[Female genital tuberculosis in Tunisia. Apropos of 118 cases at the Rabta Neonatology and Maternity Center in Tunis (January 1984-December 1988)]. / La tuberculose génitale féminine en Tunisie. A propos de 118 cas au Centre de Maternité et de Néonatalogie de la Rabta de Tunis (Janvier 1984-Décembre 1988).

The authors have reviewed 118 cases of female genital tuberculosis collected over a 5 year period, from 1st January 1984 up until 31 December 1988, and have compared their results (study group, SG) with those of a similar study (reference group, RG) carried out in the same centre 2 years previously. The following points stand out: the incidence of the disease is stable (6.6 p. cent in the SG versus 5.6 p. cent in the RG); the profile of the woman with genital tuberculosis is that of a young woman of rural origin, generally unvaccinated; sterility is increasingly the predominant motive for consultation (81 p. cent in the SG versus 73 p. cent in the RG); the latent form of genital tuberculosis constitutes 96.4 p. cent of cases in their series versus 93.8 p. cent in the RG; the diagnosis of genital tuberculosis was confirmed histologically in 46 p. cent of cases versus 30 p. cent in the RG, and bacteriologically in 7 p. cent of cases versus 4 p. cent in the RG; medical treatment was initiated for the acute and evolutive forms (35 p. cent of cases). Surgical treatment was indicated for macro-lesional forms which were resistant to medical treatment.

[Neonatal and maternal prognosis in the delivery of a single large fetus at term. Apropos of 497 cases]. / Le pronostic néonatal et maternel de l'accouchement d'un gros foetus unique à terme. A propos de 497 cas.

We have studied 497 deliveries of large fetuses over a period of two years from 1/1/86 to 31/12/87 in the Maternity Unit of Aziza Othmana. We understand by the term "large fetus" the delivery of a baby weighing 4 kg or more. From this study it appears that: the overall incidence is 6.8% of the deliveries; fetal macrosomia occurs much more frequently in multiparous women who are older; 18.4% of these had large babies previously; diabetes occurred in only 11% of the population studied. We study in this article the complications due to fetal macrosomia during pregnancy, labour and following the delivery. We unfortunately have to report: at fetal level: the mortality is 1.2% and the morbidity is 3.6%; at maternal level: the mortality is nil, the morbidity is 4.6%. Several factors affecting the prognosis were analysed in order to look at the subject from the aetiological and prophylactic points of view (these were the method of delivery, the obstetrical factor, the maternal factors, the factors linked to labour, the factors linked to the pregnancy and other factors).