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Maternal-Fetal Prognosis of Eclampsia at the Second Reference Hospital in the Urban Commune of Segou in Mali

Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1414-1429页

作者： Tidiani Traoré Cheickna Sylla Kassoum Sidibé Babou Traoré sylvain guindo Adama Coulibaly Seydina A. Beye Seydou Z. Dao Famakan Kané Youssouf Traoré Ibrahima Téguété Moustaphe Touré Department of Gynecology and Obstetrics NianankoroFomba Hospital Ségou Mali Department of Gynecology and Obstetrics Reference Health Centre in Koutiala Sikasso Mali Department of Gynecology and Obstetrics Reference Health Centre of Commune II Bamako Mali Department of Gynecology and Obstetrics Reference Health Centre in Bla Ségou Mali Department of Gynecology and Obstetrics Gabriel TOURE University Hospital Center Bamako Mali Department of Gynecology and Obstetrics University Hospital Center of the Mali Hospital Bamako Mali

Aim: To describe the epidemiological, therapeutic and prognostic aspects of eclampsia at the second reference hospital in the urban commune of Ségou in Mali. Patient and Methods: This was a descriptive, cross-sectional, analytical, retrospective and prospective study based on a comprehensive de-engineering. It covered a 3-year period from January 1, 2010 to December 31, 2012 and involved 176 cases. Results: The incidence of eclampsia during the study period was 2.9%. Classically, it occurred in 74.4% in young primigeste, in 73.9% in the 3rd trimester of pregnancy and 26.1% of cases during postpartum. We recorded maternal complications such as retro-placental hematoma, acute kidney failure and delivery hemorrhage. The case fatality rate was 2.3% or 4 cases of maternal death. At the fetal level, there was 29.5% prematurity, 31.8% neonatal suffering, 11.4% hypotrophy, 11.9% in utero fetal death and 7.4% early neonatal death. Conclusion: The maternal-fetal prognosis remains reserved despite the progress made in the management of eclampsia in our services.

关键词： Pronostic Maternal Fetal Eclampsia Unsealed Pregnancy

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Contraception: School Knowledge and Practical Attitudes in the Urban Commune of Segou, Mali

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Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1370-1380页

作者： Tidiani Traoré Cheickna Sylla Kassoum Sidibé Babou Traoré sylvain guindo Adama Coulbaly Seydouna A. Beye Seydou Z. Dao Famakan Kané Youssouf Traoré Ibrahima Téguété Moustaph Touré Nianankoro Fomba Hospital Ségou Mali Department of Gynecology and Obstetrics Reference Health Centre in Koutiala Sikasso Mali Department of Gynecology and Obstetrics Reference Health between the Commune II Bamako Mali Mali Reference Health Centre Bla Ségou Mali Department of Gynecology and Obstetrics Gabriel TOURE University Hospital Bamako Mali Department of Gynecology and Obstetrics University Hospital of the Hospital of Mali Bamako Mali

The aim was to describe aspects of students’ knowledge of sexuality and contraception and their sexual behaviour in schools in Ségou, Mali. Materials and Methods: This was a one-pass cross-sectional survey with reasoned choice at the first level and random choice at the second level over a 3-month period from January 2013 to March 2013. Results: The majority of the students involved in our study reside in the commune of Ségou, 90.4%. The average age of our students was 18. The female sex was the most represented in our study with 59.7%. The majority of students had casual sex at 60.3% and 70.9% irregularly. The change of sexual partner affected 47.9% of schoolchildren. Of our sexually active students, 72.6% had sexual partners and 37.4% had more than 2 partners. The main sources of information are respectively the media with 72.1% followed by teachers with 12.9% and friends with 09.7%. Among the most well-known contraceptive methods, condoms rank first with 72.6%, followed by injectable with 72.0%. 70.6% of the population had not yet used a contraceptive method at first sexual intercourse and in 72.9% of cases was condoms. The most cited source of contraceptive supply is pharmacy with 49.5% followed by family planning centres and maternity wards at 16.2% and shops at 16.2%. Conclusion: The referral of young people to approved health facilities for contraception could prevent them from risky sexual behaviours.

关键词： Teenagers Youth School Environment Contraception Sexuality

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