[Premature ovarian insufficiency. Analysis of 30 cases]

Premature menopause is a relatively rare disease but it has delicate consequences dominated by infertility problems. Most often, etiologic investigation is disappointing. Helped in some cases by the association to some auto-immune diseases or a previous treatment with chemiotherapy or an irradiation may be useful to understand the origin of the premature ovarian failure. We analyse in this paper 30 cases of premature menopause to try to precise its etiologic factors, it diagnosis tools, the fertility prognostic and the therapeutic possibilities

Pronostic maternel et foetal au cours de la toxemie gravidique severe

Severe gravidic toxemia leads to heavy maternal and foetal morbidity and mortality. The purpose of our study is to loosen the factors of bad maternal and foetal prognosis. It's a retrospective study about 100 cases of severe and complicated gravidic toxemia repertorieted in the maternity of Military Hospital of Tunis. Maternal morbidity is dominated by the complications of hypertension and blood disorders. We raised 4 cases of eclampsia, 9 cases of retro placental hematomas and 5 cases of HELLP syndrome. We don't deplore any maternal death. Perinatal mortality is 28,8%. The rate of delay intra-uterine growth was 43,8% and the prematurity 65,9%. The more toxemia appears early during pregnancy more maternal and foetal prognostic is compromised