RESUMO
OBJECTIVES: Determine frequency of hypertension in pregnancy and delivered women at the Teaching Hospital of Brazzaville and identify epidemiological aspects and risk factors. PATIENTS AND METHODS: A prospective and transversal study was realized from november 2004 to january 2005 in the Teaching Hospital of Brazzaville. Forty two patients (8 pregnant women, 34 delivered) with hypertension, have been enregistered among 825 admissions in the departments of gynecology and obstetric. Arterial hypertension was defined by a blood pressure at 140/ 90 mm Hg or above. RESULTS: Arterial hypertension constituted 5.1% of the total admissions. Average of the patients was 27 +/- 8 years (age range: 14 and 40 years). Two patients (4.8%) haven't been sent to school, 29 (69%) had the secondary level, twenty (47.8%) were housewives. Seventeen patients (40.5%) had realized 2 prenatal consultations at the most. Patients were divided in 4 groups: Chronic hypertension (n = 4), pre eclampsia surimposed on chronic hypertension (n = 4), pregnancy hypertension only (n = 15), preeclampsia (n = 19). Prim gravidity (38.1%) and family history of hypertension (40.4%) were the most frequent risk factors. Obesity, gemality, previous pre eclampsia represented respectively 14.3%, 9.5% and 4.8%.
Assuntos
Hipertensão Induzida pela Gravidez/epidemiologia , Hipertensão/epidemiologia , Transtornos Puerperais/epidemiologia , Adolescente , Adulto , Congo/epidemiologia , Estudos Cross-Over , Educação , Feminino , Humanos , Hipertensão/diagnóstico , Hipertensão Induzida pela Gravidez/diagnóstico , Pré-Eclâmpsia/diagnóstico , Pré-Eclâmpsia/epidemiologia , Gravidez , Estudos Prospectivos , Transtornos Puerperais/diagnóstico , Fatores de RiscoRESUMO
The authors report the first Congolese case of uterine cervix clear cell adenocarcinoma in a menopausal multipara, whose mother had not been treated by diethystilboestrol (DES). The histological diagnosis was made on embedded-paraffin samples, stained by HE and PAS. Discharged from hospital on parents' request in order to be on infusion and brew-based traditional treatment, the patient died at home two months after diagnosis.
Assuntos
Adenocarcinoma de Células Claras/patologia , Neoplasias do Colo do Útero/patologia , Adenocarcinoma de Células Claras/complicações , Adenocarcinoma de Células Claras/epidemiologia , Biópsia , Congo/epidemiologia , Evolução Fatal , Feminino , Humanos , Medicinas Tradicionais Africanas , Menopausa , Metrorragia/etiologia , Pessoa de Meia-Idade , Paridade , Dor Pélvica/etiologia , Exame Físico , Prognóstico , Doenças Raras/complicações , Doenças Raras/epidemiologia , Doenças Raras/patologia , Neoplasias do Colo do Útero/complicações , Neoplasias do Colo do Útero/epidemiologia , Esfregaço VaginalRESUMO
A partir d'un cas de Choriocarcinome tubulaire primitif diagnostique au CHU de Brazzaville. Les auteurs analysent la frequence; le diagnostic; le traitement et le pronostic de cette pathologie dans le contexte des pays en developpement
