the population.
RESUMEN
Introduction:Les violences sexuelles constituent un problème de santé dont la prise en charge doitêtre adéquate et globale. Une stratégie préventive doit être menée afin de dissuader les potentielsagresseurs. Le but de l'étude étaitde décrire les cas de violences sexuelles reçus dans le Département de gynécoobstétrique du Centre Hospitalier Universitaire YalgadoOuédraogo (CHUYO).Patientes et méthode:Il s'est agi d'une étude rétrospective àvisée descriptive couvrant une période allant du 1er janvier 2009 au 31 décembre 2013.L'étude a concerné les présumées victimes de violences sexuelles reçues dans le département de gynécologie obstétrique du CHUYO et dont les dossiers étaient exploitables.Résultats: Lamoyenne d'âge des présumées victimes était de 16 ans avec des extrêmes allant de 03 ans à 32 ans. Le viol était le motif de consultation le plus fréquent (93,1%) et se déroulait nuitamment, généralement dans les domiciles.La lésion génitale la plus fréquente était les déchiruresvulvaires(17,8%). La lésion non gynécologique la plus fréquente était les égratignures (10,9%).La prise à charge des victimes était essentiellement médico chirurgicale.Le pronostic à court terme était favorable(100%). La prise en charge psychologique était marginale.Conclusion:Les violences sexuelles restent une préoccupation bien que sa fréquence soit faible. Ce fléau touche essentiellement les adolescentes
Asunto(s)
Burkina Faso , Heridas y LesionesRESUMEN
Background: Complications during pregnancy and childbirth are the leading causes of death and disability for women of childbearing age. Objective of this study was to study maternal mortality of direct obstetric origin at the Boulmiougou district hospital from 2010 to 2014.Methods: This was a retrospective cross-sectional descriptive and analytical study of maternal deaths by direct obstetric cause at the maternity ward of Boulmiougou District Hospital during the period from January 1st 2010 to December 31st, 2014, i.e. 5 years.Results: The maternal mortality rate by direct obstetric cause of 147.68 maternal deaths per 100,000 live births. The average age of the patients was 27.09 years old. The direct causes of maternal death were hemorrhage (47.06%), hypertensive disorders (20.59%), infections (14.71%) and unsafe abortion (11.76%). Contributing factors to maternal deaths were delay in evacuation (47.06%) and delay in care (38.23%).Conclusions: Maternal mortality remains high in the Boulmiougou District Hospital. To effectively combat maternal mortality, it is important to focus on the continuous training of staff and the strengthening of the technical platform.
RESUMEN
Background: Female students are exposed to unsafe sex, sources of unwanted pregnancy and abortions. It is recognized that emergency contraception can effectively prevent pregnancy. The purpose of this study was to evaluate the knowledge and practices of Ouagadougou public university students in relation to emergency contraception in order to propose solutions to reduce the proportion of unwanted pregnancies among female students.Methods: This was a cross-sectional study conducted between May 1st and October 31st, 2016 in the public universities of Ouagadougou. A questionnaire was administered to a sample of 732 students randomly selected.Results: The average age of female students was 22.7 years old. The age group 19 to 24 was the most represented (68.03%). Of the students surveyed, 87% knew or had heard of emergency contraception. The students only used the emergency contraceptive pill. The emergency contraceptive use rate was 44.42%. Approximately, 83% of users were aware of the delay in using emergency contraception. The reasons for using emergency contraception were condom breakage (25.10%) and unprotected sex (74.9%). Female students purchased the contraceptive directly in pharmacies (93.61%).Conclusions: Emergency contraception gives women a last chance to avoid an unwanted pregnancy after unprotected sex. Awareness and free availability of emergency contraception (EC) could improve the reproductive health of female students.
RESUMEN
Introduction: The objective of this work was to assess the prevalence of bacterial vaginosis (BV) and genital mycoplasma colonization in 251 HIV-positive compared to 200 HIV-negative women at the Maternal and Child Health (MCH) service of Saint Camille Medical Center Ouagadougou (Burkina Faso). Methodology: After revealing the cervix with a speculum; we collected swabs of vaginal discharge for the detection of pathogenic bacteria. Results: Among HIV-positive and HIV-negative women; we identified respectively: Mycoplasma hominis (16.7versus 5.5); Ureaplasma urealyticum (16.3versus 0.0); co-infection M. hominis with U. urealyticum (13.14versus 0.0); Candida albicans (21.11versus 41.5); E. coli (9.96versus 4.0); and the presence of abundant vaginal discharge (27.5versus 5.0) respectively. The Nugent's score; utilized for the diagnosis of BV; was significantly higher in HIV-positive women (p 0.001) associated with poor vaginal hygiene practices (p 0.01) and no use of condoms (p 0.01). Enterobacter; Klebsiella pneumonia; Klebsiella oxitocica; Staphylococcus epidermidis and Staphylococcus aureus; Streptococcus agalactiae; Trichomonas vaginalis; and Gardnerella vaginalis were also isolated; but in a low prevalence ranging from 0to 5. Conclusion: These results demonstrate that the HIV-positive women of Burkina Faso are frequently affected by BV and represent a reservoir for mycoplasma infection. Since these germs can lead to sterility and premature delivery; it is important to develop a policy of screening