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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 s.lifou Badaryatou Dettin Eric Obossou Achilles Imorou sidi s.lifou 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

Factors Associated with Closely spaced Pregnancies at the Departmental Hospital Centre of Zou-Collines (Benin) in 2022

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Factors Associated with Maternal Mortality at Gynecology and Obstetrics Department in Departmental University Hospital Center of Borgou

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

作者： Klikpezo Roger Hounkponou Nouéssewa Fanny Maryline Atade sèdjro Raoul Agbegbanou Eudoxie Ahouingnan Yeyinou s.lifou Badaryatou Dettin Eric Obossou Achilles Imorou sidi s.lifou kabibou

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Open Journal of Obstetrics and Gynecology 2021年第8期11卷 1026-1036页

作者： s.lifou Badariatou Atadé sèdjro Raoul sidi Imorou Rachidi Obossou Achille Awede sounouvi Ernest s.lifou kabibou Mother and Child Department Faculty of Medicine (FM) University of Parakou (UP) Parakou Benin

Introduction: Maternal mortality is a robust indicator of human development. Most of it occurs in developing countries. Objectives: This study aims to determine the factors associated with maternal mortality in Gyneco... 详细信息

strong>Introductionstrong>: Maternal mortality is a robust indicator of human development. Most of it occurs in developing countries.span>span> span>span>Objectivesspan>span>: This study aims to determine the factors associated with maternal mortality in Gynecology and Obstetrics Department of Borgou Departmental University Hospital Center (CHUD-B).span>span>span> span>span>Study methodspan>span>: Our study took place at Gynecology and Obstetrics Department in Borgou Departmental University Hospital Center. This was a descriptive and analytical case-control study, covering a period of 7 years from January 1, 2012 to December 31, 2018.span>span>span> span>span>Resultsspan>span>span style="font-family:Tahoma;">span style="font-family:Tahoma;">span style="font-family:Tahoma;">: Two hundred and twelve patients have been recruited consisting of 106 deceased women and 106 controls. The intra-hospital mortality ratio was 1100 deaths per 100,000 live births (LB). The mean age of deceased women was 27.06 ±

关键词： Maternal Mortality Ratio Direct Obstetric Causes Indirect Obstetric Causes Factors Associated

Epidemiological, Diagnostic and Therapeutic Aspects of Locally Advanced and/or Metastatic Breast Cancers at the Chu-Mel of Cotonou

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Advances in Breast Cancer Research 2022年第4期11卷 195-205页

作者： sèdjro Raoul Atade Patrice Dangbemey Roger Klipezo Donald Adjagba David Lionel Togbenon kabibou s.lifou Benjamin Hounkpatin Justin Lewis Denakpo Mother and Child Department Institute of Nursing and Obstetrical Care (IFSIO) University of Parakou Parakou Benin Mother and Child Department Faculty of Health Sciences (FSS) University of Abomey Calavi Godomey Benin Mother and Child Department Faculty of Medicine (FM) University of Parakou Parakou Benin

Introduction: Breast cancer mortality remains high in most developing countries. Benin Republic does not yet have a technical platform required for the diagnosis and effective management of breast cancer “according to the recommendations”. Objective: To study the epidemiological, diagnostic and therapeutic aspects of locally advanced and/or metastatic breast cancers at the Centre Hospitalier Universitaire-de la Mère et de l’Enfant Lagune (CHU-MEL) of Cotonou from 2018 to 2021. study Methods: This was a retrospective cross-sectional study with a descriptive purpose, carried out from January 1, 2018 to september 30, 2021 in the Gynaecology-Obstetrics section of the CHU-MEL of Cotonou. The study population was patients diagnosed with locally advanced and/or metastatic breast cancers. Results: At the end of the study, 63 cases of locally advanced and/or metastatic breast cancer were recorded in 80 cases of breast cancer;a 74.11% prevalence of locally advanced and metastatic breast cancer. The mean age of the patients was 42.6 years. The main reason for consultation was the discovery of a mass in the breast (65.1%). Clinically, an orange peel was noted in 39.6%. Mammography (47.6%) and breast ultrasonography (42.9%) were the reference imaging workups for breast cancer diagnosis. Histopathologically, infiltrating ductal carcinoma (94.1%) was the predominant type with scarff-Bloom and Richardson (sBR) grade II found in 35.3%. Progesterone and estrogen receptors were present in 42.9%. Mastectomy with axillary node dissection was the surgical treatment performed (80%) after neoadjuvant chemotherapy (39.6%). Only one patient had received radiotherapy. No patient received hormone therapy. Conclusion: Locally advanced and metastatic cancers remain a real public health problem. It is essential that major investments be made in order to improve both their diagnosis and management.

关键词： Cancer Breast Metastasis Ultrasonography Mammography

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 s.lifou 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 s of transport (motorcycle or public transport) (p compliance to the protocol for emergency obstetric and neonatal care (sONU) (p s 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

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 s.lifou 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

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 s.lifou Badaryatou Enassouan Marius Joseph Flénon Ouendo Marius s.lifou 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

Knowledge, Attitudes and Practice Regarding Breast Cancer among Parakou University Female students in 2021

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Open Journal of Pathology 2023年第1期13卷 28-39页

作者： Luc Valère Codjo Brun Luc Béhanzin Nukunté David Lionel Togbenon Marie-Claire Assomption Oloufoudi Balle Pognon Yessito Corine Nadège Houéhanou-sonou sèdjro Raoul Atadé Christelle Doussengue Falilath séidou kabibou s.lifou Marie Thérèse Akélé Akpo Faculty of Medicine University of Parakou Parakou Benin National school of Public Health and Epidemiology University of Parakou Parakou Benin Institute of Nursing and Obstetrical Care (IFsIO) University of Parakou Parakou Benin Faculty of Health sciences University of Abomey Calavi Cotonou Benin

Background: Breast cancer is a life-threatening pathology affecting women across the world. Evidence suggests deficiency of knowledge and numerous sociodemographic factors contribute to delayed medical attention seeking behavior whether initial symptoms of breast cancer go undetected. Objective: This study aimed to assess knowledge, attitudes and practices regarding breast cancer among Parakou University female students in 2021. Method: This was a cross-sectional study with descriptive and analytical purposes, carried out on the campus of the University of Parakou, from June 14 to July 2, 2021. Data collection was performed through an individual online questionnaire, designed with KoBoCollect version 1.29.3. Data analysis was implemented with EPI INFO VERsION 7.***.3.3 software. Result: A total of 200 students meeting the inclusion criteria participated in this study. Among them, 20.5% had never heard about breast cancer. Non practice of breast cancer screening (breast self-examination) prevalence was 80%. Factors favoring non practice of breast cancer screening were: ethnicity, religion, not adhering to screening ideas, not committing to educating family and friends about screening. Factors promoting breast cancer screening practice were: having ever heard about breast cancer, being able to point to breast cancer symptoms, having adequate knowledge of breast cancer screening methods, having a good knowledge of the late-stage screening drawbacks. Conclusion: some young women with high school level are still unaware of breast cancer and do not practice screening. Policymakers should consider more effective information outreach.

关键词： Knowledge Attitudes Practice Breast Cancer Parakou (Benin)

Epidemiology, Diagnosis and survival of Breast Cancer: Data from the Population-Based Cancer Registry of the City of Parakou from 2017 to 2021

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Open Journal of Pathology 2023年第1期13卷 9-27页

作者： Luc Valère Codjo Brun Rachidi sidi Imorou Nukunté David Lionel Togbenon Marie-Claire Assomption Oloufoudi Balle Pognon Mawuton Alphonse Renaud Aholou sèdjro Raoul Atade Oumou Boukari Freddy Houéhanou Rodrigue Gnangnon salmane Amidou Falilath séidou Hierrhum Aboubacar Bambara kabibou s.lifou Marie Thérèse Akélé Akpo Faculty of Medicine University of Parakou Parakou Benin saint Jean de Dieu Hospital of Tanguiéta Tanguiéta Benin Institute of Nursing and Obstetrical Care (IFsIO) University of Parakou Parakou Benin Faculty of Health sciences University of Abomey Calavi Cotonou Benin National Program for the Control of Non-Communicable Diseases Ministry of Health Cotonou Benin Oncology and Clinical Hematology Department of the CHU Bogodogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso

Background: Breast cancer mortality remains high in the majority of developing countries. The Ministry of Health has established two population-based cancer registries in Benin: the first one in Cotonou in 2014 and the second one in Parakou in 2017. However, there is a scarcity of data on breast cancer survival and prognosis in Benin Republic. Objective: This study sought to investigate epidemiological, diagnostic, and survival aspects of breast cancer in Parakou, based on data from its population-based cancer registry from 2017 to 2021. Method: For descriptive and analytical purposes, we used a retrospective cohort design. From January 24, 2022 to August 31, 2022, data were collected in all health facilities covered by the Parakou population-based cancer registry using an individual questionnaire. survival and prognosis analysis were performed using KAPLAN MEIER method and David COX proportional hazard model respectively. Result: A total of 81 patients have been included in this study. The incidence rate of breast cancer in Parakou was 17.5 per 100,000 person-years with a mortality rate of 2.76 per 100,000 person-years. The median age at diagnosis was 44.50 years with extremes ranging from 19 to 76 years and a predominance of 40 - 50 years age group. The median survival time was estimated at 30 months with an overall 5-year survival of 47%. Young age at diagnosis (p-value = 0.002) and advanced stage at diagnosis (p-value = 0.000) had a negative impact on survival in women. The combination of surgery and chemotherapy improved survival (p-value = 0.018). Conclusion: Breast cancer is still a public health issue in Parakou. It comes out mandatory that resources be made available to make screening, early diagnosis and appropriate treatment of breast cancer affordable.

关键词： Breast Cancer survival Cancer Registry Parakou (Benin Republic)

Level of Knowledge Regarding Breast Cancer among Women in the Commune of Parakou in 2021

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Advances in Breast Cancer Research 2023年第1期12卷 1-9页

作者： Luc Valère Codjo Brun Yessito Corine Nadège Houehanou-sonou Nukunté David Lionel Togbenon Marie-Claire Assomption Oloufoudi Balle Pognon Ludwine Ghislaine Fifamè Padonou Falilath seidou kabibou s.lifou Marie Thérèse Akele Akpo Faculty of Medicine University of Parakou (FM/UP) Parakou Benin National school of Public Health and Epidemiology University of Parakou Parakou Benin Faculty of Health sciences University of Abomey Calavi (FSS) Cotonou Benin

Background: Women well-informed regarding breast cancer are often most conscious about their breast health and would therefore seek medical attention when detecting the initial symptoms. Objective: This study sought to identify factors associated with a good level of knowledge regarding breast cancer among women in the commune of Parakou in 2021. Method: This was a prospective cross-sectional study with descriptive and analytical purposes, carried out from June 5 to August 5, 2022, among women residing in the first district of the commune of Parakou. A pre-designed questionnaire set up with the Kobotoolbox server was used for data collection through a cluster survey sampling technique. Pearson’s chi-square test was implemented to determine associations between variables. Result: A total of 630 women were included in this study. The prevalence of women well-informed about breast cancer was 21.75% (95% CI = [18.70 - 25.13]). Factors associated with good knowledge regarding breast cancer were age group (p-value school level (p-value sion: several women remain unaware of breast cancer in the commune of Parakou. A huge effort is still needed to increase the level of coverage of information regarding breast cancer and its prevention methods.

关键词： Knowledge Factors Associated Breast Cancer Women Parakou (Benin)