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Pregnancy and Obstetrical Outcomes Following Treatment for Cervical Intra-Epithelial Neoplasia (CIN) in Two Hospitals of a Low-Resource Country

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Advances in Reproductive Sciences 2024年第1期12卷 51-59页

作者： bruno kenfack Clovis-Achille Tanekeu Atem Bethel Ajong Zabdielle Blonde Goufack kenfack Patrick Petignat Pierre Marie Tebeu Department of Gynecology and Obstetrics Faculty of Medicine and Pharmaceutical Science University of Dschang Dschang Camer-on Institur Supérieur des Sciences de la Santé Université des Montagnes Bangangté Cameroon Kekem MD District Hospital West Region Cameroon Department of Epidemiology and Public Health Faculty of Medicine and Pharmaceutical Science University of Dschang Dschang Cameron Geneva University Hospitals Genevas Switzerland Faculty of Medicine and Biomedical Science University of Yaounde I Yaounde Cameroon

Objective: In Cameroon, more than 80% of women suffering from cervical intraepithelial neoplasia (CIN) are within the reproductive age. This study intended to analyze the pregnancy outcomes following cervical treatment in Cameroon. Methods: This was a cohort study with two years retrospective data collection involving 82 women who underwent cervical treatment for CIN in two Cameroonian hospitals from January 2015 to December 2017. Data were collected from CIN treatment to end of pregnancy where applicable. Data analysis was done using Epi Info software version 3.5.4. Results: We collected data from 82 patients aged 27 to 48 years, with a mean age of 36.5 (SD: 5.3) years. During the study period, 33 out of 82 participants became pregnant 40.2 [29.56 - 51.66]%. The factor associated with pregnancy occurrence after treatment was age less than 35 years (Odds ratio = 4.37 [1.7 - 11.2]. From the 33 pregnancies recorded, 17 (51.5%) ended in a delivery, amongst which 15 (88.2%) were vaginal. Conclusion: Pregnancy frequency over two years following cervical treatment for CIN was relatively good, and younger women (age 35 years) were significantly more like to have conceived compared to their older counterparts. Post-treatment delivery outcomes seem to be similar to those in the general population.

关键词： Cervical Intraepithelial Neoplasia Cervical Treatment Pregnancy Outcome

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Quality of Caesarean Sections in Rural Sub-Saharan Africa: A Prospective Study in Cameroon

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Open Journal of Obstetrics and Gynecology 2021年第10期11卷 1361-1377页

作者： Jean Dupont Ngowa Kemfang Jovanny Tsuala Fouogue Adeline Christel Gwet Arouna Ngapagna Njayou bruno kenfack Loic Meukem Tatsipie Christiane Nsahlai Henri Donald Mutarambirwa Pamela Leonie Fouogue Nzogning Manebou Pierre Marie Tebeu Department of Obstetrics and Gynaecology Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1 Yaounde Cameroon Department of Obstetrics Gynaecology and Maternal Health Faculty of Medicine and Pharmaceutical Sciences of the University of Dschang Dschang Cameroon Institute of Health Science University of Montagnes Bangangte Cameroon Saint Vincent de Paul Hospital Dschang Cameroon Department of Translation Administrative Court of Bafoussam Bafoussam Cameroon

Introduction: Caesarean section (CS) is a major reproductive health intervention to improve maternal and foetal outcomes if appropriately performed. This study aimed to assess the quality of Caesarean sections (CS) in a rural setting in Cameroon. Materials and Methods: A prospective study conducted in 3 hospitals from February 1st 2020 to April 30th 2020. One hundred and twenty women who had a CS were included. Data were grouped into 5 categories: 1) Sociodemographic and obstetrical characteristics, 2) Geographic and financial access, 3) Diagnostic procedures, 4

关键词： Childbirth Caesarean Section Robson’s Classification Apgar Score

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