ABSTRACT
Umbilical cord prolapse occurs when the umbilical cord drops through the open cervix into the vagina ahead of the baby, after spontaneous or artificial rupture of the membrane. It is a severe obstetrical emergency that endangers the life of the baby due to compression of the cord. Since the 1980s, bladder filling has been recommended as a simple and effective technique for reducing foetal mortality even if surgery cannot be undertaken immediately. The purpose of this study was to report experience using the bladder filling technique at the Gynaecology-Obstetrics Unit in Befelatanana (Antananarivo University Hospital Center). These results confirm the reliability and effectiveness as previously reported in the literature. Because of its simplicity and efficacy in reducing the risk for the foetus, bladder filling should be taught and used particularly in countries with limited obstetrical facilities.
Subject(s)
Sodium Chloride/administration & dosage , Umbilical Cord , Urinary Bladder , Adolescent , Adult , Female , Humans , Madagascar , Pregnancy , Prolapse , Prospective StudiesABSTRACT
La procidence du cordon ombilical ou chute de celui-ci en avant de la presentation apres rupture spontanee ou artificielle de la poche des eaux constitue une extreme urgence obstetricale par le risque majeur de mortalite perinatale qu'il represente. La technique du remplissage vesical decrite depuis les annees 80 est unmoyen simple; efficace de reduction du risque de deces foetal; meme en cas de retard a la sanction chirurgicale. L'objectif de notre etude est de rapporter l'experience du service de Gynecologie Obstetrique de Befelatanana (CHU d'Antananarivo) sur cette technique; qui prouve sa fiabilite et son interet par des resultats identiques a ceux de la litterature. Sa simplicite de mise en oeuvre et son efficacite sur le risque foetal merite; tout particulierement dans les pays a faible infrastructure obstetricale; d'etre enseignee et utilisee
Subject(s)
Cesarean Section , Prolapse , Umbilical CordABSTRACT
A 5 year prospective study on genital tuberculosis, a rather uncommon localization, has been undertaken in 11 women treated at the DAT-HIS of Antananarivo, Madagascar Clinical diagnosis is problematic, if not unfeasible, due to the polymorphism of genital tuberculosis in women. Only histological and bacteriological examinations are, so far, confirmatory In the future, recourse to polymerase chain reaction will facilitate diagnosis and will allow a more accurate assessment of the incidence of this aspect of tuberculosis infection. Genital tuberculosis compromises women's fertility Even though the tuberculosis is cured, none of the 11 women of our research had carried their pregnancy to delivery, because artificial fertilization is not feasible here in Madagascar Screening of woman genital tuberculosis should be mandatory as regards gynaecological problems such as menstrual cycle disorders, sterility, abdominal pain, cyst of ovary ectopic pregnancy, spontaneous miscarriage in paraclinical investigations, especially in developing countries.
Subject(s)
Tuberculosis, Female Genital/epidemiology , Abortion, Spontaneous/etiology , Adult , Antitubercular Agents/therapeutic use , Female , Humans , Infertility, Female/etiology , Madagascar/epidemiology , Menstruation Disturbances/etiology , Pelvic Pain/etiology , Prospective Studies , Tuberculosis, Female Genital/complications , Tuberculosis, Female Genital/diagnosis , Tuberculosis, Female Genital/drug therapy , Uterine Cervicitis/drug therapy , Uterine Cervicitis/etiologyABSTRACT
We report a case of primary abdominal pregnancy observed at the maternity clinic in Befelatanana, Madagascar. A 36-year-old woman, gravida 2, para 2, with no medical history presented at 40 weeks and 2 days of amenorrhea for sudden disappearance of fetal movements. Prenatal visits had been performed on an irregular basis by a private-practice midwife. Fetal death was confirmed by ultrasonographic examination and subsequent plain abdominal radiographic imaging suggested abdominal pregnancy. Laparotomy confirmed diagnosis of primitive abdominal pregnancy. Postoperative recovery was uneventful. Based on this rare case, the literature is reviewed and the importance of clinical follow-up and ultrasonography in detection and management is stressed.
Subject(s)
Pregnancy, Abdominal , Adult , Female , Humans , Madagascar , Pregnancy , Pregnancy, Abdominal/diagnosis , Pregnancy, Abdominal/surgeryABSTRACT
The authors reported the first case of leiomyomatosis peritonealis disseminata or diffuse peritonealis leiomyomatosis in a patient of 36 years old. The hyalin degeneration of leiomyomatosis with intra and extra peritonealis extension is an uncommon pathology. The right etiology of this complication of leiomyomatosis is unknown. Its detection is a fortuitous event during laparotomy. It is characterized by an extension to the serosa, a break-in of the tissues and unpredictable invasion of the contiguous organs, and it can touch the heart. Despite its rapid evolution, often accompanied by mechanical complications, it remains a benign tumour.
