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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

Abrikossof’s Tumor: Report of a Case

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Open Journal of Obstetrics and Gynecology 2023年第2期13卷 241-246页

作者： Ndama Niang aissatou mbodji Mamour Gueye Moussa Diallo Yaye Fatou Omar Gaye Serigne Modou Kane Gueye Marie Edouard Faye Dieme Principal Hospital Dakar Senegal Cheikh Anta DIOP University Dakar Senegal Philippe Maguilen Senghor Health Center Dakar Senegal Pikine Hospital Dakar Senegal Assane Seck University Ziguinchor Senegal

The granular cell tumor of the breast is a rare tumor and a usually benign disease that appears clinically and radiologically like a malign tumor. We report a case of GCT in a woman of 41 years, who present a clinically and radiologically suspect later. The anatomopathological examination showed the benign tumor proliferation and a large tumorectomy was realized. The immunostaining with PS100 and NSE protein confirm the nature of the tumor.

关键词： Abrikossof Breast Benign

Nuchal Cord at Delivery and Neonatal Outcomes: A Retrospective Cohort Study

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Open Journal of Obstetrics and Gynecology 2022年第4期12卷 285-291页

作者： mbodji aissatou Gueye Mamour Wade Mouhamadou Ndiaye Mame Diarra Dia Aliou Djiby Cisse Aliou Ibrahim Rahadat Ndiaye Mor Talla Mbaye Magatte Philippe Maguilen Senghor Health Center Dakar Sénégal Cheikh Anta Diop Univeristy Dakar Sénégal Gaston Berger University Saint-Louis Sénégal

Objective: The present study was aimed at evaluating the outcome of pregnancies with a nuchal cord. Methods: A retrospective population-based study of all deliveries during the years 2011-2020 in Philippe Maguilen SENGHOR Center was conducted. Perinatal outcome of patients with and without nuchal cord was compared. Results: Among 44,958 deliveries during the study period, 1.8% had a nuchal cord, documented at birth (n = 807). Higher rates of labor induction (9.1% vs. 3.2%;p 0.001) and non-reassuring fetal heart rate patterns (RR = 2.366;CI: 1.631 - 3.432) were noted among pregnancies with nuchal cord as compared with the control group. The cesarean delivery rate was significantly higher among pregnancies with a nuchal cord (39.5% vs. 21.8%;RR = 2333;CI: 2.023 - 2.692). Although 5 min Apgar scores lower than 7 were more common in pregnancies with a nuchal cord (7.8% vs. 3.8%;RR = 2.117;CI: 1.629 - 3.363). There was no statistical significance between the two groups for the perinatal mortality. Conclusion: Nuchal cord is associated with prolonged labor and adverse perinatal outcome.

关键词： Nuchal Cord Perinatal Outcome Philippe Senghor Health Center Dakar

Audit of Obstetric Medical Evacuations at Youssou Mbargane DIOP Hospital in Rufisque, Dakar-Senegal

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Open Journal of Obstetrics and Gynecology 2019年第8期9卷 1092-1102页

作者： Moussa Diallo Omar Gassama Mame Diarra Ndiaye Mamour Gueye Astou Coly Niassy Diallo aissatou mbodji Abdoul Aziz Diouf Magatte Mbaye Department of Obstetrics and Gynecology National Hospital of Pikine sis Camp Thiaroye Dakar Senegal

Objectives: To assess the quality of the obstetric evacuation system at the Youssou Mbargane Diop Hospital in Dakar. Methods: Our study was conducted at the Hospital of Youssou Mbargane DIOP in Rufisque, a district about 26 km from downtown Dakar. This was a qualitative and evaluative descriptive study in the form of operational research aimed at improving the quality of obstetrical evacuations and resolving problems through a dynamic and team approach. It was carried out within the framework of the AQUASOU project (Improvement of Quality and Access to Emergency Obstetric Care in French). A liaison sheet was completed at the arrival of each evacuated patient, prospectively during the period from December 24 2006 to July 10 2008. The epidemiological characteristics were, origin of the evacuated, the evacuation conditions, evacuation patterns and therapeutic data. The data were collected through an Excel database developed for this purpose. The analysis was done using the Epi-Info version 6.0 software. Results: The frequency of evacuations was 23.2%. The average age of our patients was 25.3 years with extremes of 14 years and 48 years. More than half of the evacuees (59%) came from the Sanitary District of Rufisque. The majority of evacuations were made in a taxi (76.5%). An ambulance was used in 190 cases (20.6%). Seated transport was performed in 78% of cases. The transfer was medicalized in almost one-third of cases (29.3%). A liaison sheet was established during the transfer of patients in 77% of the cases. Evacuations were related to hemorrhage in 23.3%, dystocia in 22.2%, and fetal-adnexal anomaly in 17.3% of cases. No treatment was instituted before evacuation in 56% of evacuees. 48.5% of the evacuees had received treatment beyond. Conclusion: The poor quality of obstetric evacuations seems to be a brake on the decline in maternal and neonatal mortality in Senegal. Training and retraining of health personnel would improve maternal-fetal and neonatal morbidity a

关键词： Obstetrical Evacuation Morbidity Mortality AQUASOU

Sociodemographic Factors Associated with Delays in Breast Cancer

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Open Journal of Obstetrics and Gynecology 2017年第4期7卷 455-463页

作者： Mamour Gueye Serigne Modou Kane Gueye Moussa Diallo Ousmane Thiam aissatou mbodji Aliou Diouf Khalifa Fall Youssou Toure Hadja Maimouna Barro Daff Jean Charles Moreau Gynaecologic and Obstetric Clinic Aristide Le Dantec Teaching Hospital Dakar Senegal

Objectives: The aim of our study was to investigate the relation of some sociodemographic factors and delays presentation in breast cancer. Patients and method: This was an observational study in Breast Unit of Aristide Le Dantec Teaching Hospital in Dakar. Were included in the study all patients followed for breast cancer from January 2008 to December 2014. The following variables were selected and stratified: age, place of living, educational attainment, menopausal status, socioeconomic status and family history of breast cancer. For each variable, an association with the stage and presentation delay was assessed. Results: Two hundred and fifty nine (259) patients met the inclusion criteria. No correlation was found between the studied socio-demographic factors and delay. Negative history of family breast cancer was associated with presentation delay. The only factor associated with locally advanced breast cancer after adjusting confounding factors was low level of income. Conclusion: A significant percentage of women with breast cancer in Senegal are experiencing presentation delay. Coordinated efforts with public health department are needed to educate the focused groups and mitigate the barriers.

关键词： Breast Cancer Presentation Delay Stage Survival

Imperforate Hymen about a Case

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Open Journal of Obstetrics and Gynecology 2019年第4期9卷 474-478页

作者： Babacar Biaye David Ngom, aissatou mbodji Astou Coly Niassy Diallo Aminata Niass Abdoul Aziz Diouf, Omar Gassama Mamadou Lamine Cissé Alassane Diouf Jean Charles Moreau Gynecological and Obstetric Clinic Aristide Le Dantec Hospital of Dakar Dakar Senegal

Imperforate hymen?is a congenital obstructive abnormality of the female genital tract and its incidence is estimated at 1/2000 female births. The diagnosis may go unnoticed during the examination of the new born in the birth room. Most often, this malformation is discovered at puberty.?Treatment of?Imperforate hymen?is hymenotomy or hymenectomy. Different types of incisions are mentioned in the literature. We have reported the case of a 14-year-old?girl with hematocolpos and hematometra on hymenal impforforate. In cultures and religions where the loss of the hymen is a social problem among unmarried girls, a medical certificate must be given to the patient.

关键词： Imperforate Hymen Hematocolpos Hymenotomy

Report of a New Case of Interlocking Heads in a Breech-Vertex Twin Delivery: A Conversation with My Residents

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Open Journal of Obstetrics and Gynecology 2021年第1期11卷 40-47页

作者： Mamour Gueye Mouhamadou Wade aissatou mbodji Mame Diarra Ndiaye Ndiémé Mbaye Mor Talla Ndiaye Rahadat Ibrahim Amadou Lamine Cisse Aliou Djiby Dia Aliou Cisse Moussa Diallo Omar Gassama Ousmane Thiam Magatte Mbaye Philippe Senghor Health Center Cheikh Anta Diop University Dakar Senegal

“Locked twins” is a rare event occurring in about 1 in every 1000 twin births. A 21-year-old primigravida with a 31-week twin pregnancy was admitted for delivery. The head of the first twin was locked to the chin of the second twin at the top of the symphysis pubis. Caesarean section was performed allowing the delivery of both dead twins. Twins gestations with first twin in the breech presentation raise index of suspicion of potential locked twin. However, management of such situation is controversial with most authors and colleges recommending caesarean section to avoid interlocking heads. We report another rare case of interlocking heads and bring up the topic about management of breech-first twin deliveries.

关键词： Interlocking Heads Breech Presentation Twins Recommendations