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Low Birth Weight at Term: Risk Factors and Perinatal Prognosis in the Teaching Hospital Yalgado ouédraogo, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2018年第14期8卷 1510-1519页

作者： Dantola Paul Kain Adama ouattara Hyacinthe Zamané Sibraogo Kiemtoré Issa ouédraogo Yobi Alexis Sawadogo ali ouédraogo Blandine Thiéba Teaching Hospital Yalgado ouédraogo Ouagadougou Burkina Faso Teaching Hospital ouahigouya Ouahigouya Burkina Faso

Objective: The objective of our study was to study the risk factors of low birth weight at term in the Teaching Hospital Yalgado (CHU-YO) ouédraogo. Patients and Methods: This dealt with a comparative and analytical control case study. The group of cases was made up of female patients who gave birth to newborns with low birth weight at term and that of control cases included female patients who delivered a normal-weighted newborn at term. Results: The frequency of low birth weight at term was therefore estimated at 4.4%. The average age of the parturients was 25 ± 6.36 years. Female patients living in a marital setting accounted for 93.1% of cases and 64.4% of them had no income-generating activities. A maternal underweight, a height below 155 cm, passive smoking, and malaria during pregnancy have been identified as the factors associated with a low birth weight. Conclusion: Quality prenatal care could reduce the incidence of low birth weight at term.

关键词： Low Birth Weight Risk Factors Prognosis Burkina Faso

Integration of Post Abortion Care Package in the Activity of 56 Health Facilities by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB)

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Open Journal of Obstetrics and Gynecology 2016年第8期6卷 457-462页

作者： Sibraogo Kiemtoré Hyacinthe Zamané Yobi Alexis Sawadogo Charlemagne Marie ouédraogo Dantola Paul Kaïn Abdoule Azize Diallo Issa ouédraogo Adama Dembélé ali ouédraogo Blandine Thiéba Jean Lankoandé Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Unity of Training and Research in Health Sciences (UFR/SDS) University of Ouagadougou Ouagadougou Burkina Faso Department of Obstetrics and Gynecology Centre Hospitalier Régional de Ouahigouya Ouahigouya Burkina Faso Department of Obstetrics and Gynecology and Reproductive Health Sanou Sourou Teaching Hospital Bobo-Dioulasso Burkina Faso Higher Institute of Science Health Polytechnic University of Bobo-Dioulasso Bobo-Dioulasso Burkina Faso

Introduction: This article is an analysis of post-abortion care in 56 health facilities after their capacity building by the Burkina Faso Society of Obstetricians and Gynecologists (SOGOB). Patients and Methods: In 2012, with funds from Safe Abortion Action Fund, the SOGOB trained care providers and equipped 56 health facilities for post abortion care. Statistical data on the management of incomplete abortions after the capacity building were analyzed. The significance level was set at 0.05. Results: There were 6316 cases of abortion that have been managed in 56 health facilities. The evacuation of the uterine contents for incomplete abortion has been provided to 6167 patients. Manual vacuum aspiration (MVA) and misoprostol were used respectively in 69.4% and 26.9% of cases to evacuate uterine content. Post-treatment complications were 1.8% for MVA and 0.9% for misoprostol (p = 0.004). MVA’s complication rate in the health facilities of the 1st level of care (1.7%) was not different from the third level of care (1.2%) with p = 0.21. A modern method of contraception was provided after abortion to 65.7% of the patients. In addition to the post abortion care, 7.3% of the patients received other reproductive health services. The community was involved in the development process of post abortion care in the facilities of the first level of care. Conclusion: The support of health facilities by SOGOB has provided post abortion care to thousands of women with little complications. Given the good results, an extension to other health facilities is desirable.

关键词： Post-Abortion Care MVA Misoprostol Family Panning Burkina Faso

Trauma in Pregnancy at the Yalgado ouedraogo Teaching Hospital in ouagadougou,Burkina Faso:Epidemiological,Clinical,Therapeutic and Prognostic Aspect

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Open Journal of Obstetrics and Gynecology 2015年第8期5卷 436-442页

作者： ali ouédraogo Mohamed Tall André Simporé Fran?oise D. Traoré Millogo Mariam Savadogo Blandine Thieba Bonane Jean Lankoandé Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Department of Orthopedics and Traumatology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso

Objective: To study the epidemiological, clinical, therapeutic and prognostic aspects of trauma in pregnancy at the Yalgado ouedraogo teaching hospital in ouagadougou. Patients and Methods: A descriptive retrospective study was done over a period of three years from 1st January 2010 to 31st December 2012. We included in our sample, all pregnant women admitted for trauma in pregnancy and eligible in three clinics: obstetrics/gynecology, orthopedics, general and visceral surgery. Anonymity and confidentiality of collected data were respected. Results: We recorded 224 emergency consultations for trauma in pregnancy out of 26,735 obstetric and gynecological consultations which gave a frequency of 0.8%. The mean age of our patients was 25.9 ± 5 years and mean parity was 1. Housewives accounted for 50% of patients and referrals were the mode of admission in 74.6% of cases. The causes of injury were dominated by road traffic accidents in 82.6% of cases, falls in 9.8% and assault in 7.6%. The mean gestational age of onset of trauma was 26.3 ± 7 weeks amenorrhea. The management was multidisciplinary with a medical component in 99.1% of cases, obstetric component in 13% of cases, a visceral surgery component in 6.7% of cases and an orthopedic component in 4.2% case. Multiple traumas were found in 4 patients. The fetal prognosis showed in the 1st trimester 3 cases of abortion in the 2nd trimester 5 cases of intrauterine fetal death and in the 3rd trimester 10 cases of preterm labor. Conclusion: Traumas during pregnancy are beyond emergencies within multiple causes and requiring a multidisciplinary management. Seen the limited means of support, establishment of a national strategy to prevent trauma in pregnancy will improve the prognosis for mother and child.

关键词： Trauma in Pregnancy Maternal Fetal Prognosis ouagadougou

Chemotherapy Induced Amenorrhea in Women Treated with Chemotherapy for Breast Carcinoma in Yalgado ouédraogo Teaching Hospital in ouagadougou, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2017年第1期7卷 129-138页

作者： Augustin Tozoula Bambara Hyacinthe Zamané Yobi Alexis Sawadogo Hierrhum Aboubacar Bambara Awa Mien Nayi Zongo Abdoul Azize Diallo ali ouédraogo Si Simon Traoré General and Digestive Surgery of Yalgado ouedraogo Teaching Hospital Ouagadougou Burkina Faso Obstetrics and Gynecology of Yalgado ouedraogo Teaching Hospital Ouagadougou Burkina Faso

Background: We conducted this study to identify factors associated with the onset and reversibility of chemotherapy-induced amenorrhea in Yalgado ouédraogo Teaching Hospital of ouagadougou. Methods: A historical cohort study was performed and covered the period from 1 January 2014 to 31 July 2015. No menopausal patients managed for a histologically confirmed breast carcinoma and having benefited from chemotherapy were included in the study. Logistic regression analysis was used to determine the factors associated with the occurrence of chemotherapy-induced amenorrhea as well as its reversibility. Results: Seventy patients were included. The mean age was 38.5 years. Thirteen patients were obese and 19 (40.4%) had their menarche after age of 15 years. Adjuvant chemotherapy was administered to 31 patients while 12 had received neoadjuvant chemotherapy. Sequential chemotherapy with an anthracycline and a taxanetherapeutic protocol was the most used. Forty-seven patients had a chemotherapy-induced amenorrhea. The risk of having a chemotherapy-induced amenorrhea increases by 25% for each additional year of age at diagnosis of cancer (p = 0.0001). Obesity and menarche after age 15 were found to be protective factors. After adjusting these variables together, age, obesity, and age at menarche were factors independently associated with the occurrence of the chemotherapy-induced amenorrhea. The reversibility was effective in 11 cases (37.9%) and especially concerned patients younger than 40 years (p = 0.03). Conclusion: Age is the primary risk factor. Reliable markers of ovarian function need to be developed to better select fertility conservation protocols.

关键词： Amenorrhea Chemotherapy Breast Carcinoma

Epidemiological, Radio-Clinical and Histological Correlations of Breast Lesions ACR 3, ACR 4 and ACR 5 in the ouagadougou’ City

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Open Journal of Radiology 2020年第3期10卷 184-192页

作者： Massara Koné-Sigué Aïscha Madina Napon Soré Moussa Zanga Glwadys Cherlyn Béréhoudougou Kaboré Mathieu Kafando Pakisba ali ouédraogo Abel Yomboué Bamouni Léonie Claudine Lougué-Sorgho Department of Radiology Pediatric University Hospital Center (CHUP) Charles De gaulles Ouagadougou Burkina Faso Department of Radiology University Hospital Center (CHU) Yalgado Ouédraogo Ouagadougou Burkina Faso

Objective: To correlate the epidemiological and histological data of breast le-sions ACR 3, ACR 4 and ACR 5 biopsied on ultrasound in the city of ouaga-dougou. Materials and methods: This was a retrospective study of data for 02 years (2015-2017) in the city of ouagadougou. With the approval of the Ethics Committee for Health Research, the study focused on the histological results and radiological reports of biopsied lesions. Results: A total of 150 patients files had been collected. Breast lesions classified as ACR 4 were 50%, ACR 3 40% and ACR 5 10%. The risk factors were related to the ACR class. Ultra-sound was performed in all patients. The masses were the most common ele-mentary lesions found in breast imaging. On histology 98 lesions were benign, 16 intermediate lesions and 36 malignant lesions. Fibroids were the most common benign lesions of the ACR 3 and ACR 4 classes. Invasive ductal car-cinoma was the most common histologic type among malignant lesions in all ACR classes. Conclusion: Cancerous lesions are discovered late in our context. The ACR classification must always take into account discriminative ele-ments.

关键词： Breast Cancer ACR Echo-Mammography Burkina Faso

Management of Malaria in Pregnant Women at the Maternity Unit of the University Teaching Hospital Yalgado ouedraogo (UTH-YO) in ouagadougou: About Report on the Quality of Care

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1337-1344页

作者： ouattara Adama ouédraogo Smaila Lankoandé Bako Coulibaly Natacha ouédraogo Marie Charlemagne ouédraogo ali Thieba Bonané Blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objective: To do a report on the quality of the treatment of malaria in pregnant women at University Teaching Hospital Yalgado ouedraogo (UTH-YO) in ouagadougou. Materials and Methods: This was a descriptive cross-sectional study conducted from 29 July to 02 October 2016. The targets were pregnant women and gynecology and obstetrics service care providers. The study used an individual questionnaire administered and clinical parasitological research by the Rapid Diagnostic Test (RDT). Some information was verified in the patient’s prenatal consultation logbook. A total of 351 women and 44 providers participated in the study. The data was captured on a microcomputer and analyzed using Epi info version 7 software. Results: Regarding preventive measures, patients’ responses were correct for long-lasting impregnated mosquito net (LLIN) in 98.8% of cases and for intermittent preventive treatment (IPT) in 96.5% of cases. About providers, they had given a good answer in all cases for using LLIN and taking IPT. Regarding care providers’ knowledge of the clinical signs of malaria, fever was cited in 95.5% of cases for simple malaria and Frankish jaundice in 97.7% of cases for severe malaria. With regard to curative treatment, 77.3% of the care providers surveyed stated that quinine was the reference molecule for the treatment of simple malaria in pregnant women. In terms of the availability of inputs used for malaria management, our survey found no RDTs. Also, the only molecule available was quinine in its compressed and injectable forms. Conclusion: Care Providers’ and patients’ knowledge of malaria in the obstetrics and genecology department is quite satisfactory. However, some shortcomings were noted in the provision of screening and curative and preventive treatment. The elimination of malaria in our country will require joint efforts at all levels.

关键词： Malaria Pregnancy Treatment UTH-YO

Episiotomy: Epidemiological Aspects, Indications and Prognosis in the Bogodogo Health District

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1354-1363页

作者： ouattara Adama Lankoandé Bako Natacha ouédraogo Smaila Sawadogo Yobi Alexis Millogo Traoré Francoise ouédraogo Marie Charlemagne ouédraogo ali Thieba Bonané Blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objectives: To study the epidemiological aspects, indications and short and medium term prognosis of episiotomy in the health district of Bogodogo in ouagadougou, Burkina Faso. Materials and Method: It was a descriptive prospective study over 4 months from 1 July 2016 to 30 October 2016. It was conducted in 4 health facilities in the health district of Bogodogo in the city of ouagadougou. The study concerned the patients who gave birth after 28 gestational age (GA) and more, vaginally with episiotomy, in the 4 health facilities and who were reviewed at the appointment of the 9th day and the 3rd month. The data were collected using a questionnaire developed for the purposes of the study, seized with a laptop, then analyzed using the Epi-info software in its 3.5.1 version of the Atlanta C.D.C. Statistical comparisons were made using the Pearson chi-square test, with a significance level of p 0.05. Results: The overall episiotomy rate was 22%. For follow-up, 248 patients were reviewed on the 9th day and 109 patients on the 3rd month. The average age of our patients was 23.1 years. The average number of pregnancies was 1.7 with nulliparous women predominating (60.5% of cases). Excision was associated with episiotomy in 92.3% of cases, with perineal narrowing in 82.5% of patients. The mediolateral episiotomy was the most performed, in 76.6% of patients. Vulvo-perineal stricture was the main indication (75% of cases). The experience during the episiotomy and the evolution following the immediate layer was marked by pain. Dyspareunia was the main difficulty in resuming sexual intercourse. Conclusion: The episiotomy rate in our study was 22%. A program of continuous improvement of the quality of care concerning episiotomy encompassing various actions (audits, training) could reduce the use of episiotomies.

关键词： Episiotomy Epidemiology Bogodogo

Causes of Maternal Mortality According to Reports of Maternal Death Audits in the University Teaching Hospital Bogodogo (UTH-B) from January to December 2017

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1345-1353页

作者： ouattara Adama ouédraogo Smaila Lankoandé Bako Coulibaly Natacha Kain Dantola Paul Tougma Sanou aline ouédraogo Marie Charlemagne ouédraogo ali Thieba Bonané Blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objective: To study causes of maternal mortality according to reports of maternal death audits in the University Teaching Hospital Bogodogo (UTH-B) of ouagadougou, Burkina Faso. Materials and Method: This was a prospective study that took place over a year from 1 January to 31 December 2017.? It concerned maternal deaths that occurred during this period in the obstetrics and gynecology department of the University Teaching Hospital Bogodogo (UTH-B). All maternal deaths were systematically audited by the audit committee;interviews with providers and families were sometimes conducted. The record books of all patients were analyzed by the audit committee;if necessary, interviews were conducted with care providers and families. The main information collected were recorded on individual files, entered and analyzed using the software Epi-info 7. Result: During the study period, we recorded 32 maternal deaths i.e., 587 per 100,000 live births. Deceased women under age 20 were the most numerous, followed by women aged 20 to 24. The death occurred in most cases in the puerperium in 69.80% of cases. Complications of pregnancy were the most incriminated causes in maternal deaths. Bleeding was the leading cause, accounting for 34.3%. They are followed by hypertensive disorders of pregnancy (21.8%) and infections (18.8%). In the contributing factors, resource factors were incriminated in 56.2% of cases, social factors in 43.7% of cases and medical factors in 25.4% of cases. Death was non-preventable in 76.2% of cases compared to 23.8% of preventable deaths. Conclusion: Maternal mortality is a major public health problem at the maternity hospital of the university hospital Yalgado ouedraogo. Hemorrhage is the first cause of death. Hypertensive diseases are more and more worrying. Solutions must be found to improve the practice of audits in the obstetrics and gynecology department of UTH-B.

关键词： Audits Review Maternal Deaths Causes of Maternal Deaths

Quality Control of First Trimester Ultrasound Examinations in the Gynecology and Obstetrics Department of the University Teaching Hospital Yalgado ouedraogo (UTH-YO) of ouagadougou, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1399-1413页

作者： ouattara Adama Nde ouédraogo Nina Astrid Lankoandé Bako Natacha ouédraogo Smaila Nare Amelie Tougma Sanou aline Sawadogo Yobi Alexis Millogo Traoré Francoise ouédraogo Marie Charlemagne ouédraogo ali Thieba Bonané Blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objective: To evaluate the quality of first trimester ultrasound examinations in patients consulting in the gynecology and obstetrics department at the University Teaching Hospital Yalgado ouedraogo (UTH-YO) of ouagadougou. Method: our study took place from January 1st to March 31st 2017, in the department of Obstetrics and Gynecology of the University Teaching Hospital Yalgado ouedraogo of ouagadougou. This was a descriptive study on the records of the first trimester ultrasound of pregnancy, with analysis of the iconography. We used the criteria of the Technical Committee of Fetal Echography (TCFE) of France to analyse all the ultrasound reports brought by the patients. Results: Two hundred reports were collected in three months. In terms of ultrasound identification, only 2 reports out of 200 mentioned the brand and date of first circulation and 4 specified the type of device. The study of the quality of the appointment showed that only 52% of the ultrasounds had been performed at the right time, between 11SA - 14SA of amenorrhea. For the nuchal translucency quality, we rated by the Herman score, 41.67% of the scores were of “unacceptable” quality and only 58.33% were of “acceptable” quality we did not achieve “excellent” quality. The analysis of the biparietal diameter (BIP) cuts revealed that 1/4 only anatomical cuts had been well made. Analysis of the cranio caudal length (CCL) cuts showed that only 14.58% of the CCLs had been well done. Elements of early morphology had been explored to less than 5%. Conclusion: The results revealed the acceptable quality of the NC measurements, but a small proportion of NC achieved. The quality of the ultrasound, morphological analysis and biometrics period is not very acceptable.

关键词： Ultrasonography First Trimester Reports UTH-YO