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Infectious Diseases of Poverty 2021年第2期10卷 78-78页

作者： Andrea J.Lund David HRehkopf Susanne HSokolow MMoustapha Sam Nicolas Jouanard Anne-Marie Schacht simon senghor Assane Fall Gilles Riveau Giulio ADe Leo David Lopez-Carr Emmett Interdisciplinary Program in Environment and Resources Stanford University473 Via Ortega Suite 226StanfordCAUSA 不详

Background:Water resources development promotes agricultural expansion and food security.But are these benefits offset by increased infectious disease risk?Dam construction on the Senegal River in 1986 was followed by agricultural expansion and increased transmission of human schistosomes.Yet the mechanisms linking these two processes at the individual and household levels remain unclear.We investigated the association between household land use and schistosome infection in children.

关键词： Agriculture Exposure Livelihoods Planetary health Senegal Schistosomiasis Water contact

Rate of Obstetrical Complications and Medical Interventions in Low-Risk Patients: A Cohort Study in Dakar, Senegal

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Open Journal of Obstetrics and Gynecology 2022年第8期12卷 842-848页

作者： Aissatou Mbodji Mamour Gueye Mouhamadou Wade Assia Bourragat Mame Diarra Ndiaye simon Birane Ndour Philoméne Aissatou Diedhiou Mohamadou Nazir Sylla Diomaye Sene Magatte Mbaye Philippe Maguilen senghor Health Center Dakar Senegal Cheikh Anta Diop University Dakar Senegal Gaston Berger University Saint-Louis Senegal

Background: “Low-risk” pregnancy is defined as a pregnancy that develops physiologically in a healthy woman and remains healthy. In practice, “low-risk” pregnancies are defined by excluding high-risk pregnancies. Objectives: Evaluate the rate of complications and medical interventions in “low-risk” pregnant women. Methods: This was a retrospective cohort study assessing the risk of obstetrical complications and medical interventions in low-risk patients from January 2010 to December 2020 at Philippe Maguilen senghor Health Center in Dakar, Senegal. Results: There were 10,979 low-risk patients out of a total of 52,768, accounting for 20.8%. As medical interventions, episiotomy was performed in 27.5% and cesarean section in 8.7%. Acute fetal distress was observed in 4.1%. A low Apgar score at the fifth minute was observed in 1.89% (whereas it was 3.49% in high risk patients). Newborn-resuscitation was performed in 10.7%. Neonatal mortality was 5‰. Conclusion: Low-risk pregnancies are not without “risk”, and thus care-givers should prepare for risks even at dealing with low risk patients.

关键词： Risk Delivery Obstetric Complications Senegal

Abdominal Advanced Pregnancy: A Case Report

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Open Journal of Obstetrics and Gynecology 2022年第7期12卷 605-609页

作者： Tandian Aminata Mbodji Aissatou Gueye Mamour Ndour simon Birane Ndiaye Mame Diarra Wade Mouhamadou Diedhiou Philoméne Aissatou Sylla Mohamadou Nassir Sene Diomaye Mbaye Magatte Kaffrine Hospital Kaffrine Senegal Cheikh Anta Diop University Dakar Senegal Philippe Maguilen senghor Health Center Dakar Senegal Gaston Berger University Saint-Louis Senegal

Abdominal advanced pregnancy is a rare form of ectopic pregnancy. The diagnosis can be difficult, especially in advanced forms. The management is mainly surgical. The materno-fetal mortality is very high with a high risk of bleeding. We report a case of a 22 years old primiparous who presented an abdominal pregnancy with intraoperative discovery. Through this case managed in our structure, we will present the diagnostic and management difficulties.

关键词： Abdominal Pregnancy Ectopic Senegal

Analysis of Maternal Deaths in Suburban of Dakar, Senegal

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Open Journal of Obstetrics and Gynecology 2021年第5期11卷 523-528页

作者： Abdoul Aziz Diouf Omar Gassama Moussa Diallo Mohamed T. Diadhiou simon Birame Ndour Mamour Gueye Alassane Diouf Pikine National Hospital Thiaroye Dakar Senegal Aristide Le Dantec Teatching Hospital Dakar Senegal Phillipe Maguilen senghor Hospital Yoff Dakar Senegal

Objective: Maternal mortality remains a major concern in developing countries. This survey aims to suggest strategic plans that would help decrease maternal and perinatal mortality in the suburbs. It is a descriptive study that shows the different causes of maternal deaths during pregnancy and puerperium period. Methods: It is a retrospective descriptive study done between January 1st 2016 and the 31st of December 2018. We have collected information on all deaths due to mortality issues in Five (5) maternity clinics around Dakar. The record shows that teach centre have an average of 4000 deliveries per year. The data collected from the hospital records were inputted using Sphinx software (version 5). These data were analysed using Epi Info software (version 3.5). After analysing these data, recommendations were made to minimize the different causes of maternal deaths. Results: We recorded 154 maternal deaths out of 32,420 live births. The direct causes of maternal deaths were a result of preeclampsia and its complications (31.2%), postpartum haemorrhage (24.7%), abruption placentae (20.8%) and obstructed labour (7.8%). The indirect causes were mainly sickle cell disease (1.3%), heart disease (1.3%) and gynaecological cancers (1.3%). Maternal deaths were also associated with fetal loss in 47.4% of 153 maternal deaths, need for blood transfusion 59% while none of the reference structures in the suburbs of Dakar has a blood bank;with a need for admission in intensive care unit was noted as 40%. Concl

关键词： Maternal Mortality Preeclampsia Haemorrhage Emergency Obstetric and Neonatal Care Senegal

Relation between Obstetric Outcome and Parity

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Open Journal of Obstetrics and Gynecology 2019年第6期9卷 894-903页

作者： Helene Warde Chami Mamour Gueye Mame Diarra Ndiaye Mouhamadou Wade Aliou Diouf Abdoulaye Diakhate simon Birame Ndour Ndama Niang Magatte Mbaye Gynaecologic and Obstetric Clinic Aristide Le Dantec Teaching Hospital Cheikh Anta Diop University Dakar Senegal

Objectives: To evaluate the prognosis of obstetric complications by parity in a suburban center in Dakar. Patients and Method: We conducted a retrospective and prospective, cross-sectional study that evaluated all women admitted to the Philippe Maguilen senghor Health Center for the management of their pregnancy (childbirth, abortion, ectopic pregnancy), whether they were primiparous or multiparous. The data for this study covered a 66-month period, from January 1, 2012 to June 30, 2017. Data were entered into our E-perinatal computer database. They were then extracted and analyzed first on Microsoft Excel 2016 and then on SPSS 24, Windows version. Results: Between January 2012 and June 2017, we’ve registered 27,441 patients including 25,905 deliveries, 1415 abortions and 121 ectopic pregnancies. Direct obstetric complications involved 14.1% of our patients. 12.1% multiparous and 17.3% primiparous had at least one direct obstetric complication of World Health Organization (WHO). Antepartum haemorrhage, uterine rupture, ectopic pregnancy, and abortion complications were more common in multipara, whereas prolonged and obstructed labor, preeclampsia, and eclampsia were more common in primiparous women. Postpartum haemorrhage occurred at substantially equal frequencies in both parity groups. We had not found any case of sepsis. Conclusion: Our study confirms that primiparity is a factor that may lead to obstetric complications. However, while some complications were more common in the primiparous, others were exclusive to multiparous when we did not expect it. We also recommend continuing this work by singling out multiparas and large multiparas, in order to better understand the obstetric prognosis linked to parity.

关键词： Direct Obstetric Complications Primiparous Multiparous

A Hospital-Based Cross-Sectional Study Assessing the Relation between Time of Birth and Perinatal Outcome

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Open Journal of Pediatrics 2020年第1期10卷 217-223页

作者： Mouhamadou Wade Papa Moctar Faye Mame Diarra Ndiaye Mamour Gueye simon Birame Ndour Abdoulaye Diakhate Ndama Niang Khalifa Fall Moussa Diallo Omar Gassama Magatte Mbaye Gynecologic and Obstetric Clinic Aristide Le Dantec Teaching Hospital Cheikh Anta Diop University Dakar Senegal Philippe senghor Health Center Yoff Cheikh Anta Diop University Dakar Senegal

Objectives:?Investigating the relation between perinatal outcomes and?hospital working shifts.?Methods:?We conducted a cross-sectional study at Philippe Maguilen senghor health center (PMSHC) in Dakar, Senegal from January, 1st?2011 to December, 31th 2018. The study population was comprised of all mothers who had delivered at PMSHC and their newborns after completing 22 weeks of gestation. Time of delivery was?divided into three periods of working hours: morning shift (deliveries occurred between 7 am and 4:59 pm);evening shift from 5 pm to 10:59 pm and night shift from 11?pm to 6:59 am.?Maternal outcomes were assessed by mode of delivery, epsisotomy and perineal injuries.?The Apgar scoring system was used to assess newborns at first minute after they were born. Other adverse perinatal outcomes included fresh stillbirth, neonatal referral and early neonatal death. Data were analyzed using Statistical Package for Social Science software (SPSS 24, Mac version).?Results:?A total of 48,270 mothers and their newborns met eligibility criteria. Caesarean section deliveries were less likely to occur during evening (OR 0.84, 95% CI;0.79?-?0.89, p = 0.001) and night shifts (OR 0.45, CI;0.47?-?0.53, p = 0.001).?Evening shift deliveries had 1.1 the odds of poor perinatal outcome (Apgar score ?- 1.18, p = 0.012). No significant difference was found in the odds of neonate referrals and deaths across the three shifts.?Night shift deliveries had 1.1 the odds of perineal injuries compared to morning shift deliveries (OR 1.11, 95% CI;1.04?- 1.18, p = 0.001, for episiotomy and OR, 1.14;95% CI, 1.04?- 1.26, p = 0.008, for perineal tears). Conclusion:?Off-hours deliveries, particularly during the night shift, were significantly associated with higher proportions of perineal injuries compared to morning shift.?However, no significant difference was found in the odds of neonate referrals and deaths across the three shifts.?Our findings suggest to set up a Neonatology unit at the CSPMS as well as a perinatal network across the country.

关键词： Perinatal Outcome Time of Birth Low-Resource Setting