ABSTRACT
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
Subject(s)
Endometriosis , Hysterosalpingography , InfertilityABSTRACT
A retrospective study was carried out to survey 145 women who gave birth who previously had caesarean operations, delivered in the Department of Gynecology and obstetrics of the University Clinic in Kinshasa between 1st January and 31st December 1981. The authors have analysed the obstetric outcome of these pregnant women. Their study gives rise to the following results: The incidence of women who had previously had caesarean operations was 2.4%. 92 women (63.4%) delivered normally and 53 (36.6%) had another Caesarean operation. Favourable factors leading to a normal delivery were previous vaginal delivery, particularly after a caesarean operation, and a vertex cephalic presentation. The growing number of Caesarean operations had led to many repeat operations. Long labour is one of the principal factors leading to ruptured uterus which did not seem to make the prognosis for the mother any worse. On the other hand fetal prognosis was saddled with an increased mortality rate (37.5%). Even this high figure is better than the prognosis in previous series: 50% in 1975 [24], and 46% in 1983 [26].
Subject(s)
Cesarean Section/statistics & numerical data , Delivery, Obstetric/methods , Pregnancy Outcome , Adult , Cesarean Section/adverse effects , Delivery, Obstetric/standards , Democratic Republic of the Congo/epidemiology , Female , Humans , Infant Mortality , Infant, Newborn , Labor Presentation , Labor, Induced/methods , Labor, Induced/statistics & numerical data , Maternal Mortality , Obstetric Labor Complications/epidemiology , Obstetric Labor Complications/surgery , Parity , Pregnancy , Prognosis , Reoperation/statistics & numerical data , Retrospective Studies , Risk Factors , Uterine Rupture/epidemiologyABSTRACT
The best interpretation of different sperm characteristics of zairian men consulting for infertility results from comparative studies with the sperm characteristics of fecund men. In this study four sperm variables permitted us to distinguish infecund from fecund men: sperm count, total sperm count, morphology and motility at the 24th-26th hour. No differences have been observed about aspect, odor, pH and volume of ejaculate.
Subject(s)
Infertility, Male/pathology , Spermatozoa/pathology , Adult , Democratic Republic of the Congo , Humans , Hydrogen-Ion Concentration , Male , Middle Aged , Semen , Sperm Count , Sperm Motility , Spermatozoa/abnormalities , Spermatozoa/physiologyABSTRACT
A prospective study was carried out on infertility of the couple in Kinshasa by analysing the male component as derived from 278 sperm counts carried out on 95 patients. In 36.8% of couples the man was responsible. The mean age was 32.42 years of age +/- 4.89 (Standard Deviation). Previous gonorrhoea was responsible for this state of affairs in 47.3% of cases. The physical examination was marked by a large percentage of abnormal testes (36.8%) and of varicoceles in 18.9% of cases. The parameters that were most changed in the sperm counts were the total number in 72.6%, the distribution of the types of sperm in 51.7% and the pH of the seminal plasma in 40%.
