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Open Journal of Obstetrics and Gynecology 2024年第1期14卷 89-101页

作者： Klikpezo Roger hounkponou nouéssewa fanny maryline Atade Sèdjro Raoul Agbegbanou Eudoxie Ahouingnan Yeyinou Salifou Badaryatou Dettin Eric Obossou Achilles Imorou Sidi Salifou Kabibou Faculty of Medicine University of Parakou Parakou Bénin Institute of Training in Nursing and Obstetrics (IFSIO) Parakou Bénin

Introduction: Birth spacing to prevent closely-spaced pregnancies, which are a source of maternal and neonatal morbidity and mortality, is not always respected by our women, as recommended by the World Health Organization (WHO). The objective was to study the factors associated with closely-spaced pregnancies among women followed at the Departmental Hospital Center du Zou et du Colline (DHC/Z-C) in 2022. Study Method: This was a descriptive, analytical cross-sectional study with prospective data collection from 20 May to 30 June 2022. Results: At the end of the study, 83 of the 117 women surveyed had close pregnancies, a frequency of 70.94%. They had an average age of 27.0 ± 6.3 years and were of Fon ethnicity and related in 91.57% of cases. The majority were married (96.60%). The factors significantly associated with these closely spaced pregnancies were age between 25 and 30 years, household occupation, age at first birth, age at marriage, women’s perception of contraceptive method (CM), women’s knowledge of the existence of a center providing family planning services and non-use of MC. Conclusion: Close pregnancies are still very common in the commune of Abomey. It is therefore important to increase the use of contraceptive methods in this part of the country.

关键词： Close Pregnancy Associated Factors DHC/Z-C

Determinants of the Frequency of Prenatal Consultations among Women Giving Birth in the Maternity Wards of the Commune of Agbangnizoun (Zou), Benin

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Open Journal of Obstetrics and Gynecology 2023年第7期13卷 1127-1132页

作者： Klikpézo Roger hounkponou nouéssewa fanny maryline Atadé Sèdjro Raoul Dangbemey Djima Patrice Flénon-Yévidé Aubierge Joelle Ahouingnan Yeyinou Salifou Badaryatou Enassouan Marius Joseph Flénon Ouendo Marius Salifou Kabibou Faculty of Medicine University of Parakou Parakou Benin Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin Regional Institute of Public Health Ouidah Benin

Antenatal care is a safe way to prevent pregnancy-related health problems, difficult deliveries and even further to anticipate low birth weight [1]. But pregnant women, especially in Africa, do not attend antenatal clinics as recommended by the WHO. The general objective of this study was to study the norm in terms of Antenatal Consultation (ANC) frequency as well as the determinants of the frequency among women who gave birth in the maternity hospitals of Agbangnizoun. Our research was a cross-sectional, descriptive, retrospective and quantitative type, which was carried out among 335 women in Agbangnizoun, Benin from 1 February to 3 April 2020 (3 months), in order to find out the general or specific characteristics of women that we associate with the frequency of prenatal consultation. At the end of the study, we found that 60%, 68% and 15% of the surveyed population had received ANC in the first, second and third trimesters, respectively. Ethnicity, income level of spouses over the three trimesters as well as the level of their knowledge and overall practice of ANC are determinants of the frequency of prenatal consultation.

关键词： Determinants Frequency Prenatal Consultation Agbangnizoun Zou Benin

Associated Factors and Consequences of Uterine Fibroids in Hospitals in the Borgou Department of Benin in 2022

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Advances in Reproductive Sciences 2024年第1期12卷 60-74页

作者： Mahublo Vinadou Vodouhe Sedjro Raoul Atade Yèyinou Aurelle Ahouingnan Bernard Agossou Bernard Akouodé Thomas Hounto Goudi Orou Bodedjo nouessèwa fanny maryline hounkponou Ahouingnan Kabibou Salifou Department of Mother and Child Faculty of Medicine University of Parakou Parakou Benin

Introduction: Uterine fibroids are the most common gynecological tumors in women of childbearing age and have multiple clinical manifestations. Objective: To determine factors associated with uterine fibroids in the Borgou department of Benin in 2022. Method: Descriptive, analytical cross-sectional study from August 22 to September 22, 2022. The sample consisted of women consulting for gynecological problems in 6 hospitals in the Borgou department in the North of Benin. Results: Of the 744 women surveyed, 10.1% were diagnosed with uterine fibroids. Women with uterine fibroids were often married, paucigesture, and nulliparous. Their main reasons for consultation were the desire for motherhood (50.7%), pelvic pain (46.7%), and genital hemorrhage (14.7%). Age, history of miscarriage, high blood pressure, and diabetes were significantly associated with the presence of uterine fibroids (Conclusion: Uterine fibroids are common in hospitals in northern Benin. There were factors associated with them that should be taken into account in management strategies.

关键词： Uterine Fibroid Associated Factor Consequence Benin

Determinants of the Frequency of Prenatal Consultations among Women Giving Birth in the Maternity Wards of the Commune of Agbangnizoun (Zou), Benin

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Therapeutic and Prognostic Aspects of Gynecological and Breast Cancers in Northern Benin from 2010 to 2020

Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第7期

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Open Journal of Obstetrics and Gynecology 2023年第2期13卷 315-324页

作者： nouéssewa fanny maryline hounkponou Aurelle Yeyinou Ahouingnan Roger Klikpezo Aubin Tchewle Hubert Laourou Gaspar Gbessi Kabibou Salifou Faculty of Medicine University of Parakou Parakou Benin Association Additions France-Service de Prévention Neufchateau France Faculty of Health Sciences University of Abomey Calavi Abomey Calavi Benin

Introduction: Gynaecological and Breast Cancers (GBCs) are a public health problem and management continues to be a concern. Objective: To study the therapeutic and prognostic aspects of GBC. Method: This was a cross-sectional and descriptive study from January 1, 2010, to December 31, 2020. It included cases where the diagnosis of GBC was made and confirmed on anatomopathological examination and where treatment was instituted. Male breast cancer cases were excluded. Data were entered and processed by Epi data 3.1.1. and Epi Info 7.***.0.1. Results: A total of 230 cases of GBC were collected. The mean age was 48.4 ± 11.14 years with extremes of 15 and 80 years. The cancers were of the breast (55.2%), cervix (28.8%), corpus uteri (7.8%), ovary (5.2%), vulva (1.7%) and vagina (1.3%). Of the 127 breast cancers, 107 (70.10%) women had undergone total or partial mastectomy with 89 cases of lymph node dissection (83.20%). Hormone therapy was instituted in 89 women (71.8%), chemotherapy in 87 women (81.3%), 27 (21.25%) had undergone immunohistochemistry (IHC). Histopronostic grades were specified in 96 cases, including 12 (12.5%) grade I, 60 (62.5%) grades II and 24 (25%) grade III. Of the 103 women with gynaecological cancer, 94.2% had received treatment, which was specific for 69 women (71.1%). Radiotherapy was not performed in any of the women. Among the 69 women, 8.7% of deaths were recorded. Conclusion: GBC is common in northern Benin. Their management is inadequate and mortality remains high. Priority should be given to prevention.

关键词： Cancers Treatment Prognosis Benin

Impact of Traditional Oxytocics on the Course of Labour in Maternity Wards in Parakou (Benin) in 2022

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Open Journal of Obstetrics and Gynecology 2023年第6期13卷 1094-1110页

作者： nouéssewa fanny maryline hounkponou Alex Wilfred Peto Tagne Mahublo Vodouhe Roger Klikpezo Aurelle Yeyinou Ahouingnan Hubert Laourou Hervé Léon Iloki René Xavier Perrin Faculté de Médecine Université de Parakou Parakou Bénin Service de Prévention Association Additions France Neufch&#226teau France Centre Inter-É tats d’Enseignement Supérieur en Santé Publique d’Afrique Centrale Brazzaville Democratic Republic of the Con-go Faculté des Sciences de la Santé Université d’Abomey Calavi Cotonou Bénin

Introduction: The use of oxytocic plants (OPs) to facilitate childbirth is old and it is a common practice in the world, particularly in northern Benin. Objective: To study the effect of oxytocic plants on the progress of labour. Materials and Method: This was a cross-sectional and analytical study with prospective data collection conducted in the public maternity hospitals of Parakou from 15 July 2022 to 15 August 2022. All the parturients admitted to the maternity units were included. Data were entered and processed using Epi Data 3.1fr, Epi info 7.***.3.3 and Excel 2010. The difference was statistically significant for a p-value of less than 0.05. Results: Of 297 parturients surveyed, 109 had used OPs, representing a frequency of use of 36.7%. The average age was 27.5 ± 8.9 years, with extremes of 17 and 45 years. They were in common-law unions (54.1%), housewives (32.1%), from Muslim religion (53.2%), from Bariba ethnic group and related (30.3%) and from a rural area (60.5%). These parturients were pauciparous (37.6%) and primiparous (44.9%). Six OPs were used by the parturients. These were Hybanthus enneaspermus (40.7%), Schrankia leptocarpa (12.0%), Ceratotheca sesamoides (35.2%), Cassytha filiformis (5.6%), Selaginella lepidophylla (5.6%) and Newbouldia leavis (18.5%). The parturients used the leaves (90.6%) and decoction (97.2%). The administration was oral (99.0%) without precise dosage (85.3%) in the third trimester of pregnancy (84.41%) and facilitated delivery (99.1%). Fon and related ethnic groups (p = 0.014), Yoruba and related ethnic groups (p = 0.031), rural background (p = 0.032) and multiparity (p = 0.04) were the factors associated with OPs use. These parturients had a higher risk of caesarean delivery (p = 0.001;OR = 1.8 [1.23 - 2.65]), dynamic dystocia (p = 0.001;OR = 1.3 [1.12 - 1.49]), burnout syndrome (p = 0.002;OR = 1.1 [1.02 - 1.17]), uterine rupture (p = 0.032;OR = 1.1 [0.97 - 1.17]), rapid labour (p = 0.001;OR = 1.6 [1.38 - 2.00]), and risk

关键词： Oxytocic Plants Childbirth Benin

Associated with Knowledge, Attitude, Practice of Women of Childbearing Age towards Gynecological and Breast Cancer in Glazoue, Benin in 2021

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Open Journal of Obstetrics and Gynecology 2023年第2期13卷 325-341页

作者： nouessewa fanny maryline hounkponou Mahublo Vodouhe Roger Klipkezo Yeyinou Ahouingnan nouratou Agani Christian Eval Mensah Hubert Laourou Thierry Adoukonou Faculty of Medicine University of Parakou Parakou Benin Association Additions France-Service de Prévention Neufchateau France

Introduction: Gynaecological and breast cancers (GBC) are the most frequent and most serious cancers of women. They are frequent in Benin with an average of 108.5 cases per year. Objective: To identify factors associated with women’s knowledge, attitudes and practices regarding GBC. Methods: This was a cross-sectional, prospective, descriptive and analytical study. Women of childbearing age residing in the commune of Glazoué in Benin for at least six months were included. The WHO cluster sampling technique was used. The Bruno De Finetti postulate and the Likert scale were used to study women’s knowledge, attitudes and practices. Data were collected and analysed using Epi Data 3.1 and Epi info 7.***.2.6 software. Results: A total of 540 women were registered. The mean age was 27.1 ± 8.84 years with extremes of 15 and 49 years. They were married (61.1%), had secondary education (40.2%) and lived in urban areas (61.9%). They had a low level of knowledge (75.4%), an adapted attitude (93.0%) and poor practice (88.9%). Occupation (p = 0.000), level of education (p = 0.007) and place of residence (p = 0.001) significantly influenced knowledge of GBC. The attitude was adequate (93%) and the practice was poor (88.9%). Inappropriate attitude was significantly associated with the level of education (p = 0.006). Conclusion: Women in the commune of Glazoué in Benin have a low level of knowledge of GBC with an adapted attitude and poor practice. Several factors are associated, hence the need to take them into account to facilitate GBC screening.

关键词： Knowledge Gynaecological and Breast Cancers Benin

Epidemiological and Therapeutic Aspects of Obstetric Fistula in 2021: A Review of 97 Cases at the Departmental University Hospital Centre of Borgou and Alibori in Benin

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Open Journal of Obstetrics and Gynecology 2023年第6期13卷 1007-1019页

作者： Mahublo Vinadou Vodouhe Jean de Dieu Yunga Foma Kokou Isidore Gandaho Mathieu Zéssahou Kakpo Sèdjro Raoul Atade Bio Tamou Sambo nouessewa fanny maryline hounkponou Kabibou Salifou Department of Mother-Child Faculty of Medicine University of Parakou Parakou Benin Higher Institute of Medical Techniques (ISTM) Uvira Democratic Republic of Congo Department of Surgery Faculty of Medicine University of Parakou Parakou Benin

Background: Obstetric Fistula (OF) is a breach of the birth canal due to obstructed labor. It is a major public health problem in developing countries. Objective: Study the epidemiology and treatment of obstetric fistulas at the Departmental University Hospital Centre of Borgou and Alibori (CHUD-B/A) in Parakou, Benin. Study Method: This was a descriptive and analytical cross-sectional study with prospective data collection on women treated during OF care missions from February 2020 to April 2021 in CHUD-B/A in Parakou, Benin. The data concerned their socio-demographic characteristics, obstetric history, the clinic and therapeutic characteristics of their obstetric fistulas. Results: In total 97 patients with OF were treated during the 14-month period. The average age of the patients was 36.42 ± 11.75 years old. The patients were married (51.54%), without professional occupation (54.64%) and had no formal education (73.20%). The vesico-vaginal variety was predominating (54.64%). The fistulas were of Type I (46.39%), Type II (20.62%) and Type III (32.99%) according to the classification of Waaldjik Kees. The patients were operated on under spinal anesthesia (94.79%), and vaginally (55.67%) according to the principle of Chassar Moir (68, 60%). The associated procedures were lengthening urethroplasty (17.53%), and interposition of the Martius flap (1.03%). The overall success rate without Stress Urinary Incontinence was 71.13%. The factors associated with the failure of the fistula repair were: the nutritional status of the patients (p = 0.004), the previous repair failure (p = 0.001), the high size of the fistula (p = 0.007), the fistula severity (p and a urethral reconstruction (p Conclusion: OF is a relatively frequent pathology in Benin. Vesico-vaginal fistula is the most common form. The success rate of the surgical treatment is satisfactory, but depends on some factors.

关键词： Benin Epidemiology Obstetric Fistula Treatment

Dysfunctions in the Management of Patients Whose Outcome Was Classified as “Maternal Death” from 2017 to 2021, at the Departemental University Teaching Hospital of Borgou Alibori (Chud-Ba), Benin

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Open Journal of Obstetrics and Gynecology 2023年第12期13卷 1928-1937页

作者： Atade Sèdjro Raoul Klipezo Roger Dangbemey Patrice Amoussa Abdoul Fadil Togbenon Lionel David Gogan Merveille Bouraima Kassirath Bakari Hikmath Sale Leilath hounkponou fanny Salifou Kabibou Mother and Child Department Institute of Nursing and Midwifery University of Parakou (IFSIO-UP) Parakou Benin Mother and Child Department Faculty of Medicine University of Parakou (FM-UP) Parakou Benin Mother and Child Department Faculty of Health Sciences University of Abomey Calavi (FSS) Cotonou Benin Department of Health Policy and Systems Centre of Human Reproduction and Demography Research (CERRHUD) Cotonou Benin

Background: Maternal death is a major public health problem worldwide, particularly in sub-Saharan Africa. Objective: This study sought to investigate dysfunctions in the management of patients whose outcome was classified as “maternal death” in the Gynaecology-Obstetrics section of the Departmental University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2017 to 2021. Method: This was a retrospective cross-sectional study with descriptive and analytical purposes. The study population consisted of pregnant women, parturients and puerperas admitted into the CHUD-BA maternity ward from 2017 to 2021. Result: A total of 2011 patients were included in this study. The in-hospital maternal mortality ratio was 1526 per 100,000 live births. The dysfunctions identified were the amount of time spent in the referring center (more than 48 hours) (p = 0.001), delay of more than 2 hours between referral and admission into the referral center (p < 0.001), means of transport (motorcycle or public transport) (p compliance to the protocol for emergency obstetric and neonatal care (SONU) (p < 0.001) and delay of more than 2 hours in the etiological management of pregnant women (p Conclusion: Particular attention should be paid to the management of pregnant women in our healthcare system if we are looking forward to reducing maternal mortality.

关键词： Maternal Death Dysfunction Obstetric Care Parakou Benin

Therapeutic and Prognostic Aspects of Gynecological and Breast Cancers in Northern Benin from 2010 to 2020

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