prise en charge des thrombopenies severes au cours de la grossesse et de l'accouchement. A propos de 14 cas et une revue de la litterature

Thrombocytopenia occured in 14 of 5557 pregnant women [0,25%] in our hospital over 4-year interval. The patients with thrombocytopenia could be devided into two groups' healthy women 2 patients [14,28%] hypertensive patients and patients with immune thrombocytopenia 12 patients [85.72%]. Cesarian section rate for delivery was 35,7%. Six foetal loss were observed. Foetal morbidity is represented by prematurity and low weigh at delivery [3 cases] and in one case cerebral bleeding was observed.

Fibromes uterins: fertilite apres myomectomie. A propos de 41 cas

Fibromyomas are among the most frequent pathologies of women in their reqroductive years; that's why clinicians studied their impact on fertility especially when no other cause is found. In this retrospective study of 41 infertile patints between January 1996 and December 1999, the authors tried to define the asses of myomectomy in these cases and the relevant factors that influence the post-operative results in terms of fertility. 24 patients were operated by laparotomy, 7 by laparoscopy and 10 by hysteroscopy. Once surgery was performed, 19 women conceived [46,34%] with delays ranging between 3 and 36 months [mean delay: 15.5 months]. An age of less than 40, a sterility of less than 5 years duration and the absence of associated factors seems to enhance the chances of these patients to conceive after mytomectomy. No significant difference was noted in terms of subsequent fertility between the group of primary infertility and that of secondary sterility; neither concerning the myomas' number, size or place. Pregnancy rates after sugery were equivalent wether the myomectomy was performed by laparotomy or laparoscopy. It is, then, reasonable to propose to infertile patients with uterine myomas, a conservative surgery especially if they are young and if their sterility is unexplained for less than five years