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Open Journal of Obstetrics and Gynecology 2018年第11期8卷 936-945页

作者： Yobi Alexis Sawadogo Boubakar Toure Sibraogo Kiemtore evelyne komboigo-savadogo Dantola Paul Kain Issa Ouedraogo Adama Ouattara Hyacinthe Zamane Ali Ouedraogo Blandine Thieba Unity of Training and Research in Health Sciences (UFR/SDS) University Ouaga I Professor Joseph KI-ZERBO Ouagadougou Burkina Faso Yalgado OUEDRAOGO Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso Boromo District Hospital Boromo Burkina Faso Teaching Hospital of Ouahigouya Ouahigouya Burkina Faso

Objective: To study emergency cesarean section in teenagers with the goal of reducing morbidity and maternal-fetal mortality. Methods: This was a descriptive cross-sectional study with prospective collection of data on 248 cases collected from July 1st to December 31st, 2016. Results: The incidence of cesarean section in teenagers was 56.4%. The average age was 18 ± 0.4 years old. The vast majority were primiparous (92.7%). The main indications for emergency Caesarean section were: pre-eclampsia and its complications (20.2%), acute fetal distress (18.5), pre-rupture syndrome (14.1%) and bone dystocia (11.7%). The maternal mortality rate was 1.6% and perinatal mortality was 134 per 1000 live births. Conclusion: The rate of caesarean section is high at Yalgado OUéDRAOGO Teaching Hospital of Ouagadougou. Postoperative complications are sometimes serious and compromise the maternal and fetal outcome. There is a need for increased surveillance of all pregnant and recently delivered women to reduce maternal and perinatal mortality in teenagers.

关键词： Caesarean Section Emergency Teenagers Indications Prognosis

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

Influence of the Simulation in the Training of the 7thGrade Medical Students in the Insertion of the Interval Intra-Uterine Device

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Open Journal of Obstetrics and Gynecology 2020年第5期10卷 678-687页

作者： Sibraogo Kiemtoré Yobi Alexis Sawadogo Issa Ouédraogo Kain D. Paul Daniel Poda komboigo S. evelyne Training and Research Unit in Health Sciences University Joseph Ki-Zerbo Ouagadougou Burkina Faso Yalgado Ouedraogo Teaching Hospital Ouagadougou Burkina Faso School of Health Sciences Polytechnic University of Ouahigouya Ouahigouya Burkina Faso

Introduction: A simulation laboratory has been set up in the Department of Obstetrics and Gynaecology at Yalgado Ouedraogo Teaching Hospital. The objective of this study was to evaluate the role of the simulation in training of 7th grade students on interval IUD insertion. Material and Method: This was an evaluation study of skills before and after training that included 38 students of 7th grade medicine. Pre-training knowledges and skills were compared to those based on training using the paired Student test with a 5% significance level. Perceptions and suggestions for improvement of training made by students were collected. Results: The sex ratio of the study participants was 1.1. Their average age was 26.8 ± 0.9 years. The training increased the average knowledges score from 48.2% to 93.0% (p < 0.001). The average skills score increased from 34.4% to 92.8% (p th grade medicine students had a good perception of this training. Conclusion: The training of 7th grade medicine students in IUD insertion using simulation had a positive impact on their knowledges and skills and was well appreciated.

关键词： Insertion IUD Simulation

Surgical Activities in the Gynecology-Obstetrics Department of the Teaching Hospital Yalgado-Ouédraogo of Ouagadougou: Assessment of One Year of Practice from January 1st, 2015 to December 31st, 2015

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Open Journal of Obstetrics and Gynecology 2018年第14期8卷 1501-1509页

作者： Dantola Paul Kain Issa Ouédraogo Yobi Alexis Sawadogo evelyne komboigo Sibraogo Kiemtoré Adama Ouattara Hyacinthe Zamané Blandine Thiéba Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Department of Obstetrics and Gynecology Teaching Hospital in Ouahigouya Ouahigouya Burkina Faso

Objective: The objective of our study was to study the surgical activities carried out in the gynecology-obstetrics department of the CHU-YO (Teaching Hospital Yalgado Ouédraogo) from January 1st 2015 to December 31st, 2015. Patients and Methods: This dealt with a cross-cutting descriptive and analytic study with retrospective data collection. Our study has included the female patients who underwent surgery in the operating room and whose medical records were usable. Results: 45% of female patients admitted in the concerned department underwent a surgery. The average age of patients was estimated at 28.02 years ±7 years with extremes of 13 years and 80 years. Obstetrical surgery has involved 89.9% of cases. Female patients have received a loco-regional anesthesia in 92.7% of cases. Emergency surgical operations accounted for 88.8% and caesarean section was the main surgical operation carried out in 87.1% of cases. The mortality rate of the overall surgical operations was 1.04%. Conclusion: A better availability of labile blood products is more likely to reduce the mortality rate of surgical operations under the threshold of 1%.

关键词： Surgery Caesarean Section Prognosis Mortality Rate

Maternal Mortality in the Gynecology-Obstetric Department at the Yalgado Ouedraogo University Hospital Center (CHUYO), Burkina Faso: About 181 Cases Collected from January 1stto December 31st2016

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Open Journal of Obstetrics and Gynecology 2020年第5期10卷 714-722页

作者： Sibraogo Kiemtoré Béwendin evelyne komboigo André Simporé Hyacinthe Zamané Xavier Kaboré Mikael Zoundi Boubacar Touré Francoise Millogo Blandine Thiéba Joseph Ki Zerbo University OuagadougouBurkina Faso Department of Obstetrics Gynecology in Yalgado Ouedraogo University Hospital Center OuagadougouBurkina Faso Nazi Boni University Bobo-DioulassoBurkina Faso

Objective: To study maternal mortality in the obstetrics and gynecology department at Yalgado Ouedraogo teaching Hospital Center. Patients and Methods: We conducted a cross-sectional retrospective and descriptive study of 181 cases of maternal deaths during study period. The parameters studied were sociodemographic characteristics, the causes of death, the clinical data and the contributing factors. Results: The maternal mortality ratio was 2624 per 100,000 live births. The mean age of death was 26.79 with extremes of 15 years to 40 years. Direct obstetric causes accounted for 58% dominated by hypertension and complications, hemorrhage during pregnancy and postpartum, and obstetric infections. The indirect obstetric causes were 42% dominated by non-obstetric infections and chronic anemias. In addition to the delay in consultation and delay in care, the lack of antenatal care was the contributing factor to maternal deaths. Conclusion: Maternal mortality remains a public health problem in view of its high ratio. The reduction of this scourge will inevitably go through a health insurance that will allow the supply of quality care.

关键词： Maternal Mortality Causes Contributing Factors CHU YO

Managing Cases with Human Immunodeficiency Virus Infection: Knowing the Dynamics from Voluntary Counselling and Testing Clients in Bobo-Dioulasso for Better Planning in Burkina Faso (1996-2014)

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Advances in Infectious Diseases 2019年第2期9卷 137-149页

作者： Armel Poda M’winmalo Ines evelyne Da Ziemlé Clément Méda Serge Somda Arsène Héma Jacques Zoungrana Isidore Traoré Apoline Sondo Ismael Diallo Mamadaou savadogo Issiaka Sombié Madina Traoré Nicolas Méda Department of Infectious Diseases Souro Sanou Teaching Hospital Bobo-Dioulasso Burkina Faso Centre MURAZ Bobo-Dioulasso Burkina Faso Department of Infectious Diseases Yalgado Ouedraogo Teaching Hospital Ouagadougou Burkina Faso Health Regional Direction of Hauts Bassins Region Bobo-Dioulasso Burkina Faso West African Health Organization (WAHO) Bobo-Dioulasso Burkina Faso Centre Anonyme de Dépistage et d’Information (CADI) Bobo-Dioulasso Burkina Faso

Background: The Anonymous Screening and Information Centre (CADI) is the oldest screening centre of HIV from Burkina Faso. Since its opening, no analysis on the evolution of Human Immunodeficiency Virus (HIV) prevalence has been carried out. Objective: The study aimed to describe the dynamics of HIV infection when managing centres offering voluntary counselling and testing to client, such as the Screening and Counselling Centre (CADI), in Bobo Dioulasso, Burkina Faso. Patients and Methods: A cross-sectional study was performed including people screened at the CADI from May 1996 to June 2014. Pearson khi2 test and Cuzick trend test were used with a 5% significance level. Results: From 7.1% of the 11,451 cases analyzed, the average age of clients screened was 30 ± 10.83 year-old. There was a female predominance (sex ratio = 0.8). The 16.4% (15.7 - 17.1) of the cases from the 11,451 clients included in our study were tested HIV positive. The global prevalence rate of HIV in the centre has significantly decreased from 46.2% in 1996 to 1.5% in 2014 (p Conclusion: The behaviour change could be a justification for the decline in HIV prevalence at the centre, hence the importance of sensitization campaigns.

关键词： Burkina Faso Clients Prevalence HIV Screening Case Management

Morbidity and Mortality of Inpatients in the Department of Infectious Diseases of the University Hospital of Bobo-Dioulasso, Burkina Faso

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Advances in Infectious Diseases 2019年第3期9卷 171-182页

作者： Armel Poda Jacques Zoungrana Arsène Héma Ziemlé Clément Méda Alexandre Boena Rainatou Boly M’winmalo Ines evelyne DA Apoline Sondo Nongodo Firmin Kaboré Sandrine Hien Ismael Diallo Mamadou savadogo Eric Arnaud Diendéré Abdoul-Salam Ouédraogo Issiaka Sombié Athanase Millogo Service des Maladies Infectieuses CHU Souro Sanou Bobo-Dioulasso Burkina Faso Institut Supérieur des Sciences de la Santé (INSSA) Université Nazi Boni Bobo-Dioulasso Burkina Faso Centre MURAZ Bobo-Dioulasso Burkina Faso CHU Yalgado Ouédraogo Ouagadougou Burkina Faso Unité de Formation et de Recherche en Sciences de la Santé Université Ouaga I Pr Joseph Ki-Zerbo Ouagadougou Burkina Faso Service de Bactériologie Virologie CHU Sour&#244 Sanou Bobo-Dioulasso Burkina Faso Service de Neurologie CHU Souro Sanou Bobo-Dioulasso Burkina Faso

Background: Infectious Diseases are responsible for nearly 17 million annual deaths worldwide. Burkina Faso, like the majority of poor countries, remains vulnerable to infectious diseases. The objective of the present study was to analyze the profile of inpatients, including the mortality and causes of death, in the Infectious Diseases Department of SourôSanou teaching hospital (Bobo-Dioulasso, Burkina Faso). Methods: We carried out a cross-sectional study based on medical records of all inpatients from 2011 to 2015. Results: We included 1169 patients. The gender ratio was 0.8. The age group 30 to 39 was more represented (30.2%) as well as housewives and farmers (73.7%). Over one-thirds of the patients (35.3%) were consulted within an average of 7 days. The most common reason for consultation was fever (65.1%). Around 62.0% of inpatients were infected by the Human Immunodeficiency Virus (HIV). Digestive diseases ranked first (21.8%) followed by nervous system disorders (19.4%) and tuberculosis (17.8%). Overall morbidity rate was 31.3%. About 42% were admitted to the emergency ward while 83.3% already arrived with poor health condition. And 82.1% of deaths occurred on pathological grounds of which 66.7% were related to HIV. Main causes of death included nervous system diseases (28.6%), tuberculosis (21.9%) and gastrointestinal diseases (18.3%). Conclusion: Infectious diseases remain a major public health issue. Further efforts are needed to improve their management in Burkina Faso.

关键词： Morbidity Mortality Infectious Diseases Causes of Deaths Burkina Faso