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Analysis of Maternal Mortality at the Maradi Maternal and Child Health Center/Niger: About 379 Cases

Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1529-1539页

作者： Amadou Issa Abdou Oumara Maina Lankoandé salifou Zélika Tamo Kailou Azize Moussa Boukari soumana Diaouga Hamadou oumarou garba s.uleymane Hassane Rabiatou Nayama Madi Mother and Child Health Center Dan Dicko Dankoulodo University of Maradi Maradi Niger Faculty of Health sciences General Reference Hospital Abdou Moumouni University of Niamey Niamey Niger Mother and Child Health Center Andr Salifou University of Zinder Zinder Niger Issaka Gazobi Maternity of Niamey Faculty of Health Sciences Abdou Moumouni University of Niamey Niamey Niger

Introduction: Pregnancy, childbirth, and their consequences continue to be the leading cause of death, illness, and disability among women of reproductive age in developing countries. In Niger, maternal deaths account for about 39% of all deaths of women aged 15-49. Our aim was to identify the factors linked to maternal mortality in order to contribute to its reduction. Method: this is a descriptive retrospective study of 379 cases of maternal deaths collected at the Maradi CsME from January 1, 2018, to December 31, ***: Our study’s maternal mortality ratio is 2645.72 per 100,000 live births. The mean age of our patients was 27.46 years, with extremes ranging from 15 to 47 years. The 20-24 age group was the most represented, with 88 cases (23.2%). Housewives were 361 (95.3%), and 334 patients (88.1%) were uneducated. There were 261 of them from rural areas, i.e. 69%. The mean parity in our study was 3.46, with extremes ranging from 0 to 15. Multiparous patients 117 cases (30.9%) represented the most significant proportion. Only 42 patients (11.08%) had performed four or more antenatal consultations. Direct obstetric causes accounted for 56.73% of the causes of maternal death. Anemia was the leading cause of maternal death (31.66%). Nearly half of the patients had died before 24 hours after admission, i.e. 49.86%. Conclusion: Maternal mortality remains a significant challenge for developing countries, given its magnitude and timid decline. The fight to reduce maternal mortality must be the priority of our countries’ health policies.

关键词： Maternal Mortality CsME Maradi Anemia

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sexual Violence in the Zinder Region, about 441 Cases in Reference Motherhoods

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surgical science 2023年第2期14卷 90-96页

作者： s.uleymane oumarou garba Zélika salifou Lankoande Maina Oumara Nabara Ibrahim Issa Abdou Amadou oumarou Habou Madi Nayama Mother and Child Health Centre of Zinder André Salifou University of Zinder Zinder Niger General Referral Hospital of Niamey Abdou Moumouni University of Niamey Niamey Niger Mother and Child Health Centre of Zinder Zinder Niger Mother and Child Health Centre of Maradi Dan Diko University of Maradi Maradi Niger National Hospital of Zinder André Salifou University of Zinder Zinder Niger Issaka Gazobi Maternity of Niamey Abdou Moumouni University of Niamey Niamey Niger

Background: Niger is one of the countries that have the highest fertility rate in the world, with 7, 6 children per woman. Zinder is the most populated region of Niger with 5 million inhabitants that is 1/5 of Niger population. The demographic impact that has affected Niger the last 10 years: unemployment poverty and drug use, spawned violence of all kinds in Zinder region (physical and sexual violence). sexual abuse is a major risk for poor psychiatric and physical outcomes. As sexual violence has serious consequences on the life and future of women and the community and it concerns our field of intervention, we initiated this study whose objective was to determine the socio-epidemiological and lesional aspects, the consequences and appropriate solutions of sexual violence in the Zinder. Methodology: This was a retrospective collection study of all cases of alleged sexual violence received over a 12-year period from 1 January 2009 to 30 June 2021 in Zinder’s referral maternity wards. Results: During the study period, 441 cases of sexual violence were collected;an annual average of 36 cases (441/12). The frequency is 1.29% on the 34,186 consultations. The mean age was 12.31 years with age extremes of 3 to 43 years. students accounted for 25.39%. street vendors were found in 224 cases or 50.79%. The predominant reason for admission is rape in 64.63%. The defloration was 52.15%. Pregnancy was found in 118 cases or 26.75%. HIV serology was positive in 1 victim. school dropout was 26.75%. Conclusion: The victims of sexual violence were minors, mostly street vendors and school children. The lack of means of repression at the time allowed the expansion of this violence. The consequences of sexual violence were severe. Advocacy has improved the phenomen on of sexual violence in Zinder.

关键词： sexual Violence Zinder Reference Motherhoods Niger

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Impacts of Market Gardening Practices on Environmental Resources: The Case of Irrigable Lands in Bonkoukou (Imanan Rural Municipality, sW Niger Republic)

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Natural Resources 2022年第1期13卷 16-37页

作者： Karimou Dia Hantchi salamatou Abdourahamane Illiassou Adamou Didier Tidjani Rachid Boubacar oumarou Zibo garba Department of Geology Faculty of Science and Techniques Dan Dicko Dankoulodo University Maradi Niger Department of Animal Production Faculty of Agronomic Science University of Diffa Diffa Niger Department of soil science Faculty of Agronomy Abdou Moumouni University Niamey Niger Department of Digitization of Environmental science Faculty of Science and Techniques University of Dosso Dosso Niger

Due to increasingly extreme climatic conditions in the sahel, irrigated crops are emerging as imperative innovations for agricultural transformation and resilience. This study is designed to assess the impact of market gardening on soil, water and plant cover in the western Niger Republic. semi-structured survey data were collected from 78 site operators in the Imanan rural municipality (Filingué, Tillabéry). In addition to the survey, a photographic collection illustrated certain observable facts in the field. The survey shows that the wooden enclosures (70.65% of respondents) around the fields are renewed every year. The impacts are then substantial: deforestation of plateaus, clearing of valleys for new extensions, loss of wildlife habitat, changes in the water flow regime resulting from a geomorphological change in the commune. Itou, the preparation of the planks consumes a lot of water. Thus, the new sinking of water points and the load pressure increase the drawdowns of wells and boreholes in the sites (75.46% of respondents). The frequent spills of waste oil on the sites, as well as the numerous potato storage pits, are among the factors and vectors most likely to contaminate the soils and aquifers of the study area. Market gardening destabilizes the soils and induces regressive erosion as well as area runoff of rainwater on all sites and on the slopes. On the other hand, slash-and-burn practices, drying of branches intended for fences, as well as rain-fed cowpea crops, promote improved physical properties and soil fertilization. To reduce the risks of disintegration and especially of silting up of sites, the study suggests a policy of live hedges and wire fences so that common spaces can be imposed on operators.

关键词： Market Gardening Impacts Environmental Resources Degradation Imanan Niger

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Abdominal Pregnancy with Hemorrhagic Placenta: About a Case at the Mother and Child Health Center of Zinder

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surgical science 2023年第2期14卷 84-89页

作者： s.uleymane oumarou garba Maina Oumara Zélika salifou Lankoande Issa Abdou Amadou Hassane Laoul Nabara Ibrahim H. Adamou Madi Nayama Mother and Child Health Center ANDRE Salifou University of Zinder Zinder Niger Reference General Hospital of Niamey ABDOU Moumouni University of Niamey Niamey Niger Mother and Child Health Center Dan Diko University of Maradi Maradi Niger National Hospital of Zinder ANDRE Salifou University of Zinder Zinder Niger Issaka Gazobi Maternity ABDOU Moumouni University of Niamey Niamey Niger

Background: In developing countries maternal mortality and morbidity are most often due to the late to consult, poverty and ignorance. Added to this is, the under-medicalization of the health system. The objective of study is to report a case of late consultation and its consequences and make recommendations to improve: case of abdominal pregnancy with hemorrhagic placenta at the Health and Mother Center (CsME) in Zinder/Niger. Clinical Observation: We describe a case of abdominal pregnancy with hemorrhagic placenta in a 24-year-old woman, without profession, resident in the city of Zinder with a low economic level, consulted for abdomino-pelvic pain. she had a notion of amenorrhea for 5 months without any consultation made. she was pale, feverish and had abdominal pain. Ultrasound revealed a 23-week-old fetus and an empty uterus. The diagnosis was abdominal pregnancy. A laparotomy was performed and a The morbidity was hysterectomy and anemia. The postoperative period course was complicated with anemia. The patient was cured on the 9th day with a good vital prognosis. Conclusion: Abdominal pregnancy occurred in a patient who presented a risk factor. Ultrasound was the key diagnostic test. surgery was the treatment of choice and the prognosis depends on the earliness of the consultation. Community awareness and early consultation with health services can improve the prognosis of abdominal pregnancy.

关键词： Abdominal Pregnancy Hemorrhagic Placenta CsME Zinder

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