progestatifs de synthese et leurs principales indications en gynecologie

The progestatives, and their principal indications in gynecology. The progestatives that try to mimic the most of characteristics of natural progesterone are numerous. Their indications in gynecology are widening with the time. They are based above application of their characteristics. The progestatives find their principal indications in the genital haemorrhage pain of periods, fibromas, endometriosis, adenocarcinoma and others lesions of breast. The prolonged use does not bereaved of risks We must choose for each disease the progestative the most effective and not noxions

Conduite a tenir devant une hyperthermie au cours de la grossesse

The authors report a study about management of fever during pregnancy. This study is based above a recent review of literature. It shows the interest of the physician, that permits to bring informations about the nature of fever and it's repercussions above mother and foetus. It permits also to orient about others examinations. The etiologies of fever are variable with age of pregnancy, but there exist some diseases that we can find in all the period of pregnancy. The advent of fever during pregnancy needs in the most of the cases, admission to the hospital for treating patients correctly. The treatment is variable with etiology; it must take care among mother and foetus

Conduite a tenir devant la presentation du siege chez la primipare

Delivery in breech presentation at the primiparous is difficult. In the light of one experience about 100 cases and a review of literature, we have tried to extract conclusions about management of the breech presentation among the primiparous. We do not practice cesarean section systematically, and never version outside, we try to specify the criterions, that permit us to choose about breech presentation; the cases that need cesarean section and the cases of vaginal delivery

Valeur de l'antibiotherapie prophylactique dans les cesariennes

The study of infections complications of 2292 cesarean sections practiced in the Rabat Maternity, during a period of 10 years. Have shown post-surgery infection has been observed in 15% of cases. Those complications are: parietal suppuration [68,4%], fever from various origin [24,3%], 14 cases of endometritis, 4 cases of pelviperitonitis and 7 cases of thrombophlebitis. The use of Penicillin in preventive treatment of those infections has not allowed to diminish of this infections morbidity. Moreover we have observed among the treated cases that the frequency of infections complications is higher than that of the non treated cases; [15,92%] for the treated cases against [8,14%] for non treated cases. Various factors have been evoked specially the date of rupture of membranes in cesarean evolution

Avortements therapeutiques

In this study we report twenty observations of therapeutic abortions combined at the C.H.U. Maternity, Rabat. After a brief reminder of the history and legislation enfonced, we expose these twenty cases concerned in the study on the indications of these abortions, It results in, that 50% were imposed by a maternal pathology; 45% due to ionized radiations or due to an aggresive therapeutic for the foetus;and lastly 5% have been indicated due to contracting german measles. In conclusion we insist on the necessity of preventing these different situations by treating maternal diseases under the form of efficacious and non teratogenic medicines for the expectant mother, this would eliminate therapeutic abortions

Neurofibromatose de recklinghausen et etat gravido-puerperal [a propos d'une observation]

The association of neurofibromatosis and pregnancy is not frequent. Pregnancy provokes a progress in this disease; apparition the new lesions and accentuation of the lesions pre-existent and perhaps it plays as a facilitating factor in a malignant course of this disease. Pregnancy evolvea without problems, but delivery is often constraint with tumor pravia or bone dystocia

Prostaglandines en gynecologie et obstetrique

In the light of a recent bibliography, the authors have tried to make a review of present knowledges of prostaglandins and their utilisations in gynecology and obstetrics. The prostaglandins are not the hormons, but substances made by all organism's cells. If their biochemical structure is relatively better known, their role is still far to be perfectly cleared up, especially in the domain of hormonology of ovary and in the phenomenae of ovulation or the luteolysis. Therefore any practical application is not retained now, save in the particular case of the antiprostaglandin's utilisation in dysmenorrhea treatment. On the other hand their role in the obstetrical domain is relatively better known, with very interesting therapeutic applications; particularly in the artificial starting of labour and induction of second trimester abortion of the pregnancy