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Hormonal Contraception and Hypertension at the Department of Obstetrics and Gynecology, Yalgado Ouédraogo Teaching Hospital: Epidemiological, Clinical and Therapeutic Patterns

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Open Journal of Obstetrics and Gynecology 2016年第6期6卷 379-384页

作者： Hyacinthe Zamané Georges Millogo Charlemagne Marie Ouédraogo Yobi Alexis Sawadogo Edmond Nongkouni sibraogo kiemtoré sibraogo kiemtoré Dantola Paul Kaïn Yirbar Kambiré Jean Lankoandé Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Unity of Training and Research in Health Sciences (UFR/SDS) University of Ouagadougou Ouagadougou Burkina Faso Department of Cardiology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Department of Medecine and Medical Specialties National Blaise Compaoré Teaching Hospital Ouagadougou Burkina Faso

Context: The use of hormonal contraceptives could lead to a rise in blood pressure with an onset of hypertension. The objective of the study was to describe the epidemiological, clinical and therapeutic patterns of hypertension occurring in women on hormonal contraception. Patients and Methods: A retrospective study was carried out over a period of 5 years. It involved clients on hormonal contraception who developed hypertension during follow-up at the Family Planning Unit of the Yalgado Ouedraogo Teaching Hospital in Burkina Faso. Results: The global frequency of hypertension in clients on hormonal contraception was 1.8%;it varied depending on the type of methods of contraception used;it was 4.2% for clients on oral combined pills, 1% for implant users and 0.97% for women on injectable. The mean age of patients was 35.6 ± 8.4 years. Sixty-seven patients (84.8%) had mild to moderate hypertension. The mean time to onset of hypertension was respectively seventeen (17), thirty six (36) and thirty eight (38) months for patients on OCPs, CIP, and implants. After the discovery of hypertension, the contraception methods have been changed in 75.9% of cases, stopped in 5.2% of cases and the same contraception method was continued in 8.9% of cases. None of the patients who continued the same contraceptive method had obtained a normalization of blood pressure. Blood pressure was normalized in 48.6% of patients who have changed contraceptive methods. The average time of normalization of the blood pressure varied from three to five months, depending on the method that induces the hypertension. Conclusion: Hypertension on hormonal contraception is not uncommon. It is important to assess the risk factors for its occurrence at the initiation of contraception.

关键词： Hormonal Contraception Hypertension Ouagadougou

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Abdominal Trauma during Pregnancy with Splenic Rupture and Fetal Death in Utero at Bogodogo University Hospital: A Case Report

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Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1407-1413页

作者： Yobi Alexis Sawadogo Emmanuel Ouédraogo Adama Ouattara Issa Ouédraogo sibraogo kiemtoré Charlemagne Ouedraogo Department of Obstetrics and Gynaecology Bogodogo University Hospital Ouagadougou Burkina Faso Health Science Training and Research Unit Joseph Ki-Zerbo University Ouagadougou Burkina Faso Department of Obstetrics and Gynaecology Ouahigouya Regional University Hospital Ouahigouya Burkina Faso Department of Obstetrics and Gynaecology Yalgado Oudraogo University Hospital Ouagadougou Burkina Faso

Splenic injury caused by abdominal trauma during pregnancy is rare. Splenic injury associated with fetal death in utero following a fall from a tree top is even rarer. The authors report a case of splenic trauma associated with fetal death in utero following a fall from the top of a tree in a 19-year-old pregnant woman at 30 weeks amenorrhoea. She was referred from a 1st level health facility for trauma that had occurred the day before admission. She was in poor general condition (WHO performance status IV) and had a cardiovascular collapse. Ultrasound was used to diagnose haemoperitoneum and fetal death in utero. A CT scan was used to diagnose splenic lesions. Treatment consisted of splenectomy and caesarean section after resuscitation.

关键词： Trauma Pregnancy Splenic Rupture Stillborn

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Anemia in Parturients within the Mother-Child Department of Tengandogo Teaching Hospital, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2022年第12期12卷 1296-1303页

作者： Dantola Paul Kain Hyacinthe Zamané sibraogo kiemtoré Abdoulaye Ouédraogo Ali Ouédraogo Blandine Bonané/Thiéba Teaching Hospital of Tengandogo Ouagadougou Burkina Faso Yalgado Ouedraogo Teaching Hospital Ouagadougou Burkina Faso

Objective: Study the epidemiological, clinical, para-clinical and therapeutic aspects as well as the maternal and perinatal prognosis of anemia in parturients. Background: Anemia is a public health problem in Burkina Faso. It mainly affects pregnant women. Patients and Methods: This was a descriptive and analytical cross-sectional study with prospective data collected from January 1st to September 30th, 2021. The study population included all parturients received within the department. Results: We included 378 parturients. We included in our study, all the parturients who underwent blood count upon admission and who had a hemoglobin rate below 11 g/dl. The frequency of anemia was 35.9%. The average age of anemic parturients was 27 ± 6.3 years. Compliance with anemia preventive treatment was good in 63% of cases. Out of the 378 anemic parturients, 55.8% were delivered by cesarean section. At delivery, 21 stillbirths were recorded. The mean hemoglobin level on admission was 9.27 g/dl ± 1.6. Normochromic microcytic anemia was present in 50.7% of cases. We recorded 1 case of maternal death (0.2%). The perinatal mortality rate was 7.4%. Conclusion: Despite the government’s efforts, anemia in pregnant women remains a public health problem in our country. This reality calls on decision-makers to lay emphasis on measures to prevent anemia in pregnant women.

关键词： Anemia Pregnant Women Delivery Burkina Faso

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Experience of Patients Who Underwent Scheduled Gynaecological Surgery at the Bogodogo University Hospital, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1595-1603页

作者： Yobi Alexis Sawadogo Adama Ouattara Issa Ouédraogo sibraogo kiemtoré Emmanuel Ouedraogo Dantola Paul Kain Charlemagne Ouedraogo Ali Ouedraogo Department of Obstetrics and Gynaecology Bogodogo University Hospital Ouagadougou Burkina Faso Health Science Training and Research Unit Joseph Ki-Zerbo University Burkina Faso Department of Obstetrics and Gynaecology Ouahigouya Regional Hospital Burkina Faso Department of Obstetrics and Gynaecology Yalgado Ouédraogo University Hospital Burkina Faso Department of Obstetrics and Gynaecology Tengandogo University Hospital Ouagadougou Burkina Faso

Introduction: Surgery can cause anxiety and worry, such as waking up in pain, being physically harmed or dying. This study aimed to assess the experience of patients undergoing planned gynaecological surgery in the Obstetrics Gynaecology and Reproductive Medicine department of the University Hospital Centre of Bogodogo. Patients and methods: This was a cross-sectional study with prospective data collection during the period from June 1 to August 31, 2018. The study population consisted of patients who received scheduled gynaecological surgery during the period. Results: Seventy-six (76) patients underwent scheduled surgery and 62 were included. During discussion with the gynaecologist, 58 patients (93.55%) were satisfied. When the surgery was announced, 41 patients (66.13%) were anxious. At the consultation with the anaesthetist 59 patients (95.16%) were satisfied with the discussions. Fifty-five patients (88.7%) were anxious on admission to the operating theatre. The quality of care was satisfactory for 61 patients (98.39%) and all patients were satisfied with the care team. Conclusion: Periodic evaluation of patients’ experiences should therefore be incorporated into care evaluation policies in health facilities in order to contribute to continuous improvement in the quality of medical and surgical care.

关键词： Experience Surgery Gynaecology Bogodogo

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Preventive Exchange Blood Transfusion in Pregnant Women with Sickle Cell Disease: Maternal and Perinatal Prognosis in a Country with Limited Resources, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2016年第6期6卷 373-378页

作者： Hyacinthe Zamané Dantola Paul Kain sibraogo kiemtoré Abdoul Azize Diallo Jean Baptiste Valéa Samba Diallo Fabienne Sanou Jean Lankoandé Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Unity of Training and Research in Health Sciences (UFR/SDS) University of Ouagadougou Ouagadougou Burkina Faso National Center of Blood Transfusion Ouagadougou Burkina Faso Department of Internal Medicine Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso

Context: In pregnant women with sickle cell disease, the management with exchange transfusion could be useful in improving the prognosis of mother and child by reducing the level of hemoglobin S less than 40%. Objective: To analyze the maternal and perinatal outcome during the program of the exchange transfusion in pregnant women with sickle cell disease. Patients and Methods: We conducted a prospective study over a period of 18 months. Pregnant women with a major form of sickle cell disease were included. A manual blood exchange transfusion was performed monthly. We monitored the occurrence of maternal and perinatal morbidity during the follow-up. Results: A total of 42 pregnant women with sickle cell disease were monitored. The frequency of infectious episodes and vaso-occlusive crisis was significantly reduced, respectively from 47.6% and 83.3% before the beginning of the blood exchanges transfusion to 11.9% and 16.7% during blood exchanges transfusion program. All newborns were alive at birth with an Apgar score higher or equal to 7 at the 5th minute. The rate of admission of the newborns at neonatal intensive care unit was 9.3%. Maternal mortality was estimated at 7.1% and there was no early neonatal mortality. Conclusion: Prophylactic exchange transfusion reduces infections and the reoccurrence of vaso-occlusive crisis, which has an impact on perinatal prognosis.

关键词： Sickle Cell Disease Exchange Transfusion Maternal and Perinatal Prognosis

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Influence of the Simulation in the Training of the 7thGrade Medical Students in the Insertion of the Interval Intra-Uterine Device

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Open Journal of Obstetrics and Gynecology 2020年第5期10卷 678-687页

作者： sibraogo kiemtoré Yobi Alexis Sawadogo Issa Ouédraogo Kain D. Paul Daniel Poda Komboigo S. Evelyne Training and Research Unit in Health Sciences University Joseph Ki-Zerbo Ouagadougou Burkina Faso Yalgado Ouedraogo Teaching Hospital Ouagadougou Burkina Faso School of Health Sciences Polytechnic University of Ouahigouya Ouahigouya Burkina Faso.

Introduction: A simulation laboratory has been set up in the Department of Obstetrics and Gynaecology at Yalgado Ouedraogo Teaching Hospital. The objective of this study was to evaluate the role of the simulation in training of 7th grade students on interval IUD insertion. Material and Method: This was an evaluation study of skills before and after training that included 38 students of 7th grade medicine. Pre-training knowledges and skills were compared to those based on training using the paired Student test with a 5% significance level. Perceptions and suggestions for improvement of training made by students were collected. Results: The sex ratio of the study participants was 1.1. Their average age was 26.8 ± 0.9 years. The training increased the average knowledges score from 48.2% to 93.0% (p < 0.001). The average skills score increased from 34.4% to 92.8% (p th grade medicine students had a good perception of this training. Conclusion: The training of 7th grade medicine students in IUD insertion using simulation had a positive impact on their knowledges and skills and was well appreciated.

关键词： Insertion IUD Simulation

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Surgical Activities in the Gynecology-Obstetrics Department of the Teaching Hospital Yalgado-Ouédraogo of Ouagadougou: Assessment of One Year of Practice from January 1st, 2015 to December 31st, 2015

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Open Journal of Obstetrics and Gynecology 2018年第14期8卷 1501-1509页

作者： Dantola Paul Kain Issa Ouédraogo Yobi Alexis Sawadogo Evelyne Komboigo sibraogo kiemtoré Adama Ouattara Hyacinthe Zamané Blandine Thiéba Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso Department of Obstetrics and Gynecology Teaching Hospital in Ouahigouya Ouahigouya Burkina Faso

Objective: The objective of our study was to study the surgical activities carried out in the gynecology-obstetrics department of the CHU-YO (Teaching Hospital Yalgado Ouédraogo) from January 1st 2015 to December 31st, 2015. Patients and Methods: This dealt with a cross-cutting descriptive and analytic study with retrospective data collection. Our study has included the female patients who underwent surgery in the operating room and whose medical records were usable. Results: 45% of female patients admitted in the concerned department underwent a surgery. The average age of patients was estimated at 28.02 years ±7 years with extremes of 13 years and 80 years. Obstetrical surgery has involved 89.9% of cases. Female patients have received a loco-regional anesthesia in 92.7% of cases. Emergency surgical operations accounted for 88.8% and caesarean section was the main surgical operation carried out in 87.1% of cases. The mortality rate of the overall surgical operations was 1.04%. Conclusion: A better availability of labile blood products is more likely to reduce the mortality rate of surgical operations under the threshold of 1%.

关键词： Surgery Caesarean Section Prognosis Mortality Rate

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The Rate of Caesarean Sections in Burkina Faso’s Regional and University Hospitals According to the Classification System of Robson’s Ten Groups

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Open Journal of Obstetrics and Gynecology 2021年第2期11卷 210-219页

作者： Adama Ouattara sibraogo kiemtoré Issa Ouédraogo Yobi Alexis Sawadogo Tieba Millogo Mady Bikienga Seni Kouanda Charlemagne Marie Ragnang-Newendé Ouédraogo Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University Ouagadougou Burkina Faso Gynecology-Obstetrics Department of CHU-Ouahigouya Ouagadougou Burkina Faso African Institute of Public Health CHU-Ouahigouya Ouagadougou Burkina Faso

Background: Quality assurance in labor and delivery is needed. The method must be simple and consistent, and be of universal value. The 10-Group Classification System is a simple method providing a common starting point for further detailed analysis within which all perinatal events and outcomes can be measured and compared. Objective: The purpose of this study was to analyze cesarean section (CS) rates using the classification system of Robson’s ten groups and to identify the main contributors to the overall CS rate in Burkina Faso’s regional and university hospitals. Materials and Method: A cross-sectional study with retrospective collection was carried out. All women who gave birth between July 1, 2017 and June 30, 2018, in the Regional Hospital Centres (RHC) and University Hospital Centres (UHC) of Burkina Faso were classified according to the Robson ten-group method. The overall CS rates and in each Robson group were calculated, as well as the contribution of each group to the overall CS rate. Results: The CS rate was 26.5% (8543 out of 32,240 deliveries) during the study period. nulliparous women with single term pregnancy in cephalic presentation during spontaneous labour (group 1), multiparous women with single pregnancy in cephalic presentation, gestational age ≥37SA, spontaneous labour (group 3) and multiparous women with previous CS (group 5) were the main contributors (67.7%) to the overall CS rate. In addition, we observed a variation in CS rates between different hospitals, especially among women with full-term pregnancies in cephalic presentation without previous CS (groups 1 to 4), showing large dif

关键词： Caesarean Section Robson’s Group Burkina Faso

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Maternal Mortality in the Gynecology-Obstetric Department at the Yalgado Ouedraogo University Hospital Center (CHUYO), Burkina Faso: About 181 Cases Collected from January 1stto December 31st2016

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Open Journal of Obstetrics and Gynecology 2020年第5期10卷 714-722页

作者： sibraogo kiemtoré Béwendin Evelyne Komboigo André Simporé Hyacinthe Zamané Xavier Kaboré Mikael Zoundi Boubacar Touré Francoise Millogo Blandine Thiéba Joseph Ki Zerbo University OuagadougouBurkina Faso Department of Obstetrics Gynecology in Yalgado Ouedraogo University Hospital Center OuagadougouBurkina Faso Nazi Boni University Bobo-DioulassoBurkina Faso

Objective: To study maternal mortality in the obstetrics and gynecology department at Yalgado Ouedraogo teaching Hospital Center. Patients and Methods: We conducted a cross-sectional retrospective and descriptive study of 181 cases of maternal deaths during study period. The parameters studied were sociodemographic characteristics, the causes of death, the clinical data and the contributing factors. Results: The maternal mortality ratio was 2624 per 100,000 live births. The mean age of death was 26.79 with extremes of 15 years to 40 years. Direct obstetric causes accounted for 58% dominated by hypertension and complications, hemorrhage during pregnancy and postpartum, and obstetric infections. The indirect obstetric causes were 42% dominated by non-obstetric infections and chronic anemias. In addition to the delay in consultation and delay in care, the lack of antenatal care was the contributing factor to maternal deaths. Conclusion: Maternal mortality remains a public health problem in view of its high ratio. The reduction of this scourge will inevitably go through a health insurance that will allow the supply of quality care.

关键词： Maternal Mortality Causes Contributing Factors CHU YO

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Low Birth Weight at Term: Risk Factors and Perinatal Prognosis in the Teaching Hospital Yalgado Ouédraogo, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2018年第14期8卷 1510-1519页

作者： Dantola Paul Kain Adama Ouattara Hyacinthe Zamané sibraogo kiemtoré Issa Ouédraogo Yobi Alexis Sawadogo Ali Ouédraogo Blandine Thiéba Teaching Hospital Yalgado Ouédraogo Ouagadougou Burkina Faso Teaching Hospital Ouahigouya Ouahigouya Burkina Faso

Objective: The objective of our study was to study the risk factors of low birth weight at term in the Teaching Hospital Yalgado (CHU-YO) Ouédraogo. Patients and Methods: This dealt with a comparative and analytical control case study. The group of cases was made up of female patients who gave birth to newborns with low birth weight at term and that of control cases included female patients who delivered a normal-weighted newborn at term. Results: The frequency of low birth weight at term was therefore estimated at 4.4%. The average age of the parturients was 25 ± 6.36 years. Female patients living in a marital setting accounted for 93.1% of cases and 64.4% of them had no income-generating activities. A maternal underweight, a height below 155 cm, passive smoking, and malaria during pregnancy have been identified as the factors associated with a low birth weight. Conclusion: Quality prenatal care could reduce the incidence of low birth weight at term.

关键词： Low Birth Weight Risk Factors Prognosis Burkina Faso

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