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Hemostasis Hysterectomies in a Low Resources Country: Epidemiological, Clinical, and Therapeutic Aspects

Open Journal of Obstetrics and Gynecology 2019年第9期9卷 1265-1272页

作者： Adama Dembele Hyacinthe Zamané Souleymane Ouattara Barnabé Yaméogo Youssou Ahamada der adolphe somé Moussa Bambara Blandine Bonane Thieba Department of Obstetrics Gynecology and Reproductive Medicine Souro Sanou Teaching University Hospital Bobo Diou-lasso Burkina Faso Higher Health Sciences Institute Nazi Boni University Bobo Dioulasso Burkina Faso Training and Research Unit in Health Sciences Professor Joseph Ki Zerbo University Ouaga 1 Ouagadougou Burkina Faso

Background: The perilous path of the African woman’s pregnancy often ends in difficult situations putting her life in danger. One of the solutions to save her is often to “remove” her uterus, in a hemorrhage and emergency context. It is the hemostasis hysterectomy. It’s generally practiced in difficult conditions with complicated operative follow-ups. The tragedy is that finally the patient will die (almost 1 time out of 2 in our study). This is the sad reality of resource-limited countries. How many women will continue to die under these conditions? This study attempts to explore the different aspects of this reality. Objective: To study the epidemiological, clinical, and therapeutic aspects of hemostasis hysterectomies at the Teaching Hospital of Souro Sanou University Hospital in Burkina Faso. Methodology: This was a prospective cross-sectional descriptive study conducted over 12 months from January 1 to December 31, 2015. Included in our study were all patients received in our department and who required a total or subtotal hysterectomy in the management of a severe postpartum hemorrhage, during the study period. Results: The frequency of hemostasis hysterectomies was 0.4% compared to all deliveries. The average age was 29.65 years old. The average parity was 4.3. Multiparas and large multiparas accounted for 65%. The main indications were uterine rupture (40%) and uterine inertia (60%). Hysterectomy was subtotal in 95% of cases. Maternal morbidity was dominated in 90% of cases by hemorrhagic shock, hemostatic disorders, and obstetrical fistulas. The prognosis was poor, with 8 deaths or 40% of cases. Conclusion: Better management of pregnancy and childbirth would reduce cases of hemostasis hysterectomies. The availability of blood products would improve the maternal prognosis.

关键词： Subtotal Hysterectomy Uterine Rupture/Uterine Inertia Reserved Prognosis

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Knowledge, Attitudes and Contraceptive Practices among Young People from the Youth Listening Center of the Burkinabè’s Family Well-Being Association in Bobo-Dioulasso City

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Open Journal of Obstetrics and Gynecology 2019年第10期9卷 1315-1324页

作者： der adolphe somé Yaméogo Rélwendé Barnabé Kaboré Ahmed Ouattara Souleymane Obossou Awade Afoukou Achille Thieba Bonane Blandine Dao Blami Department of Gynecology Obstetrics and Reproductive Medicine Souro Sanou University Teaching Hospital Bobo-Dioulasso Burkina Faso Department of Public Health Joseph KI Zerbo University Ouagadougou Burkina Faso Department of Gynecology and Obstetrics University Teaching Hospital of Parakou Parakou Benin Department of Gynecology and Obstetrics Yalgado Ouédraogo University Teaching Hospital Ouagadougou Burkina Faso Jhpiego Ouagadougou Burkina Faso

Objective: To study the knowledge, attitudes and practices regarding contraception among young people in the Burkinabè’s family well-being association for youth listening center in Bobo-Dioulasso city. Methods: This was a survey of 635 clients in the youth listening’s center of Bobo-Dioulasso city, Burkina Faso. These clients were gradually included by random choice from January 15 to April 15, 2018. The data were collected by self-administered written questionnaire under the supervision of an investigator and after a free and informed verbal agreement of the participant. The analysis was done using the software Epi info version 7.***.1.0. Results: The average age of the respondents was 20.62 years. Female respondents were more numerous, 508 (80%). Contraceptive methods were known by 98.12% of respondents and 61.42% said they were always using them. Two-thirds of clients (67%) cited at least two benefits of contraceptive methods which were correct. Condoms were the best-known method (92.60%) and also the most used (92.56%). But emergency contraception was known by 30.71% of participants. Young people who were already sexually active accounted for 73.54% of the sample with a mean age at their first sexual intercourse of 18.42 years. Conclusion: The majority of respondents knew contraceptive methods. However, risky sexual behaviors and misconceptions about contraception remain. The setting up of family planning services within schools and the teaching of a reproductive health module in all secondary schools will contribute to improve their sexual and reproductive health.

关键词： Contraception Sexuality Young Bobo-Dioulasso

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Sexual Experience of Women after Gynecological Hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo Teaching Hospital, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2019年第9期9卷 1273-1283页

作者： der adolphe somé Rélwendé Barnabé Yaméogo Souleymane Ouattara Dantola Paul Kain Béwendin Evélyne Komboigo Blandine Thiéba Bonané Department of Gynecology Obstetrics and Reproductive Medicine Souro Sanou University Teaching Hospital Bo-bo-Dioulasso Burkina Faso Department of Obstetrics and Gynecology Yalgado Ouedraogo University Teaching Hospital Ouagadougou Burkina Faso

Objective: To study the sexual experience of women after gynecological hysterectomy in the obstetrics and gynecology department of Yalgado Ouedraogo University Teaching Hospital in Burkina Faso. Patient and Method: We conducted a cross-sectional study from October 1, 2016 to March 30, 2017. It included any patient who had a gynecological indication for a hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo University Teaching Hospital (CHU-YO) during the study period. A total of 85 patients were included. We collected information from the consultation records, clinical records, and operating room registries and by surveying the patients themselves. Result: The frequency of hysterectomy in the gynecological period was 3.9%. The mean age of the patients was 51.71 (extremes: 35 and 66 years) and the mean parity was 4.8. Married women were the majority. Fibromyoma and genital prolapse accounted for 56.47% and 23.53% respectively of operative indications. Regarding postintervention sexuality, 29.41% of women declared no longer having sexual desire. Also, they complained of vaginal dryness (31.8%), decreased frequency of orgasm (42.3%), dyspareunia (37.65). Sexual dysfunction was present in 82.35% of women. There was a statistically significant difference between global sexual functioning and geographic origin, educational attainment, socio-economic level, surgical approach, preintervention sexual counseling, women’s psychological profile and their emotional relationship with their spouses. Conclusion: The psychosexual soundness of hysterectomy is important. A diagnosis of sexual disorders prior to the intervention and psychological follow-up throughout the therapeutic process of the pathology indicative of a hysterectomy is necessary for successful postoperative sexuality.

关键词： Sexual Experience Gynecological Hysterectomy Satisfaction Ouagadougou Burkina Faso

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Molecular Epidemiology of High-Risk Human Papilloma Virus Infection in Sexually Active Women at Bobo-Dioulasso University Teaching Hospital

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Open Journal of Obstetrics and Gynecology 2019年第8期9卷 1178-1188页

作者： Souleymane Ouattara der adolphe somé Adama Dembélé Salif Sanfo Théodorat Zohoncon Abdoul-Karim Ouattara Moussa Bambara Blami Dao Jacque Simporé Université Nazi Boni Bobo-Dioulasso Burkina Faso Laboratoire de Biologie Moléculaire et de Génétique (LABIOGENE) Université de Ouagadougou Université Ouaga I professeur Joseph Ki Zerbo Ouagadougou Burkina Faso CHU Souro Sanou Bobo-Dioulasso Burkina Faso

The objective of this study was to determine the prevalence of HPV-HR genotypes in the population of sexually active women in Bobo-Dioulasso, Burkina Faso. Methods: This study took place at Souro Sanou Teaching Hospital in Bobo-Dioulasso from September to June 2017. A total of 234 women in the gynecological period and also sexually active were enrolled after they gave an individual consent. Swabbing of the endocervical canal was done. From the sample stored at -20°C, the viral DNA was extracted using the “DNA-Sorb-A” kit from SACACE biotechnologies®. Amplification of the PCR of the extracted DNA was made, using the “HPV Genotypes 14 Real-TM Quant” V67-100 FRT kit. Data were analyzed with SPSS software version 17.0 and Epi Info 6. Chi-square and Fisher’s tests were used to compare proportions and averages;a link was significant when p 0.05. Results: The mean age was 30.7 ± 7.3 years (median: 30 years);84.5% of them were married, 43.5% had a socio-professional activity and 61% were schooled. A total of 20.6% of women were positive for at least one of the following HPV-HR genotypes: HPV 18, 31, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. Genotypes the most frequently found were HPV 52 with 11 cases (17.2%) and 66 with 10 cases (15.6%). Conclusion: Our results show a predominance of HPV-HR genotypes not covered by available vaccines. Mapping genotypes are needed to fully understand viral ecology at the national level. But for instance, the nonavalent vaccine, which has a better coverage of the predominant genotypes, is to be promoted.

关键词： HPV-HR Epidemiology Genotypes Bobo-Dioulasso

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Prevalence of Group B Streptococcus among Pregnant Women in Bobo-Dioulasso (Burkina Faso)

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Open Journal of Medical Microbiology 2019年第3期9卷 63-76页

作者： Abdoul-Salam Ouédraogo Yacouba Sawadogo der adolphe somé An Vercoutere Soufiane Sanou Souleymane Ouattara Fernand Michodigni Armel Poda Moussa Bambara Lassana Sangaré Sylvain Godreuil Departement of Microbiology Laboratory Sour&ocirc Sanou University Hospital Bobo Dioulasso Burkina Faso Department of Obstetrics and Gynecology Sour&ocirc Sanou University Hospital Bobo Dioulasso Burkina Faso Faculty of Medecine and health Sciences Ghent University Ghent Belgium Departement of Infectiology Sour&ocirc Sanou University Hospital Bobo Dioulasso Burkina Faso Departement of Microbiology Laboratory Yalgado Ouedraogo University Hospital Ouagadougou Burkina Faso Bacteriology-Virology Laboratory Montpellier University Hospital Montpellier France

Background: Group B Streptococcus (GBS) or Streptococcus agalactiae, which asymptomatically colonizes the female genital tract, is one of the leading causes of septicemia, meningitis and pneumonia in neonates. This study was conducted in Bobo Dioulasso, Burkina Faso to determine the prevalence of GBS colonization among pregnant women. Methods: Six hundred and eleven (611) pregnant women were screened for GBS colonization between July and December 2016. Vaginal swab samples were aseptically collected from the subjects after oral informed consent. Standard microbiological methods were used to isolate and identify GBS isolates. The antibiotic susceptibility profile of GBS isolates was assessed using the Kirby-Bauer disk diffusion method. Results: Colonization prevalence was 6.05%. No risk factors associated with the carriage rate was statistically identified. All isolates were susceptible to Amoxicillin, Ampicillin, Cefotaxime, Levofloxacin, Vancomycin and Nitrofurantoin. Resistance to antibiotics was found for erythromycin (35.14%), lincomycin (16.22%) and penicillin G (10.81%). Conclusion: Although a low carriage (6.05%) rate and isolates were susceptible to many antibiotics found in this study, a policy of systematic screening of pregnant women at least in the third trimester must be promoted.

关键词： Group B Streptococcus Prevalence GBS Carriage Burkina Faso

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Postpartum Eclampsia in the Department of Obstetrics Gynecology and Reproductive Medicine of the Souro Sanou University Hospital;Burkina Faso: About 76 Cases

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1176-1184页

作者： Yaméogo Rélwendé Barnabé Sawadogo Amidou Kaboré Ahmed Komboigo Béwendin Evelyne Dembélé Adama somé der adolphe Souro Sanou University Hospital Bobo Dioulasso Burkina Faso Public Health Department of Joseph Ki-Zerbo University Ouagadougou Burkina Faso

Background: Postpartum eclampsia is a life-threatening obstetric emergency. Its management is multidisciplinary. Despite measures taken to accelerate the reduction of maternal, fetal and infant mortality in Burkina Faso, maternal deaths related to postpartum eclampsia persist. The aim of the study was to investigate the epidemiological, clinical and prognostic aspects of postpartum eclampsia in the obstetrics department of the Sourô Sanou University Hospital in Bobo-Dioulasso. Method: This was a descriptive cross-sectional study with retrospective data collection covering the period from June 1, 2018 to May 31, 2019. We included 76 patients in the study;the variables studied were the epidemiological, clinical and prognostic aspects. The data collected were entered on a microcomputer and analyzed with the EPI info version 7.2 software. Results: The prevalence of postpartum eclampsia was 0.87% compared to admissions to the obstetrics department. The average age of the patients was 23 years old with the extremes of 15 and 39 years old. Primiparas accounted for 39.47%, housewives 53%, and home births accounted for 15.79%. Seizures accounted for 55% of the reasons for admission, the average time to onset of these seizures postpartum was 3.8 days with extremes of 1 and 30 days with 45% of seizures occurring postpartum immediately. Maternal complications were noted in 42.10% of cases with 5 cases of Hellp syndrome, 3 cases of renal failure, and 3 cases of acute pulmonary edema. We recorded 4 cases of maternal death, representing a case fatality rate of 5.2%. Conclusion: Postpartum eclampsia is common in the obstetrics department of the Souro Sanou University Hospital Center with a significant case fatality rate. Emphasis should be placed on monitoring and prevention, especially women at risk of developing postpartum eclampsia for better maternal prognosis.

关键词： Eclampsia Postpartum Epidemiology Prognosis

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Symphyseal Disjunction after Dystocic Vaginal Delivery: About Two Cases at the SourôSanou University Hospital of Bobo-Dioulasso (CHUSS)

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Open Journal of Obstetrics and Gynecology 2024年第1期14卷 1-6页

作者： Millogo Jean De La Croix Sanou Jean de Dieu Gadigbé Akofa Méré Godé Sabi Tokobou William Ouédraogo André Togbé Eric Serge Alihonou Yaméogo Rélwendé Barnabé Dembélé Adama somé der adolphe Ouattara Souleymane Obstetrics-Gynecology and Reproductive Medecine Departement of Sourô Sanou Teaching Hospital Bobo-Dioulasso Burkina Faso Higher Institute of health Sciences (INSSA) Université nazi Boni Bobo-Dioulasso Burkina Faso

Diastasis of the symphysis pubis is a rare postpartum complication. We report two cases of symphysis diastasis after dystocic delivery, in two patients who presented in the postpartum period with functional impotence, pubalgia and acute urine retention. A frontal radiograph of the pelvis confirmed the diagnosis, showing a symphyseal separation of 12 mm and 18 mm. In our case, management was mainly medical, with a favorable clinical outcome.

关键词： Pelvis Symphyseal Disjunction/Diastasis Post-Partum Burkina Faso

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Delivery on Scarred Uterus at Souro Sanou Teaching Hospital, Burkina Faso (about 531 Cases)

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Open Journal of Obstetrics and Gynecology 2022年第9期12卷 927-933页

作者： Yaméogo Rélwendé Barnabé Kaboré Ahmed Komboigo Béwendin Evélyne somé der adolphe Bambara Moussa Obstetrics-Gynecology and Reproductive Medicine Department Souro Sanou Teaching Hospital Bobo Dioulasso Burkina Faso Public Health Department Joseph Ki-Zerbo University Ouagadougou Burkina Faso

Introduction: Therapeutic conduct for delivery via a scarred uterus is controversial in modern obstetrics. some authors recommend a ceasarean section. The purpose of this study was to analyse the conduct and prognosis of delivery via scarred uterus at Souro Sanou Teaching Hospital in Bobo-Dioulasso. Methods: We conducted a descriptive cross-sectional study from January 1 to December 31, 2017. Data were collected from medical, birth, and operating room records. Result: In total, 531 scared uterus deliveries and 5293 deliveries have been recorded in our study;the frequency of deliveries via a scarred uterus was 9.96%. The average age of the patients was 28.02 years old, with extremes of 17 and 44 years. The average parity was 2.34, with extremes of 1 and 8. Patients with a spacing interval between births of at least 24 months accounted for 86.6% of observed patients. Patients with a single scar uterus made up 70.6% of the population. There were 349 (65.73%) patients who had an emergency caesarean section during a previous delivery. The trial of vaginal delivery via a scarred uterus was conducted on 182 patients with a success rate of 89.56%. There was no maternal death. However, we noted 23 foetal deaths (4.33%). Conclusion: More than 50% of parturient women with a single caesarean uterine scar who underwent the uterine test gave birth vaginally in our department. However, like most previous studies on the subject, we recommend vaginal delivery in the presence of a prior caesarean-scarred uterus whenever possible.

关键词： Scarred Uterus Delivery Bobo Dioulasso

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Placenta Previa at Souro Sanou Teaching Hospital, Burkina Faso (About 142 Cases)

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Open Journal of Obstetrics and Gynecology 2022年第11期12卷 1113-1120页

作者： Yaméogo Rélwendé Barnabé Millogo Jean de la Croix Bassinga Kévin Wendpouyri Jonathan Kaboré Ahmed somé der adolphe Obstetrics-Gynecology and Reproductive Medecine Department of Sourô Sanou Teaching Hospital Bobo Dioulasso Burkina Faso Public Health Department of Joseph Ki-Zerbo University Ouagadougou Burkina Faso

Introduction: Placenta previa is an obstetric emergency that can be life-threatening for both mother and foetus. Despite the progress made in diagnosis and treatment, it continues to be feared by obstetricians because of high maternal and perinatal mortality and increased morbidity. This study aims to investigate the diagnostic, therapeutic and prognostic aspects of placenta previa at the Sourô Sanou University Hospital in Bobo-Dioulasso. Method: This was a descriptive cross-sectional study with retrospective data collection from January 1, 2016 to December 31, 2018. Included were 142 pregnant women admitted to the maternity ward of the Sourô Sanou University Hospital (CHUSS) and diagnosed with placenta previa during pregnancy, labor, or in the postpartum period. Result: The frequency of placenta previa was 0.89%;the average age of patients was 28.51 years with extremes of 16 and 44 years. The multigestations represented 28.17% and the pauciparous 31.69%. Patients with a uterine scar represented 15.49%. Ultrasound diagnosis was made in 38 patients (26.76%). Placenta previa was recovered in 56.34% of cases. Patients with severe anaemia were 28.87%, and 57.04% of the anaemic cases received blood transfusion. Caesarean section was performed in 93.66% of patients. Four maternal deaths (2.81%) and 30 stillbirths (27.02%) were reported. Conclusion: Placenta previa remains a fairly frequent pathology with a non-negligible lethality rate and perinatal mortality in the maternity ward of the Sourô Sanou University Hospital.

关键词： Placenta Previa Prognosis Bobo-Dioulasso

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Symphyseal Disjunction after Dystocic Vaginal Delivery: About Two Cases at the Sourô Sanou University Hospital of Bobo-Dioulasso (CHUSS)

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2024年第1期

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