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Obstetrical specificities of Ivorian adolescent mothers on a single-center hospital series of 1040 cases

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Gynecology and Obstetrics Clinical Medicine 2022年第2期2卷 86-90页

作者： edele kacou aka Apollinaire Horo Mohamed Fanny Luc Olou Perel Konan Abdoul Koffi Ana Toure-Ecra Mamourou Kone Universite Felix Houphouet Boigny(FHB) Centre Hospitalier Universitaire de Yopougon-AbidjanService de Gynecologie-ObstetriqueAbidjanCote d’Ivoire

Overview and aim:The precocity of sexual intercourse among adolescent girls is a prominent source of unwanted ***,we aim to survey the past issues relating to the pregnancy,childbirth,and materno-fetal prognosis of Ivorian adolescent ***:We conducted a retrospsective study with adolescent group(n=1040)versus young adult group aged 20 to 24(n=736)over three years from1st January 2016 to 31rd December 2018 at the Department of Obstetrics and Gynecology at the University of Abidjan-Yopougon *** and fetal outcomes of the two groups were analyzed and compared by using Pearson's Chi2 tests and Fisher's exact tests,followed by multivariate analysis and logistic regression using Stata software version ***:The average age of adolescent girls in our study was 17.45 years(SD=1.39)and a minimum of 12 *** consulted less(P<0.0001)and later(P<0.0001)versus young adults aged 20 to *** proportion of adolescent girls(47.6%)versus young adults(39.1%)who had underwent caesarean section was significantly higher(P=0.0004).These adolescents were 3.5-fold more likely to develop hypertension and its complications in the postpartum period and 2.5-fold more likely to contract a postpartum *** mortality was not significantly associated with adolescence(OR=0.52)(95%CI:0.22–1.19;P=0.0891).The risk of prematurity,early neonatal death,and neonatal admission were 2.02(95%CI:1.56–2.63;P<0.0001),1.55(95%CI:1.14–2.13;P=0.0040),and 1.73(95%CI:1.12–2.71;P=0.0097)in adolescence,***:Adolescent childbirth remains associated with a poor prognosis.

关键词： High-risk pregnancy Adolescent girl West Africa

Factors Influencing the Acceptance of the Gametes Donation in Cote d’Ivoire/West Africa

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Open Journal of Obstetrics and Gynecology 2017年第5期7卷 600-607页

作者： Ana Fatoumata Touré écra Abdoul Koffi Koffi kacou edele aka Minata Fomba Perel Konan University Félix Houphoüet Boigny AbidjanCote d’Ivoire

Introduction: Africans ensure their offspring by transmitting their own genes. Even if adoption is a common thing in Africa, the biological kinship keeps its supremacy. The following study tries to identify socio-cultural factors that may influence the couples’ attitude towards the gametes donation. Methods: All female patients consulting for a childbearing desire and with an indication of an assisted reproductive technique with a third donor, were included in this longitudinal retrospective and prospective study at the teaching hospital of Yopougon and in a private clinic from 1st September 2014 to 31 October 2015. 100 couples were included. Chi square test was used for statistics data. The following factors were analyzed: age, sex, religion, profession, anterior procreation, existence of a common child, infertility duration. Results: Only the age had a significant link with the egg donation refusal rate. Conclusion: This work makes it possible to foresee that Africans have the same conception of procreation because one finds this desire of childbearing in all the layers of the society.

关键词： Gametes Donation Acceptability Factors Cote d’Ivoire Africa

Acceptability of Gametes Donation in Cote d’Ivoire

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Open Journal of Obstetrics and Gynecology 2017年第4期7卷 400-410页

作者： Ana Fatoumata Touré écra Abdoul Koffi Koffi kacou edele aka Minata Fomba Perel Konan University Félix Houphoüet Boigny AbidjanCote d’Ivoire

Introduction: The need for childbearing is greater in Sub-Saharan countries for socio-cultural reasons. In fact, it is correlated to the need for the transmission of one’s own genes. That is why the assisted reproductive technology with a third party donor can be considered as proxy procreation and can be rejected. Methods: All female patients who consulted for a childbearing desire and who needed an assisted reproductive technology with a third party donor were included in the study held at the university teaching hospital of Yopougon and in a private clinic from 1 September 2014 to 31 October 2015. 100 couples were included. Results: 82% of the men accepted the gametes donation in their couple and 89% of women did. 54% of the men accepted the donation spontaneously and 66% of the women too. The others were reserved before accepting it finally. The reasons for this reserved attitude regarding the donation were mainly the need to reflect for the men and the necessity to seek for their partner’s opinion concerning the women. Conclusion: The rate of acceptability of the gametes donation is very high in C?te d’Ivoire in spite of the cultural perception of the genes transmission.

关键词： ART Gametes Donation Acceptability Cote d’Ivoire

Vulvar Basal Cell Carcinoma of a 40 Years Old Black Woman: About a Case and Literature Review

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Open Journal of Obstetrics and Gynecology 2016年第9期6卷 553-557页

作者： Gninlgninrin Apollinaire Horo kacou edele aka Abdoul Koffi Konan Séni B. Effi Koné Mamourou Gynaecology Obstetrics Department Teaching Hospital of Yopougon Abidjan Cote d’Ivoire

Vulva Basal Cell Carcinoma (BCC) is a rare tumor. It usually occurs in Caucasians at an advanced age. We present a case of vulvar BCC in an African patient under 40 years old with HIV infection successfully treated su... 详细信息

关键词： Basal Cell Carcinoma Vulva Cancer Africa Woman Young Adult

Uterine Inversion: An Uncommon Progressive Forme of Leiomyosarcoma Uterine: Case Report and Review of Literature

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Open Journal of Obstetrics and Gynecology 2016年第2期6卷 144-148页

作者： Apollinaire Gninlgninrin Horo kacou edele aka Minata Fomba Abdoul Koffi N’guessan Alphonse Aman Mohamed Kouyate Konan Séni Benjamin Effi Koné Mamourou Gynaecology Obstetrics Department Teaching Hospital of Yopougon Abidjan C&ocircte d’Ivoire Anatomy and Pathology Department Teaching Hospital of Treicvhville Abidjan C&ocircte d’Ivoire Histopathology Department Teaching Hospital of Treichville Abidjan C&ocircte d’Ivoire

Uterine leiomyosarcoma (LMS) is a rare uterine malignancy that represents approximately 1% of uterine cancers. The nonspecific symptoms cause difficulties in the diagnostic, prognostic and therapeutic. We report an unusual progressive form, with a uterine inversion of LMS fundal externalized out of the vulva in a patient of 48 years old premenopausal.

关键词： Leiomyosarcoma Uterine Inversion Externalized out of the Vulva

Prevention of Cervix Cancer in a Low Resources Country: Operational and Clinical Aspects of a Screening’s Network in a Suburb of Abidjan (Côte d’Ivoire)

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Open Journal of Obstetrics and Gynecology 2016年第1期6卷 85-91页

作者： Horo Apollinaire Koffi Abdoul aka kacou edele Seni Konan Koné Mamourou University Hospital Yopougon Abidjan Cote d’Ivoire

Background: Cancer of the cervix is the most common cancer and the leading cause of death by cancer in women in developing countries. According to WHO, there were in 2002 in the world more than 500,000 new cases of cervical cancer, with more than 90% in developing countries. Secondary prevention of cervical cancer is done through screening of precancerous lesions and early diagnosis of cancer followed by treatment. Objectives: Our experience was reported in the management of a network of screening in the prevention of cancer of the uterine cervix. Method: After a program of training and upgrade to a pool of specialist doctor of obstetrics and gynaecology and midwifery centers health on visual screening methods, a reference site that is also a trainer site was defined and equipped with video-colposcopy and cryotherapy device. In April 2014, four peripheral sites have been installed with an equipment of lamp, magnifying glasses, acid acetic 5% and Lugol’s iodine. The screening network has been implemented and works on the model of reference-cross-reference. Results: The assessment of a year’s activity of the peripheral centers reported 993 patients, 653 consultations at the reference site, 106 precancerous lesions (6%), and 86 cases of references. The age of attendance peak lies in the age group of 35 - 55 years. Conclusion: The improvement of women’s participation requires organized screening, mass communication strategies, and systematic proposal of screening in consultation.

关键词： Network Screening Cervical Cancer

Traumatic Uterine Rupture Following a Traffic Accident: About a Case

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Open Journal of Obstetrics and Gynecology 2017年第9期7卷 957-965页

作者： Touré Ecra Ana aka kacou edele Konan Perel Koffi Koffi Abdoul Olou Luc University Félix Houphoüet Boigny Abidjan Cote d’Ivoire

The authors report the case of a pregnant victim of a road accident, complicated by uterine rupture. The maternal outcome was favorable, with a fetal death. The interest of this observation lies in the 3 delays descri... 详细信息

关键词： Trauma Road Accident Uterine Rupture Cote d’Ivoire Africa