Résumé
To determine the rate and risk factors for group B streptococcus [GBS] colonization in term pregnancies. Vaginal and anal cultures were prospectively conducted in 240 parturient on admission for term vaginal delivery. Thirty eight [23.3%] parturient had positive GBS cultures. None of the studied risk factors [age, education status, nulliparity, previous obstetric problem, twin pregnancy and diabetes] was statistically predictive of maternal colonization. All the isolated GBS were sensitive to penicillin G. Systematic screening strategy of GBS close to delivery on all expectant women is recommended
Résumé
Post-partum pituitary necrosis [Sheehan's syndrome] is a rare complication of post-partum hemorrhage. The diagnosis can be erratic and often delayed. In this case report of Sheehan's syndrome in the post-partum period, the signs were characterized by agalactia, severe hypoglycemia, and low serum levels of thyroid hormones, cortico-adrenal hormones, and gonadotrophin [FSH, LH]. The hypophyseal magnetic resonance imaging confirmed the diagnosis of hypopituitarism secondary to pituitary necrosis
Sujets)
Humains , Femelle , Hémorragie de la délivrance , Mycoplasma agalactiae , Période du postpartum , Choc hémorragique , Imagerie par résonance magnétique , Spectroscopie par résonance magnétique , Littérature de revue comme sujetRésumé
Pregnancy in a rudimentary horn is a very rare condition. It is responsible for several complications. Prognosis is reserved because the natural evolution generally leads to a cataclysmic uterine rupture at the beginning of the second trimester. Classically, the treatment after foetal extraction consists of ablation of the rudimentary horn and associated fallopian tube. We report the obstetric outcome of a patient with history of rudimentary uterine horn rupture, the treatment of which was ablation of the rudimentary horn
Sujets)
Humains , Femelle , Grossesse tubaire/anatomopathologie , Utérus/malformations , Trompes utérines/malformations , Abdomen aigu/étiologie , Récidive , Hémopéritoine/étiologie , Choc hémorragique , Littérature de revue comme sujetRésumé
The puerperal uterine inversion is a rare and severe complication occurring in the third stage of labour. The mechanisms are not completely known. However, extrinsic factors such as oxytocic arrests after a prolonged labour, umbilical cord traction or abdominal expression are pointed. Other intrinsic factors such as primiparity, uterine hypotonia, various placental localizations, fundic myoma or short umbilical cord were also reported. The diagnosis of the uterine inversion is mainly supported by clinical symptoms. It is based on three elements: haemorrhage, shock and a strong pelvic pain. The immediate treatment of the uterine inversion is required. It is based on a medical reanimation associated with firstly a manual reduction then surgical treatment using various techniques. We report an observation of a 25 years old grand multiparous patient with a subacute uterine inversion after delivery at home