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Open Journal of Obstetrics and Gynecology 2023年第11期13卷 1771-1782页

作者： ana touré ecra Luc Olou Perel Konan Department of Gynecology and Obstetrics General Hospital of Yopougon Attié Abidjan C&#244te d’Ivoire Faculty of Medicine Félix Houphoüet-Boigny University Cocody Ivory Coast Urban Community Health Center of Wassakara Department of Gynecology and obstetrics Abidjan C&#244te d’Ivoire Department of Gynecology and Obstetrics General Hospital of Abobo Gare Abidjan C&#244te d’Ivoire

Introduction: Perinatal mortality linked to fetal anemia of red cell alloimmunization in Côte d’Ivoire as in many developing countries can be explained by a lack of knowledge of Rhesus D feto-maternal alloimmunization, hence the obvious importance of carrying out a study on the problem of prevention of alloimmunization in rhesus negative births. This study takes stock of the management of this pathology in a reference hospital. Results and Discussion: Rh-negative mothers account for 6% of births, 42.7% (70/164) of women had a history of risk, about 61% of women had not had proper prophylaxis during previous pregnancies;and as many had not had follow-up of the coombs test during the current pregnancy;only 4.9% of patients had systematic prophylaxis with anti D serum at 28 weeks of pregnancy. This low rate of prevention is related to the financial difficulties of the patients, but also to a lack of knowledge of the pathology by the nursing staff. Conclusion: Good management of rhesus negative women during their pregnancy allows their incompatible child to benefit from all current treatments ensuring a healthy birth. It is therefore important for medical personnel to know how to deal with this rare disease in a small proportion of pregnant women.

关键词： Red Cell Alloimmunization Prophylaxy Pregnancy Côte d’Ivoire

Is the Mock Transfer Enough Reliable to Evaluate Hysterometry for Embryo Transfer?

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Open Journal of Obstetrics and Gynecology 2023年第3期13卷 516-527页

作者： ana touré ecra Luc Nigué Noumoutié Kourouma 1General Hospital of Yopougon Attié Abidjan C&#244te d’Ivoire Biostatistics Laboratory Department of Medical Sciences University Félix Houphou&#235t-Boigny Abidjan C&#244te d’Ivoire Dominique Ouattara Mother-Child Hospital Bingerville C&#244te d’Ivoire

Objectives: The aim of this study was to assess the reliability of the mock transfer during in vitro fertilization process Method: A case-control study was conducted on 134 patients included in IVF/ICSI cycles. From the hysterometry obtained during the mock transfer, the ideal embryo replacement site, i.e. two cm from the uterine fundus has been determined. Results: Significant differences were noted between the area estimated from the mock transfer and the area where the embryo was deposited during the actual embryo transfer. In fact, 15.9% of the patients had a difference between four and six cm, and 32% of the patients returning for a subsequent transfer had at least 2 cm of difference between the embryo deposit zones. This difference was significant (P 0.00) Conclusion: More than ultrasound guidance, the challenge with embryo transfer is to be able to minimize variations in the length of the uterus. This would make it possible to determine the ideal transfer depot area without multiple manipulations.

关键词： Mock Transfer Hysterometry Ultrasound Guidance Embryo Transfer

Could Labor Be Considered Outside of a Medical Environment in Africa? Case of the Maternity Hospital in Yopougon Attié/Abidjan/Ivory Coast/West Africa

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Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1632-1644页

作者： ecra ana touré Konan Blé Rémy Koffi Koffi Abdoul Konan Perel Department of Gynecology and Obstetrics General Hospital of Yopougon Attié Abidjan C&#244te d’Ivoire Faculty of Medicine Université Félix Houphoüet-Boigny Abidjan C&#244te d’Ivoire Urban Community Health Center of Wassakara Abidjan C&#244te d’Ivoire Department of Gynecology and Obstetrics General Hospital of Abobo Gare Abidjan C&#244te d’Ivoire

Introduction: Developing countries are characterized by a high maternal mortality rate, particulary related to the management of childbirth. The author describes in this work 588 childbirth labors that took place without any medical supervision. Method: All patients who reached the hospital with a full cervix dilation were included in the study. The outcomes of those childbirth labors without medical supervision were evaluated at the maternal and neonatal level. Results and Discussion: The average age of the patients was 28.1 ± 13 years with 47% nulliparous and 30% pauciparous. These patients represented 14% of all births;59% of the patients had had three and five prenatal consultations. 71% of them came straight from home and had meconium-stained amniotic fluid. The APGAR score was greater than 6 in 94% of newborns, and 66.7 of them weighed between 2500 and 3500 g. Only 0.9% of patients coming from home needed a caesarean section. Conclusion: Home birth is not yet possible in Africa because it is not supervised by professionals who know the risks of childbirth, its complications and recognize the warning signs;however, the results of this preliminary study show that the issue of home childbirth in Côte d’Ivoire can be reconsidered subject to greater involvement of medical staffs.

关键词： Cervix Dilation Stage Childbirth Labor Medical Supervision Neonatal Prog-nosis Côte d’Ivoire

Traumatic Uterine Rupture Following a Traffic Accident: About a Case

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Open Journal of Obstetrics and Gynecology 2017年第9期7卷 957-965页

作者： touré ecra ana AKA Kacou Edele Konan Perel Koffi Koffi Abdoul Olou Luc University Félix Houphoüet Boigny Abidjan Cote d’Ivoire

The authors report the case of a pregnant victim of a road accident, complicated by uterine rupture. The maternal outcome was favorable, with a fetal death. The interest of this observation lies in the 3 delays descri... 详细信息

关键词： Trauma Road Accident Uterine Rupture Cote d’Ivoire Africa

Acceptability of Gametes Donation in Cote d’Ivoire

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Open Journal of Obstetrics and Gynecology 2017年第4期7卷 400-410页

作者： ana Fatoumata touré écra Abdoul Koffi Koffi Kacou Edele Aka Minata Fomba Perel Konan University Félix Houphoüet Boigny AbidjanCote d’Ivoire

Introduction: The need for childbearing is greater in Sub-Saharan countries for socio-cultural reasons. In fact, it is correlated to the need for the transmission of one’s own genes. That is why the assisted reproductive technology with a third party donor can be considered as proxy procreation and can be rejected. Methods: All female patients who consulted for a childbearing desire and who needed an assisted reproductive technology with a third party donor were included in the study held at the university teaching hospital of Yopougon and in a private clinic from 1 September 2014 to 31 October 2015. 100 couples were included. Results: 82% of the men accepted the gametes donation in their couple and 89% of women did. 54% of the men accepted the donation spontaneously and 66% of the women too. The others were reserved before accepting it finally. The reasons for this reserved attitude regarding the donation were mainly the need to reflect for the men and the necessity to seek for their partner’s opinion concerning the women. Conclusion: The rate of acceptability of the gametes donation is very high in C?te d’Ivoire in spite of the cultural perception of the genes transmission.

关键词： ART Gametes Donation Acceptability Cote d’Ivoire

Factors Influencing the Acceptance of the Gametes Donation in Cote d’Ivoire/West Africa

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Open Journal of Obstetrics and Gynecology 2017年第5期7卷 600-607页

作者： ana Fatoumata touré écra Abdoul Koffi Koffi Kacou Edele Aka Minata Fomba Perel Konan University Félix Houphoüet Boigny AbidjanCote d’Ivoire

Introduction: Africans ensure their offspring by transmitting their own genes. Even if adoption is a common thing in Africa, the biological kinship keeps its supremacy. The following study tries to identify socio-cultural factors that may influence the couples’ attitude towards the gametes donation. Methods: All female patients consulting for a childbearing desire and with an indication of an assisted reproductive technique with a third donor, were included in this longitudinal retrospective and prospective study at the teaching hospital of Yopougon and in a private clinic from 1st September 2014 to 31 October 2015. 100 couples were included. Chi square test was used for statistics data. The following factors were analyzed: age, sex, religion, profession, anterior procreation, existence of a common child, infertility duration. Results: Only the age had a significant link with the egg donation refusal rate. Conclusion: This work makes it possible to foresee that Africans have the same conception of procreation because one finds this desire of childbearing in all the layers of the society.

关键词： Gametes Donation Acceptability Factors Cote d’Ivoire Africa

Myoma Delivered through the Cervical during Labor: About a Case and Review of the Literature

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Open Journal of Obstetrics and Gynecology 2023年第1期13卷 97-102页

作者： touré Écra ana Konan Blé Rémy Marcel N’Cho Edi Koffi Koffi Abdoul Aka Edel Konan Perel Olou Luc Université Félix Houphouë t Boigny Abidjan C&ocirc te d’Ivoire Hô pital Général de Yopougon Attié Abidjan C&ocirc te d’Ivoire

The authors report the clinical case of a multipara whose intracervical myoma had been diagnosed during the prenatal follow-up and who was delivered into the vagina during labor. Caesarean section was indicated to avoid rupture of the pedicle during fetal expulsion. The myomectomy was performed in a second operation via the vagina, without complications.

关键词： Fibroids Pregnancy Childbirth Location