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Features and Patterns of Primipara Delivery in a Cameroon Semi-Rural Area: The Case of Ayos Locality

Open Journal of Obstetrics and Gynecology 2023年第1期13卷 64-73页

作者： Serge Robert Nyada Cliford E. Ebong Junie Annick Metogo Ntsama Michelle Mendoua Christiane Nsahlai Véronique Mboua Pascale Mpono Emenguele Isidore Tompeen Etienne Belinga Cyrile claude noa ndoua Centre Hospitalier de Recherche et d’Application en Chirurgie Endoscopique et Reproduction Humaine Paul et Chantal Biya (CHRACERH) Yaoundé Cameroon Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon The Central Hospital of Yaoundé Yaoundé Cameroon University Teaching Hospital of Yaoundé Yaoundé Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Gynaeco-Obstetric and Pediatric Hospital of Yaoundé Yaoundé Cameroon

Introduction: The delivery of a primipara, a woman giving birth for the first time, is challenging and may lead to complications and influence the obstetrical future of a woman. Materials and Methods: We carried out a cross-sectional and analytical study at the maternity of the regional hospital annex of Ayos, a semi-rural locality in Cameroon, for the period between January 2012 and December 2020. The objective was to determine the frequency and the determinants of primipara delivery. Results: We recruited 440 cases. The frequency of primipara delivery was 31.8%. The ages of the participants ranged from 12 to 35 years with a mean age of 18.01 ± 3.52 years. Single women contributed to 95.5% of cases while 97.5% were unemployed. The delivery occurred at term in 90.2% and 98.4% of pregnancies were singleton. The delivery was vaginal in 91.6%, while caesarean delivery was done in 8.4% (8% emergency and 0.4% elective). The most frequent maternal complications were genital tract tears (15.7%), post-partum hemorrhage (12.5%) and endometritis (2.7%). The birth weight of newborns ranged from 1070 to 4500 g with a mean of 3024.5 ± 511.4 g. The single marital status, a gestational age between 37 and 42 weeks and a birth weight between 1500 g and 2499 g were significantly associated with vaginal delivery. Conclusion: The frequency of primiparous delivery was relatively high (31.8%) in the Ayos semi-rural health district of Cameroon. Major complications associated with delivery included genital tract tears, post-partum hemorrhage, cesarean section and neo-natal infection.

关键词： Primipara Delivery Complication Semi-Rural Cameroon

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Improving Post Abortion Care (PAC) Delivery in Sub-Saharan Africa: A Literature Review

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Open Journal of Obstetrics and Gynecology 2020年第9期10卷 1295-1306页

作者： Alphonse Nyong Ngalame Robert Tchounzou Humphry Tatah Neng Fulbert George Nkwele Mangala Rakya Inna Diane Modjo Kamdem Bilkissou Moustapha Julius Sama Dohbit Eugene Justine Kongnyuy claude ndoua noa Benova Lenka Gregory Ekane Halle Darolles Wekam Mwadjie Therese Delvaux Emile Telesphore Mboudou Gynecology & Obstetrics Unit Douala Gyneco-Obstetric and Pediatric Hospital (DGOPH) Douala Cameroon Faculty of Health Sciences (FHS) University of Buea Buea Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Faculty of Medicine and Biomedical Sciences (FMBS) University of Ngaoundere Ngaoundere Cameroon Faculty of Medicine and Biomedical Sciences (FMBS) University of Yaounde I Yaounde Cameroon United Nations Population Fund (UNFPA) Bamako Mali Institute of Tropical Medicine (ITM) Antwerpen Belgium

Saharan Africa (SSA) contributes 29% of the global unsafe abortions with 62% of abortion-related deaths. This is due to restrictive abortion laws, low quality post abortion care (PAC) and inadequate access to effective modern contraception. The overall objective was to review current literature on PAC in SSA and make recommendations for improvement especially in Cameroon. A literature review was conducted on PAC in SSA published during 2000-2018. The following databases were searched: MEDLINE, POPLINE, COCHRANE Library, African Index Medicus and GOOGLE Scholar. Thirty articles were reviewed from 16 countries ranging from observational studies to systematic reviews with meta-analysis. Major outcomes: 1) Manual vacuum aspiration (MVA) and misoprostol are equally safe and effective. 2) There is comparable effectiveness between physicians and trained mid-level cadres in PAC management. 3) PAC contraception uptake was increased when offered immediately before patient leaves the facility. 4) Gaps to PAC service use include inadequate access, low quality care and less adolescent-friendly environment. Task shifting of PAC to trained mid-level staff, decentralization of medical PAC using misoprostol, offering post abortion counselling and contraception to clients before leaving the health facility, encouraging linkage and provider-community partnership in PAC and reinforcement of advocacy for less restrictive abortion laws in Cameroon are recommended.

关键词： Post Abortion Care (PAC) Misoprostol Contraception Midlevel Cadres Sub-Saharan Africa

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Per-Partum Anaemia and Missed Post-Partum Haemorrhage in Low Resources Settings

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Open Journal of Obstetrics and Gynecology 2018年第14期8卷 1557-1568页

作者： Valere Salomon Mve Koh claude C. noa Ndoa Julius Dohbit Sama Raoul Tefee II Philipe Nana Njotang University of Yaoundé I Yaoundé Cameroon University Teaching Hospital of Yaoundé Yaoundé Cameroon Centre Hospitalier de Recherche et d’Application en Chirurgie Endoscopique et Reproduction Humaine (CHRACERH) Yaoundé Cameroon Gynaeco-Obstetric and Paediatric Hospital of Yaoundé Yaoundé Cameroon Central Hospital of Yaoundé Yaoundé Cameroon

Background: Post-partum haemorrhage is the leading cause of maternal death throughout the world, and anaemia is one of its indirect causes. Anaemia during labour increases the risk of PPH and may lead to maternal mortality even after moderate PPH. Undiagnosed PPH and post-partum anaemia increases the risk of late maternal death in the community. The aim of this study was to assess the prevalence of anaemia on admission for labour, the occult early post-partum haemorrhage and the magnitude of post-partum anaemia in a low resource setting. Methods: This was a longitudinal study. We included pregnant women in labour. Haemoglobin concentration was measured on admission (H0), then 24 hours (H24) and 48 (H48) hours later. The post-partum blood loss was estimated by delta haemoglobin, using the criteria of M. Driessen et al. Results: We recruited 245 pregnant women. The mean age was 27.0 ± 6.0 years. The mean hemoglobin concentration was 11.7 ± 1.9 g/dl, the frequency of anaemia was 30.6% and was related to ethnicity (P = 0.042) gestational age (p < 0.001) marital status (p = 0.014) and the inter pregnancy time space (p = 0.001). Twenty-two-point two percent had post-partum haemorrhage among which 40% were undiagnosed. The mean blood loss was 375 ml and post-partum anaemia rate was 44.5%. Conclusion: Anaemia on admission was related to socio-demographic characteristics. The frequencies of anaemia during labour, missed PPH and undiagnosed post-partum anaemia were high. Haemoglobin concentration on admission for labour and after delivery, reliable method to assess PPH should be mandatory, to better identify per and post-partum anemia, and the management of PPH, in low income environments.

关键词： Haemoglobinometer Per-Partum Anaemia

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Cesarean Sections according to the Robson’s Classification in Two University Hospitals of Yaoundé: Indications and Maternofetal Outcome

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第11期

作者： noa ndoua claude cyrille Ndongo Ivan Alfred Essiben Felix Toukam Louise Kemfang Ngowa Jean Dupont

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Pregnancy and Congenital Uterine Anomalies: Case Series

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第4期

作者： Ako Annabel Mangwi Akoh Simon Nji Mpono Pascale Mendibi Sandrine Belinga Etienne noa ndoua claude cyrille

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A Rare Case of a Left Ovarian Remnant Syndrome Associated with a Symptomatic Right Ovarian Cyst

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第1期

作者： noa ndoua claude cyrille Metogo Ntsama Junie Annick Mbarga Jules Anthony Belinga Etienne Mapina Madola Alice Elvire

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Ectopic Molar Pregnancy with Coexistent Normal Intrauterine Pregnancy: A Report of an Unusual Diagnosis managed in Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第5期

作者： Tompeen Isidore Ekono Michel Roger Guy Mendouga Menye Coralie Belinga Etienne noa ndoua cyrille Foumane Pascal

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The Delivery of Grand Multiparas in a Semi-Rural Setting: A Cross-Sectional Descriptive Study at the Ayos Locality of Cameroon

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第1期

作者： Serge Robert Nyada Cliford E.Ebong Véronique Mboua Christiane Nsahlai Pascale Mpono Emenguele Michelle Mendoua Junie Metogo Isidore Tompeen Cyrile claude noa ndoua

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Features and Patterns of Primipara Delivery in a Cameroon Semi-Rural Area:The Case of Ayos Locality

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第1期

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Improving Post Abortion Care (PAC) Delivery in Sub-Saharan Africa: A Literature Review

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2020年第9期

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