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Knowledge and Practice in Emergency Obstetric and Neonatal Care (EmONC) Providers in Kinshasa, Democratic Republic of Congo

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Open Journal of Obstetrics and Gynecology 2022年第9期12卷 979-992页

作者： Joëlle Ambis Lumaya Roger Mwimba Mbungu Andy Muela Mbangama Patrick Muyayalo Kahindo Berry Nsiangangu Kinkenda Guillaume Bisinkam Malingisi Anselme Mulaila Mbungu Jean Tshitadi Mukendi Freddy Nkongolo Muamba Jésual Banza Lotoy Bienvenu Nkashama Kazadi Adrien Umba Tandu christian otem ndesanzim Gérard Mubengabantu Kabatantshi Department of Obstetrics and Gynaecology University Clinics Kinshasa Democratic Republic of Congo

Context: Maternal and newborn mortality remains a public health concern worldwide. Although its ratio decreased by around 44% from 1990 to 2015, this rate remains high in developing regions, particularly in sub-Saharan Africa. Objectives: To evaluate the level of knowledge and practice of Emergency Obstetric and Neonatal Care (EmONC) of health providers in maternity hospitals in Kinshasa and to identify the causes of the non-practice of EmONC. Methods: A descriptive study was conducted from September 1, 2016 to January 31, 2017 in 21 medical facilities drawn from the 6 health districts of the city of Kinshasa. We analyzed data obtained by interviewing 675 healthcare providers from different professional categories working in gynecology departments and in delivery rooms. The 50% acceptability criterion was set to assess their knowledge and practice. Results: Among the providers, 385 of them (57%) had already heard of EmONC and most of them were general practitioners with a rate of 55.8% of all participants, but specialists were the ones who defined them well. Supervision by trained colleagues was the main source of information on EmONC with 32.5%, while structured training only concerned 24% of our providers and 43% of providers had no training in EmONC. The level of knowledge was deemed satisfactory with 56.4% for the whole population but below the average for general practitioners. 32.2% of our sample did not practice the EmONC and the lack of training was the main reason for this non-practice. Conclusion: EmONC as a strategy in the fight against maternal mortality is not known. Its functions are known within the framework of basic training and current practice. Structured training only concerned 24% of our service providers and 43% of them had no training in EmONC.

关键词： Obstetric and Neonatal Care Emergency Maternity Kinshasa

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Rationale of a Cross-Sectional Descriptive Study on Temporal Evolution of Frequency, Risk Factors and Complications of Preeclampsia in the University Clinics of Kinshasa, DR Congo

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第9期

作者： Muela Andy Mbangama otem christian ndesanzim Ambis Joëlle Lumaya Nkongolo Freddy Muamba Mubalamata Eugène-Patrick Lukusa Nkashama Bienvenu Kazadi Ndombasi Nelda Lemba Banza Jésual Lotoy Feruzi Michel Mangala

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Rationale of Longitudinal Cohort Study on Obstetrical Outcomes of Trichomonas vaginalis Infection in Kinshasa, DR Congo

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第9期

作者： Muela Andy Mbangama Banza Jésual Lotoy Ambis Joëlle Lumaya Nkongolo Freddy Muamba Mubalamata Eugène-Patrick Lukusa Nkashama Bienvenu Kazadi Ndombasi Nelda Lemba otem christian ndesanzim Feruzi Michel Mangala

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Rationale of a Cross Sectional Descriptive Study on Knowledge and Practices of Healthcare Providers on Postpartum Hemorrhage Management in Kinshasa, the Democratic Republic of the Congo

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第9期

作者： Muela Andy Mbangama Mubalamata Eugène-Patrick Lukusa Ambis Joëlle Lumaya Nkongolo Freddy Muamba Banza Jésual Lotoy Nkashama Bienvenu Kazadi Ndombasi Nelda Lemba otem christian ndesanzim Feruzi Michel Mangala

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Cohort Study on Benefit of Martial Supplementation with EDTA Sodium Iron in Management of Gravidic Anemia at the University Clinics of Kinshasa

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第10期

作者： Andy Muela Mbangama Ndombasi Nelda Lemba Ambis Joëlle Lumaya Nkongolo Freddy Muamba Banza Jésual Lotoy Mubalamata Eugène-Patrick Lukusa Nkashama Bienvenu Kazadi otem christian ndesanzim Feruzi Michel Mangala

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Rationale of the Cross-Sectional Descriptive Study on Factors Associated with Failure of Vaginal Delivery Trial after Cesarean Section in the University Clinics of Kinshasa, DR Congo

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2023年第10期

作者： Muela Andy Mbangama Nkashama Bienvenu Kazadi otem christian ndesanzim Ambis Joëlle Lumaya Nkongolo Freddy Muamba Mubalamata Eugène-Patrick Lukusa Ndombasi Nelda Lemba Banza Jésual Lotoy Feruzi Michel Mangala Sendeke Patrick Mogwo Mwimba Roger Mbungu

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Knowledge and Practice in Emergency Obstetric and Neonatal Care (EmONC) Providers in Kinshasa, Democratic Republic of Congo

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2022年第9期

作者： joëlle ambis lumaya roger mwimba mbungu andy muela mbangama patrick muyayalo kahindo berry nsiangangu kinkenda guillaume bisinkam malingisi anselme mulaila mbungu jean tshitadi mukendi freddy nkongolo muamba jésual banza lotoy bienvenu nkashama kazadi adrien umba tandu christian otem ndesanzim gérard mubengabantu kabatantshi

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Clinical and Histological Profile of Breast Cancer at University Clinics of Kinshasa, Democratic Republic of Congo

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Open Journal of Obstetrics and Gynecology 2022年第8期12卷 760-769页

作者： Bisinkam Guillaume Malingisi Mbangama Muela Andy Mutombo Baleka Alex Lumaya Ambis Joelle Mukendi Tshitadi Jean Muamba Nkongolo Freddy Odimba Mpoy Jules Kazadi Nkashama Bienvenu ndesanzim otem christian Lotoy Banza Jésual Etana Litambelo Serge Ombha Loshima Ernest Kabatantshi Mubengabantu Gérard Department of Obstetrics and Gynaecology University Clinics Kinshasa DRCongo

Context: Breast cancer represents a significant public health problem concern the world, given its frequency (20% to 25% of female cancers) and diagnosis clinical stage with a particular frequency of locally advanced cancers and inflammatory forms. Objectives: To describe the socio-demographic, clinical and histological characteristics of breast cancer at the University Clinics of Kinshasa. Methods: A descriptive and retrospective study was completed at University Clinics of Kinshasa from 1 January 2003 to 30 July 2018, including 300 cases of breast cancer diagnosed and treated. Results: The mean age of women at diagnosis was 47.5 ± 10.8 years. Most of the patients were married, multipara with an average parity of 3.7 ± 2.5 and non-menopausal. Breast mass was the main reason for medical visit (47.5%) and the majority of patients consulted 12 months after the onset of the disease (36.3%) at stage 3 (56%) and node extension was observed in 61.3%. The average size of the breast mass was 8.02 ± 3.7 cm. The infiltrating ductal carcinoma was the most common histological type in 82.5% of cases;the majority of tumors were histo-pronostic II in 47.5% of cases. 83% of the tumors were hormonal-dependent. Only 35.9% of the tumors over-expressed the HER 2/Neu receptor. Conclusion: Most patients consulted more than 12 months after the onset of the disease and the diagnosis was made at advanced stages. The tumor was large at diagnosis. The left breast was the most affected. The majority of tumors are of high histopronostic grade and are hormonal-dependent.

关键词： Breast Cancer Clinical and Histological Profile University Clinics of Kinshasa

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Rationale of Cross-Sectional Descriptive Study on Clinical Effectiveness of Oral Combination Therapy Based on Secnidazole, Azithromycin and Fluconazole in Syndromic Treatment of Abnormal Vaginal Discharge in Kinshasa/DR Congo

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Open Journal of Obstetrics and Gynecology 2023年第11期13卷 1807-1815页

作者： Muela Andy Mbangama Feruzi Michel Mangala Di-Mosi-Nkoyi Roger Wumba Ambis Joelle Lumaya Nkongolo Freddy Muamba Mubalamata Eugene-Patrick Lukusa Nkashama Bienvenu Kazadi Ndombasi Nelda Lemba Banza Jésual Lotoy oteme christian ndesanzim Mwimba Roger Mbungu Departement of Obstétrics and Gynecology University Clinics of Kinshasa Kinshasa DR Congo Departement of Tropical Medecine University Clinics of Kinshasa Kinshasa DR Congo

Background: Vaginal discharge is one of the most common troubles faced by childbearing age women. About 20% - 25% of women who visit service of gynecology complain of vaginal discharge and leucorrhoea. Management of vaginal discharge in low-income countries generally depends on syndromic approach, which limits the understanding of specific responsible agents. Thus targeted management is based on the identification of causal organism and targeting of therapy against it, while syndromic management is based on presence of high risk factors. Thus the oral combination kit (Azimyn FS Kit®) offers convenience of a one-day treatment compared to other multidose treatments, which will also ensure high patient adherence to treatment, thus increasing chances of desired results. Due to its widespread use, it is proposed to evaluate the effectiveness of this oral association kit therapy in management of vaginal discharge in the population of our milieu in the Democratic Republic of Congo (DRC) particularly those received in outpatient consultation in some medical facilities in city of Kinshasa. Expensive laboratory tests and the associated waiting period for result mean that patient remains without treatment while waiting for test results. Therefore, by adopting a syndromic management approach, patient’s eligibility for treatment will be decided based on abnormal vaginal discharge, their characteristics, severity and other presentations symptomatic. This approach will also avoid losing sight of patients during follow-up and will help to reduce financial burden for patients. Objectives: To determine the efficacy and safety of oral combination kit therapy containing secnidazole, azithromycin and fluconazole (Azimyn FS Kit®) in syndromic treatment of abnormal vaginal discharge in patients received in outpatient consultation in some medical facilities in the city of Kinshasa;to measure rate of recurrence of abnormal vaginal discharge in these patients. And to identify the adverse eff

关键词： Combination Therapy Syndromic Treatment Abnormal Vaginal Discharge

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Clinical and Histological Profile of Breast Cancer at University Clinics of Kinshasa, Democratic Republic of Congo

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2022年第8期

作者： bisinkam guillaume malingisi mbangama muela andy mutombo baleka alex lumaya ambis joelle mukendi tshitadi jean muamba nkongolo freddy odimba mpoy jules kazadi nkashama bienvenu ndesanzim otem christian lotoy banza jésual etana litambelo serge ombha loshima ernest kabatantshi mubengabantu gérard

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