[Biological insulin resistance in Congolese woman with polycystic ovary syndrome (PCOS)]. / L'insulinorésistance biologique chez la femme congolaise avec syndrome des ovaires polymicrokystiques (SOPK).

OBJECTIVES: Metabolic features of polycystic ovary syndrome (PCOS) have been poorly investigated in African women where environmental factors are different from those occurring in developed countries. This study aimed to determine the frequency and features of insulin resistance (IR) in Congolese women affected by polycystic ovary syndrome (PCOS). PATIENTS AND METHODS: This was a case-control study conducted in women received in three hospital institutions in Kinshasa from 2006-2007. Blood samples were taken to measure HDL and LDL cholesterol, triglycerides, fasting insulin and glucose levels, and the homeostatic model (HOMA-IR) was used to assess IR under basal conditions. RESULTS: Fifty-five Congolese women with PCOS and forty-four normal women (mean age 24 ± 6.8 years) were included in the study. Although body mass index was not statistically different between PCOS and control women, IR evaluated by the HOMA-IR was detected in 39.3% of PCOS women. Fasting insulin level was the most significant determinant of IR in the Congolese women with PCOS (OR 2.134 [1.360-3.348]; P<0.001). CONCLUSIONS: Nearly one in two women from Congo affected by PCOS is IR and this feature is independent of overweight and central fat distribution. HOMA-IR is the most suitable index than the clinical parameters for detecting IR in these women.

Grossesse et cellulite d'origine dentaire. A propos de 9 cas et revue de la litterature

Objectif. Les auteurs rapportent les complications des cellulites d'origine dentaire au cours de la grossesse. Methodologie. L'etude a consiste en une revue des donnees des femmes enceintes ayant consulte pour cellulite d'origine dentaire aux Cliniques Universitaires de Kinshasa de janvier 2006 en juin 2008. Resultats. L'etude concerne neuf parturientes. Huit d'entre elles ont developpe une cellulite diffuse; six ont presente des complications. Les complications obstetricales ont ete observees chez 4 patientes (2 avortements; 1 accouchement d'un mort-ne et 1 menace d'accouchement premature). Deux cas d'anemie; 1 cas de sepsis; 1 cas de thrombophlebite et 1 cas de fistule pharyngee ont ete rapportes. Un deces a ete enregistre. Conclusion. Les complications des cellulites d'origine dentaire au cours de la grossesse peuvent affecter soit la femme; soit le foetus ou meme les 2 ensembles. Il est important de prevenir la survenue de ces complications; par la promotion de l'hygiene et des soins bucco-dentaires au cours des consultations prenatales

Les lesions tubaires et peritoneales a la coelioscopie chez les femmes steriles aux Cliniques Universitaires de Kinshasa

Les 434 cas de coelioscopie diagnostique pour sterilite pratiquee aux Cliniques Universitaires de Kinshasa du 1er Aout 1988 au 31 juillet 1992 font l'objet d'une etude retrospective pour apprecier l'importance des differentes lesions tubo-peritoneales et leurs etiologies. Les obstructions tubaires distales sont deux fois et demi plus frequentes que les obstructions tubaires (OT) proximales; qui predominent chez les epouses des polygames. Les Obstructions tubaires distales et les adherences pelviennes sont plus frequentes chez les femmes avec antecedents de chirurgie gynecologique pelvienne. La frequence des cas d'endometriose pelvienne est de 6;4 pour cent. A part les maladies sexuellement transmissibles qui sont souvent evoquees comme cause; la chirurgie pelvienne semble etre egalement a la base de ces lesions

[The characteristics of pregnancy-puerperium in central Africa. I. Cesarean section in 3 different areas in Zaire]. / Particularismes de la gravido-puerpéralité en Afrique centrale. I. Opération césarienne dans trois environnements différents au Zaïre.

A series of 5,127 deliveries carried out in rural (Boende), in semi-urban (Bonzola) and in the urban university teaching hospital units was studied from April to September 1986 to assess pregnancy and the puerperium in a Zairian population. In particular the Caesarean section rate was looked at. Two hundred and forty eight Caesareans were carried out--a rate of 4.8%. More were carried out in university centres (8.6%), than in semi-urban districts (2.2%) or in rural hospitals (1.3%). The maternal morbidity due to haemorrhage and infection and the mortality were also higher in the urban and teaching hospitals (5.9% and 2.3%) than in the other hospitals. In Bonzola it was 2.5% and 0.3%. These figures suggest overall that carrying out Caesarean operations in developing countries with poor equipment has to be considered much more seriously than in centres that are well equipped.