ABSTRACT
UNLABELLED: Delivery in teenager is associated with increased risk. The aim of this study was to evaluate the contribution of teenagers (10-19 years or less) to the total number of deliveries over a 10 year period in the Maroua provincial hospital (Cameroon) This was a retrospective study. The deliveries of 3.328 teenagers were analysed as far as their contribution to the deliveries is concerned and how this contribution changed with time from 01/01/1995 to 31/12/2004 at the Provincial Hospital Maroua (Cameroon). Analyses were performed using Excel and Epi Info 6. The chietaiota2 tests of the tendency, taking in account all ten age groups, was used to appreciate the phenomenon over time. This trend was considered significant if p<0.05. RESULTS: During the study period 13.026 women delivered, 489 cases were excluded because the age was not specified. Finally, 3.328 teenagers were analysed out of a total of 12537 cases, as far as their contribution to the number of deliveries from 1995 to 2004 in the Maroua provincial hospital. Teenagers contributed for 26,54% of total deliveries in Maroua Provincial Hospital, (Cameroon). Teenagers of 16 and less contributed for 7,58%, and those aged 17 to 19 years contributed for 18,25%. We found out that the trend over the study period, has not changed (p>0.05). This study emphasizes the need of redynamisation of adolescents health services in Extreme North Cameroon. Studies should be done to determine the impact of young age on the delivery outcome.
Subject(s)
Delivery, Obstetric/statistics & numerical data , Pregnancy Outcome , Pregnancy in Adolescence/statistics & numerical data , Adolescent , Adult , Cameroon , Female , Humans , Pregnancy , Retrospective StudiesABSTRACT
La prophylaxie antibiotique dans la prise en charge des Ruptures prématurées des Membranes (RPM) avant le terme est jusqu'à nos jours controversés. Cent dix femmes enceintes avec Rupture Prématurée des Membranes avant terme ont été distribuées dans l'un des deux groupes suivants: groupe A (groupe sans traitement) ou groupe B (groupe sous traitement). Les taux d'accouchements prématurés étaient similaires 71 pour cent contre 77 pour cent (p=0;56). Le faible poids à la naissance; le score d'Apgar; la détresse fÅtale; l'ictère néonatal et l'infection néonatale ont été observées dans les proportions similaires entre les deux groupes 6.5 pour cent des sujets du groupe A ont développé une endométrite contre 5.7 pour cent dans les groupes A et B (p=0;13). La prophylaxie antibiotique n'a pas semblé influencer le pronostic materno-foetal chez les patients présentant une Rupture Prématurée des Membranes dans notre environnement
Subject(s)
MortalityABSTRACT
L'infertilite etant une situation qui concerne l'homme et la femme; son investigation implique le couple et il est souhaitable de voir les deux conjoints en consultation. Car leur interrogatoire faciliterait le diagnostic. A cela s'ajoute les tests simples et de routine de l'infertilite pouvant etre effectues au premier niveau des soins
Subject(s)
Infertility/diagnosisABSTRACT
Screening test for maternal serum alpha feoto-protein (MS-AFP) in routine antenatal care is compulsory in most developed countries to detect neural tube defect (NTD). With the cost of suck a programme; there was a need to evaluate its need in our environment. A high risk clinic was choosen for the recruitment of the subjects to maximize the risk. Incidence of NTD could be considered to be low in Cameroon compared to countries where screening for MS-AFP is compulsory. Coupled with the low socio-economic status of our population and the lack of infrastructures; we could conclude that this screening test on a routine basis is not cost-effective
