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Intra-Hospital Delay in Emergency Care at the Obstetrics and Gynecology Department in the University Teaching Hospital of Ouagadougou(UTH-YO),Burkina Faso

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Open Journal of Obstetrics and Gynecology 2017年第12期7卷 1151-1159页

作者： Ouattara Adama Tougma Aline Pegwendé Yaméogo Relwendé Barnabé millogo/traoré francoise danielle Ouedraogo Issa Kiemtoré Sibraogo Ouédraogo Ali Thieba/Bonane Blandine The University Teaching Hospital of Ouagadougou OuagadougouBurkina Faso The regional Hospital of Ouahigouya OuahigouyaBurkina Faso

Objective: To investigate the intra-hospital delay in the treatment of gynecological and obstetric emergencies in the obstetrics and gynecology department at the UTH-YO. Patients and methods: It has been a prospective and descriptive study over a period of four months from 1 May to 31 August 2015 in the obstetrics and gynecology department at the UTH-YO. All patients and their escorts were included in our study, admitted to gynecological or obstetric emergencies who have accepted to participate in the survey. Data were entered and analyzed using a PC equipped with the SPSS 16.0 software English version. Results: During the study period, we recorded 2627 admissions. Delays in the management involved 216 patients or a frequency of 8.2%. The average age of patients was 26.6 ± 6.2 years, ranging from 16 and 46 years. Patients had no income in 165 cases (that is to say 76.4%). The referred patients accounted for 165 admissions (85.7%). The intake patterns were dominated by obstetric acute fetal distress in 44 cases (20.4%), pre-failure syndrome in 27 cases (that is to say 12.8%) and in gynecology by the ectopic pregnancy in 171 cases (79.3%). The average waiting period between the arrival of a patient and the beginning of first aid was 2 hours and 23 minutes with extremes of 16 min and 546 min. The main reason for the delay was the unavailability of the operating room in 61.1% of cases. The opinion of escorts was dominated by improving communication with the creation of a post of information in 47% of cases. Maternal prognosis was marked by a maternal death in 0.1% of cases and maternal morbidity in 13.4% of cases. The fetal prognosis was dominated by death at birth in 13.8% of newborns. Conclusion: Despite the subsidy of the government in obstetric and neonatal emergencies, there remain intra-hospital delays in the management of emergencies. The opening of discussions between the various stakeholders responsible for the implementation of this grant is urgent to contribu

关键词： Delay Emergency Obstetrics Gynecology Ouagadougou

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Place of Autologous Intraoperative Blood Transfusion in the Treatment of Broken Ectopic Pregnancy (EP) at the Chiphra Hospital of Ouagadougou, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2017年第10期7卷 1035-1043页

作者： Ouattara Adama Sib Sansan Rodrigue Tougma Aline Pegwendé Ouédraogo Issa Zalha Assoumana millogo traoré francoise danielle Ouédraogo Charlemagne Marie Ouédraogo Ali Thieba Bonané Blandine Gynecologist Obstetrician at the University Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso Gynecologist Obstetrician at the University Teaching Hospital of Ouahigouya Ouahigouya Burkina Faso Gynecologist Obstetrician at the Schiphra Hospital of Ouagadougou Ouagadougou Burkina Faso

Objective: To describe the role of autologous regenerative intraoperative bleeding of recent intra-cavity losses over the ectopic pregnancy ruptured at the Schiphra Hospital of Ouagadougou. Methodology: It has been a cross-sectional descriptive study over a period of 18 months from January 1st 2014 to June 30th 2015 in the obstetrics and gynecology department at the schiphra hospital of Ouagadougou. In our study, we included all pregnant women having received emergency with a diagnosis of broken ectopic pregnancy complicated by a significant array of clinical haemoperitoneum and who have consented to participate in the survey. Results: During the study period, we recorded 322 cases of ectopic pregnancy, among which 106 were broken. Autotransfusion was performed in 59 patients, that is to say 18.3%. The average age of patients was 27 years (18 - 40). The average rate of childbirth was 5.25 (0 - 11). The general condition of the patients was pretty good at 8.5% and poor in 91.5% of cases. The average amount of blood transfused per patient was 935 ml with a range of 400 and 1600 ml. After autotransfusion, 62% of patients had greater improvement in hemoglobin 10 g/dl. Maternal prognosis was marked by a case of fever with a morbidity rate of 1.9% and a death post autotransfusion case fatality rate of 1.9%. Conclusion: In the context of shortage of blood products, autologous transfusion could be an alternative in the treatment of ruptured ectopic pregnancy in developing countries.

关键词： Ectopic Pregnancy Haemoperitoneum Autotransfusion Ouagadougou

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Indications and Prognosis of the Hysterectomy Operation in the Obstetrics and Gynecology Department at the University Teaching Hospital of Ouagadougou(UTH-YO),Burkina Faso

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Open Journal of Obstetrics and Gynecology 2017年第13期7卷 1239-1246页

作者： Ouattara Adama Kaboré Francois Xavier Gueswendé Sib Sansan Rodrigue millogo/traoré francoise danielle Ouedraogo Issa Touré Boubakar Ouédraogo Ali Ouédraogo Marie Charlemagne Thieba/Bonane Blandine Gynecologist Obstetrician at the University Teaching Hospital of Ouagadougou Ouagadougou Burkina Faso Gynecologist Obstetrician at the Regional Hospital of Ouahigouya Ouahigouya Burkina Faso

Objective: To describe the indications and the prognosis of the hysterectomy operation in the obstetrics and gynecology department at the UTH-YO, Ouagadougou, Burkina Faso. Methodology: It has been a descriptive cross-sectional study over a period of 18 months from 1 January 2014 to 30 June 2015 in the obstetrics and gynecology department of the UTH-YO. The variables studied were demographics, clinical and prognostic aspects. Results: During the study period, we recorded 128 cases of hysterectomies including 20 obstetric causes (15.62%) and 108 gynecological cases (84.38%). The incidence of hysterectomy was 3 per 1000 births. Gynecological indications were dominated by uterine fibroids (47.3%), genital prolapse (20.4%), cervical dysplasia (9.3%) and functional bleeding (7.4%). Obstetric indications were dominated by uterine ruptures (60%), the postpartum haemorrhage (15%). The prognosis of obstetric indications was marked by 5 cases of bladder lesions or a morbidity rate of 3.9% and 4 deaths that to say a fatality rate of 3.1%. Conclusion: The prognosis of hysterectomies should be improved with further training of health workers in surgical techniques, the adoption of strategies to reduce maternal mortality and community awareness in attendance at health facilities.

关键词： Hysterectomy Indications Prognosis Ouagadougou

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Evaluation of the Fetal Neuroprotection Protocol with Magnesium Sulphate in a University Hospital in Burkina Faso

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Open Journal of Obstetrics and Gynecology 2022年第10期12卷 1042-1055页

作者： Timongo francoise danielle millogo-traoré Oumarou Sawadogo S. W. Zongo-Kondé Training and Research Unit in Health Sciences Joseph Ki-Zerbo University Ouagadougou Burkina Faso Universitaire Hospitalier Yalgado Ouédraogo Ouagadougou Burkina Faso Regional Hospital Center Koudougou Burkina Faso

Introduction: Prematurity continues to stand as a major public health issue worldwide and more particularly for low incomes countries like Burkina Faso. Indeed, it is the main cause of high death rate and infant morbidity, neurologic deficiencies being one of them. Objective: From March 1st to September 30th, 2020, evaluate the fetal neuroprotection protocol using sulfate magnesium during births before thirty-three (33) weeks of amenorrhea at the University Health Centers (UHC) of Yalgado Ouedraogo and Bogodogo in Ouagadougou, Burkina Faso. Patients and Methods: It was a prospective cohort survey, exposed or unexposed. The exposed ones are from the UHC of Yalgado Ouedraogo, while the unexposed ones are from the UHC of Bogodogo. Analysis of the results showed 87 newborns from the exposed and 180 from the unexposed. The mortality rate, as well as neonatal neurologic complications, was higher with unexposed than with exposed. Although antenatal exposure to magnesium sulfate was not statistically associated with mortality and morbidity in newborns at a threshold of 0.05%, it has shown an overall good neurological prognosis in newborns exposed. Conclusion: A survey of a large sample of the population would be relevant in order to better assess the determinants of this influence. Proposition: In light of the results, the use of magnesium sulfate for neuroprotective purposes could be considered in our countries.

关键词： Premature Delivery Fetal Neuroprotection Sulfates Magnesium UHC of Yal-gado Ouedraogo UHC of Bogodogo Burkina Faso

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Iatrogenic Lesions of the Ureter Following Obstetric or Gynaecological Surgery Managed at Yalgado Ouedraogo University Hospital: A Series of 14 Cases

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Open Journal of Obstetrics and Gynecology 2018年第2期8卷 106-112页

作者： Timongo francoise danielle millogo/traore Kiswendsida Bonkoungou Fasnéwindé Aristide Kabore Ali Ouedraogo Léonie Claudine Lougue/Sorgho Department of Obstetrics and Gynaecology Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso Department of Urology and Andrology Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso Department of Radiology and Imaging Charles de Gaulle University Hospital Ouagadougou Burkina Faso

Objective: To describe the aetiology, clinical presentation, management and outcomes of a series of patients with iatrogenic lesions of the ureter following obstetric or gynaecological surgery treated at Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso. Methods: This is a case series looking at 14 consecutive patients from 1 January 2011 to 28 February 2017, operated on for urological complications following obstetric and gynaecological surgery. Results: Our study focused on fourteen cases. The average age was 32.9 years (range 20 - 60 years). Thirteen were housewives. Eleven lived in rural areas. The aetiological factor was Caesarian section in seven cases, laparotomy in four cases and hysterectomy in three cases. The type of ureteral injury was bilateral ligation in nine cases. The average time to diagnosis was 16 days (range 2 - 120 days). Anuria was the commonest presenting symptom. Ultrasound in ten patients showed evidence of uretero-hydronephrosis. Eight patients required renal dialysis. Surgical management was uretero-vesical re-implantation in eleven cases, disunion of sutures associated with catheterization in two cases and a termino-terminal ureteral anastomosis in one case. The average hospital stay was 26 days (range 9 - 44 days). The post-operative period was complicated by two cases of vesico-vaginal fistula, one case of parietal suppuration, one case of pyelonephritis and one case of hydronephrosis. No deaths were recorded and a complete cure was ultimately obtained in all patients. Conclusion: Urological complications of obstetric and gynaecological surgery are dominated by ligation of the ureters in our setting. Caesarian section is the commonest cause. Treatment is essentially surgical.

关键词： Iatrogenic Lesion Ureter Obstetric and Gynaecological Surgery

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