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Intrauterine Device in the Immediate Postpartum:Study Comparing Insertion after Cesarean Section and Vaginal Delivery

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Open Journal of Obstetrics and Gynecology 2019年第11期9卷 1510-1518页

作者： Moussa Diallo hadja maimouna barro daff Abdoul Aziz Diouf Aminata Niass Youssou Toure Khalifa Fall Alassane Diouf Departement of Obstetrics and Gynecology Pikine University HospitalThiaroye PikineSénégal Cheikh Anta Diop University of Dakar Gynecological and Obsetric ClinicPublic Institution Aristide-Le Dantec Health CenterDakarSenegal

Objective To compare the safety, side effects and failure rates of contraception copper intrauterine device (IUDs) in the immediate postpartum period after a vaginal delivery and during a cesarean section. Patients and methods This was a descriptive and analytical study, conducted in Gynecology and Obstetrics departments hospital Pikine and Abass Ndao hospitals. It compared two groups of women with IUDs in the immediate postpartum period after a vaginal delivery and during cesarean section. Our sample consisted of 215 patients. We had divided them into two groups: group 1 consisted of 115 patients who delivered by cesarean section;Group 2 consisted of 100 patients who delivered vaginally and whom the insertion was made in post placental or within 48 hours after birth. The variables studied were the sociodémographic characteristics, characteristics of pregnancy and childbirth, insertion procedures, follow up with the assessment of side effects and complications. Results and comments The socio-demographic characteristics were superimposed in both groups. Nine patients were lost to follow up, 4 in group 1 and 5 in group 2. The complaints such as pain (3.7% for Group 1 against 2.6% for group 2), vaginal bleeding (2.1% for group 2, and 1.8% for group 1) were rarely reported and stackable in both groups. After 6 months of follow up, the menses was observed in 42.8% of group 2 against 43.1% of group 1. The abnormal menstrual flow, evaluated by the Higham score, was noted in 29.6% of group 2 and 25% of group 1, and was dominated by excessive bleeding. They motivated IUD removal in two patients. A significant difference was found in the perception of IUD strings, it was effective in 95.4% of patients in group 2 against 50.5% for group 1. The evictions were 9 at 3-month follow-up 7 related group 2 and 2 for Group 1. It was partial (isthmic IUD) and total expulsion. At 6 months follow-up, 3 cases of partial expulsion were noted and concerned only group 2. This made a total exp

关键词： Copper IUDs Postpartum Postplacental Childbirth Cesarean Section Vaginal Delevery

Support Epidemiology and Prognosis of Premature Rupture of Membranes in Pikine National Hospital Center

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Open Journal of Obstetrics and Gynecology 2019年第11期9卷 1519-1526页

作者： Moussa Diallo Abdoul Aziz Diouf hadja maimouna barro daff Natty Seck Aminata Niass Youssou Toure Khalifa Fall Codou Sene Seck Alassane Diouf Departement of Obstetrics and Gynecology Pikine University Hospital Thiaroye Pikine Sénégal Cheikh Anta Diop University of Dakar Gynecological and Obsetric Clinic Public Institution Aristide-Le Dantec Health Center Dakar Senegal

Premature rupture of membranes (PROM) complicates 3% of preterm pregnancies and occurs in 60% to 80% of term pregnancies. However, its management remains largely controversial. The objective of this study was to establish the epidemiological profile, to study the management and the prognosis of Premature rupture of membranes (PROM) in our practice. Patients and methods: It was a prospective, descriptive and analytical study from may 1st 2016 to January 31st 2017 at the Pikine National Hospital Center. The target population consisted of all patients received at the hospital with premature rupture of membranes and who had given birth in the structure. The variables studied were: marital status, mode and reason for admission;risk factors;antecedents;prenatal care;the clinical and paraclinical examinations;support and immediate maternal and fetal neonatal complications. Results and comments: The mean maternal age was 27.34 years and the majority of women were aged between 18 and 39 years (94.4%). Fifty-one point three percent of patients were primiparous, large multiparous represented only 2.5%. The majority of patients (385 patients or 66.9%) had consulted in the first 12 hours following the onset of fluid flow. For 20.1% of them this flow was associated with uterine contractions. Hidden risk factors were dominated by the twin pregnancy. The blood count showed that 38.8% of patients had leukocytosis and CRP was positive in 18.3% of patients. An ampicillin-based antibiotics was established in 42.6% of cases, corticosteroid therapy in 5.2% and 1% in tocolysis. An expectation was adopted in 65.7% of cases, induction of labor in 7.3% and a cesarean section immediately in 27% of cases. In total, 65.7% of patients had vaginal delivery and 34.3% cesarean. The perinatal mortality rate was 3.6% or 22 newborns on 610. Two cases of endometritis were observed and one case of immediate postpartum hemorrhage. No maternal deaths were recorded. Conclusion: These results show that the

关键词： Premature Rupture of Membranes Childbirth Stillbirth Chorioamnionitis

Ectopic Tubal Molar Pregnancy: A Case Report

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Open Journal of Obstetrics and Gynecology 2021年第8期11卷 973-977页

作者： hadja maimouna barro daff Dibor Niang Aïssatou Mbodji Ibrahim Donigolo Moussa Diallo Abdoul Aziz Diouf Youssoupha Toure Khalifa Babacar mansour Fall Alassane Diouf Gynecological and Obstetric Clinic Public Institution Aristide-Le Dantec Hospital Cheikh Anta Diop University of Dakar Dakar Senegal Anatomopathology Laboratory Gaston Berger University Hospital Center Saint Louis Senegal Department of Obstetrics and Gynecology Pikine University Hospital Thiaroye Pikine Senegal

Background: Molar pregnancy is a rare condition;its ectopic form is even rarer occurring in 1.5 per 1,000,000 pregnancies. Aim: We report a case of ectopic molar pregnancy located in the fallopian tube and draw attention to the importance of systematic histological examination in any ectopic pregnancy. Case report: A 32-year-old primigravida woman presented with metrorrhagia in a context of about 2 months of amenorrhea. An ectopic pregnancy was diagnosed by ultrasonography. A Laparotomy was performed and a ruptured left ampullary ectopic pregnancy was found, and a total left salpingectomy was performed. The pathologic examination

Sociodemographic Factors Associated with Delays in Breast Cancer

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Open Journal of Obstetrics and Gynecology 2017年第4期7卷 455-463页

作者： mamour Gueye Serigne Modou Kane Gueye Moussa Diallo Ousmane Thiam Aissatou Mbodji Aliou Diouf Khalifa Fall Youssou Toure hadja maimouna barro daff Jean Charles Moreau Gynaecologic and Obstetric Clinic Aristide Le Dantec Teaching Hospital Dakar Senegal

Objectives: The aim of our study was to investigate the relation of some sociodemographic factors and delays presentation in breast cancer. Patients and method: This was an observational study in Breast Unit of Aristide Le Dantec Teaching Hospital in Dakar. Were included in the study all patients followed for breast cancer from January 2008 to December 2014. The following variables were selected and stratified: age, place of living, educational attainment, menopausal status, socioeconomic status and family history of breast cancer. For each variable, an association with the stage and presentation delay was assessed. Results: Two hundred and fifty nine (259) patients met the inclusion criteria. No correlation was found between the studied socio-demographic factors and delay. Negative history of family breast cancer was associated with presentation delay. The only factor associated with locally advanced breast cancer after adjusting confounding factors was low level of income. Conclusion: A significant percentage of women with breast cancer in Senegal are experiencing presentation delay. Coordinated efforts with public health department are needed to educate the focused groups and mitigate the barriers.

关键词： Breast Cancer Presentation Delay Stage Survival

Opinions and Perceptions of Gynecologists and Midwives on the Use of the Intrauterine Device in Senegal

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Open Journal of Obstetrics and Gynecology 2021年第11期11卷 1484-1493页

作者： hadja maimouna barro daff Khalifa Babacar mansour Fall Youssoupha Touré Aïssatou Mbodji Moussa Diallo Abdoul Aziz Diouf magatte Mbaye Khalifa Babacar Gueye Babacar Biaye Alassane Diouf Public Institution Aristide-Le Dantec Health Center Gynecological and Obstetric Clinic Cheikh Anta Diop University of Dakar Dakar Senegal Department of Obstetrics and Gynecology Phillipe Maguilene Senghor Center Yoff Senegal Department of Obstetrics and Gynecology Pikine University Hospital Thiaroye Pikine Senegal

Objective: The purpose of this study was to analyze the opinions of gynecologists, midwives, and interns/Specialist students practicing in Senegal about the use of IUD, and to assess factors that stand as obstacles to IUD prescribing. Patients and methods: An online questionnaire was developed to assess providers’ IUD practices and attitudes. The questionnaire was based on the one used in a Swiss study on the same topic. The platform used was Google forms. The questionnaire was shared in associative platforms involving gynecologists, midwives and interns/Specialist students. Results and comments: We received 292 feedbacks. Gynecologists represented 13.7% of the sample, interns and specialist students 11.3% and midwives 76%. Parity is a determining factor in IUD selection. The care-providers were concerned about the followings, which might have prevented the use of IUD, even though it was indicated: infections (75.7%), pelvic pain (61.3%), expulsion (48.3%), increased risk of perforation (46.9%), women’s appreciation (45.2%), ectopic pregnancy (33.9%) and sexual behavior (28.4%). Conclusion: Our study reveals that providers’ apprehensions and concerns severely limit the availability of IUDs. These concerns are often unf

关键词： Intrauterine Device IUD Parity Gynecologists Midwives Interns

E_Breast: A Computerized Database management System for Breast Diseases Patients in a Low Income Country

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Open Journal of Obstetrics and Gynecology 2016年第12期6卷 754-760页

作者： mamour Guèye mame Diarra Ndiaye-Guèye Serigne Modou Kane-Guèye Moussa Diallo Mor Cissé Khalifa Fall hadja maimouna barro daff Mihimit Abdoulaye Sylvestre Gahungu Sidy Ka Jean Charles Moreau Gynecologic and Obstetric Clinic Aristide Le Dantec Teaching Hospital Dakar Senegal Oncology Clinic Aristide Le Dantec Teaching Hospital Dakar Senegal

Objectives: To report our experience in using an electronic database for management of breast diseases in a developing country. materials and methods: E-Breast is a database developed on Filemaker Pro Advanced to serve as patient file and breast diseases registry. The development of the platform, its usage and advantages on a manual filing system are described. Results: For 6 years, we use this database, which accounts more than 2000 patients and includes data from more than 10 years. An overview of the activity is easily generated by E-Breast. The generated reports are used to the routine care of patients, statistics and clinical research. Data entered are immediately useful in addition to simultaneously implement the database for clinical research. many custom features are integrated. For research purposes, the system has the ability to perform detailed analyses on subsets defined by the user as breast cancer, breast benign diseases, etc. Conclusion: E-Breast has proven to be a useful way of documentation that has become an integral and essential part of the daily activity and also a valuable research tool.

关键词： E_Breast Breast Electronic Medical Record Senegal

Epidemiological, Clinical Aspects and Treatment of Victims of Sexual Abuse in the Gynecology and Obstetrics Department of Pikine National Hospital in 183 Cases

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Open Journal of Obstetrics and Gynecology 2020年第4期10卷 558-570页

作者： Moussa Diallo Babacar Biaye Abdoul Aziz Diouf Aminata Niass Cyr Espérence Gombet Codou Sène Anna Dia Astou Coly Niassy Diallo Fatoumata Bineta Diallo hadja maimouna barro daff Khalifa Fall Khalifa Gueye Alassane Diouf Gynecological and Obstetric Clinic of Aristide Hospital Le Dantec of Dakar Dakar Senegal

Introduction: Sexual abuse or sexual assault is part of violence against women, as is physical violence, female genital mutilation and forced marriage. According to the Criminal Code, this is any sexual offense committed with violence, coercion, threat or surprise on the person of others. It is a criminal act punishable by the laws in force in almost every country in the world. Study Objectives: 1) draw up an epidemiological profile of female victims of sexual abuse;2) develop the treatment protocol. Methodology: This is a 7-year descriptive retrospective study from January 1, 2010 to December 31, 2016 at the Center Hospitalier National de Pikine (Dakar). Included in this study were all of the patients admitted during our investigation period who were the victims of suspected or certain sexual abuse, with or without requisition. For each case, the following parameters were studied: the epidemiological characteristics (age, gestation, parity and place of residence), the circumstances of the attack (time and place), the characteristics of the aggressor (age, link with the victim, number of aggressor), the type of sexual contact, the possible lesions found during the physical examination (genital and extra-genital), the mode of admission, the delay of the consultation, the attitude after the sexual abuse, the gynecological and obstetrical status of the victim, the repercussions and psychological follow-up, the paraclinical assessment, the treatments administered. Data were collected using a survey form and analyzed with SPSS software. Results: During the study period, 183 victims of sexual abuse were received and treated at the level of our structure out of a total of 39,760 patients, representing a frequency of 0.46%. The age of the victims varied between 2 and 36 years with an average of 13 years. The 11 to 15 age group was the most represented. Students were the most represented among victims of sexual abuse (87.4%). Workers represented 9.3% of the victims. Infants

关键词： Sexual Abuse Trauma Care

Diagnostic and Prognostic Epidemic Aspect of Eclampsia at the Kolda Regional Hospital Center (Senegal)

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Open Journal of Obstetrics and Gynecology 2019年第12期9卷 1604-1610页

作者： Youssoupha Toure Babacar Biaye Abdoul Aziz Diouf Khalifa Ababacar mansour Fall Adja maimouna barro daff Mor Cisse Mouhamadou Wade Omar Ba Pape malick Tall Alassane Diouf Jean Charles Moreau Gynecological and Obstetric Clinic Aristide Hospital Le Dantec Dakar Senegal

Objectives: To evaluate the epidemiology of eclampsia, to assess maternal and perinatal prognosis and management. material and method: This was a retrospective, descriptive study from January 1, 2015 to December 31, 2018. Included were all women received in the emergency department of our health facility for generalized seizures and/or disturbances of consciousness, occurring between the 20th Week of Amenorrhea (WA) and the 6th week of postpartum on a field of hypertension. The sources of the data consisted of antenatal consultation cards, delivery records, hospital records, operating theater and resuscitation records. The variables studied were sociodemographic characteristics, the course of pregnancy, childbirth and neonatal parameters. Data were captured and analyzed using SPSS 11.0 software. Results: The study focused on 190 cases with a prevalence of 3.5%. The average age of the patients was 20 years with extremes of 14 and 40 years. The average parity was 4.1 deliveries with extremes of 1 and 7. Nearly three-quarters of the patients (74.7%) of the patients were primiparous. Almost all the patients were evacuated. More than half of the seizures (53.1%) were recorded before work and more than one out of two patients had two seizures. Caesarean section was the mode of delivery in more than one out of two patients (56.8%). maternal complications were marked by renal failure (23 cases), the HELLP syndrome (72 cases), and the retro placental hematoma (83 cases). The fetal impact was marked by prematurity in 90% of cases and 17 cases of fetal death in-utero. Nineteen maternal deaths were recorded while early neonatal mortality was 437 per 1000 live births. The average hospital stay of the survivors was 6.2 days. Conclusion: Eclampsia is still common in our regions. It occurs preferentially in young primiparas with hypertension and/or proteinuria on a poorly followed pregnancy. magnesium sulphate and cesarean section can improve the maternal and fetal prognosis. Preve

关键词： Eclampsia Kolda Prognosis management