[Antenatal diagnosis and management of ileal atresia]. / Atrésie intestinale iléale: diagnostic anténatale et prise en charge.

Ileal atresia is a rare congenital malformation which affects a small percentage of the population, with an incidence of 1 in 5000 cases. It may be suspected and diagnosed by ultrasound at the end of the second and third trimester. Obstetrical and surgical consultation is the key to success here. Eliminating a systemic disease with poor prognosis, fighting to reduce premature births and immediately entrusting the child to the surgeon are the main objectives to achieve. During surgery, the surgeon will determine the type of atresia, its location, single or multiple areas of occlusion and its length; thus surgery depends on etiology. Our study reports an interesting clinical case of ileal atresia diagnosed antenatall.

[Postcoital bleeding: 68 case-reports and review of the literature]. / Les hémorragies post coïtales: à propos de 68 cas et revue de literature.

Consensual or imposed sexual act can cause traumas. Post coital bleeding is a common gynecological symptom. It can reveal serious problems. The aim of our study is to analyze the epidemiological, diagnostic and therapeutic profile as well as preventive measures in case of post coital tear. This is a prospective study, over two years, conducted in the Department of Obstetrics and Gynecology at the Center Hospital University Mohammad VI (CHU) in Marrakech. We collected 68 patients. The average age was 27 years. Most of the patients were nulliparous (89.7% of the cases). Half of the patients had traditional wedding. Sexual intercourse was consensual in 74% of the cases. Vaginal bleeding was the most frequent reason for consultation (98% of the cases). Hymenal lesions were found in 39% of the cases and the lesion involved the posterior fornix of the vagina in 35% of the cases. Therapeutic management consisted of a surgical suture in 97% of the cases, associated with blood transfusion in two patients and sexual abstinence of all patients for at least two weeks. The social context as well as the lack of sex education were often highlighted, hence the importance of psychological support to prevent both the impact of traumas on sexuality and the recurrences.

[Vaginal colonization by group B streptococcus among pregnant women in the region of Marrakech]. / Portage vaginal du streptocoque du groupe B chez la femme enceinte au niveau de la région de Marrakech.

INTRODUCTION: Group B streptococcus is the main etiological agent of maternal and fetal infections, sepsis and meningitis in the term newborns. The objective is to determine group B streptococcal (GBS) carriage rate in vagina of term pregnant women. METHODS: Vaginal swab was performed prospectively in 275 pregnant women in labor, prior to entering the delivery room over a period of 6 months. RESULTS: Colonization rate was 20.2%. The bearing was variable according to the gestational age, it constitutes 57.5% between 37 and 38 weeks of amenorrhoea. None of the risk factors was statistically predictive for maternal GBS colonization. CONCLUSION: Screening should be performed from 37 weeks of amenorrhoea and, as colonization is intermittent, a negative swab result does not ensure that GBS colonization is eradicate at birth.