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Open Journal of Obstetrics and Gynecology 2021年第9期11卷 1133-1139页

作者： Ouedraogo Issa sib sansan rodrigue Sanogo Moussa Dembele Adama Tiemtoré sibraogo Sawadogo Yobi Alexis Thieba/Bonané Blandine Regional University Hospital Center of Ouahigouya Ouahigouya Burkina Faso Yalgado Ouedraogo University Hospital Center Ouahigouya Burkina Faso Souro Sanon University Hospital Center Bobo-Dioulasso Burkina Faso

Female genital mutilation (FGM) is still a topical practice in several African regions or countries. They constitute a violation of human rights, in particular because of their harmful consequences for the health of the people who suffer them and are the source of various complications. We report a case of FGM complications in the form of total coalescence of the labia majora with a small hole from which urine flows permanently. The management was a disinfubilation with suturing of the edges and urethral reimplantation and the evolution was favorable with complete healing after two (2) weeks.

关键词： Female Genital Mutilation 11-Year-Old Girl Disinfubilation

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

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

Obstetrical Emergencies in Ouahigouya Regional Teaching Hospital (Burkina Faso) in the Context of Insecurity Linked to Armed Groups: A Comparative Study between Patients from Precarious Security Zones and Those from Safe Areas

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Open Journal of Obstetrics and Gynecology 2023年第3期13卷 414-426页

作者： sansan rodrigue sib Evelyne Komboïgo Moussa Sanogo Abdoulaye Diallo Issa Ouedraogo David Ouedraogo Ali Ouedraogo Department of Obstetrics and Gynecology Regional Teaching Hospital of Ouahigouya Ouahigouya Burkina Faso Department of Obstetrics and Gynecology and Reproductive Medicine Souro Sanou Teaching Hospital Bobo Dioulasso Burkina Faso Mother and Child Unit Schiphra Hospital Center Ouagadougou Burkina Faso Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital Ouagadougou Burkina Faso

Introduction: Insecurity can be an obstacle to access to emergency obstetric and newborn care, that is why we proposed to study obstetrical emergencies in Ouahigouya Regional Teaching Hospital, a referral hospital in a region plagued by insecurity linked to armed groups. Method: This was an analytical cross-sectional study with prospective data collection over a 4-month period, from June 10 to October 10, 2020. Patients from precarious security areas were compared to those from safer areas. The Chi squared and Fisher tests were used for comparison of variables. Results: Obstetric emergencies accounted for 38.62% of admissions, from which 25.59% came from precarious security zones. Age was similar in both comparison groups. However, patients from unsafe areas were more likely to reside in rural areas (p 0.001) and more likely to be in unpaid occupations (p 0.001). Prenatal visits were less frequent (p 0.01) and women were more often multigravidae (p 0.01) in the precarious security group of patients. Apart from the more frequent uterine rupture (p = 0.02) in the group from precarious security zones, diagnosed complications and maternal mortality were similar in the 2 groups, while perinatal mortality was higher in the group of patients from precarious security zones (p 0.01). Conclusion: The precarious security situation has negative consequences on maternal and perinatal morbidity and mortality. Further studies are needed for better understanding of these consequences, and improvement of health system resilience strategies, to reduce related maternal and fetal morbidity and mortality.

关键词： Obstetric Emergencies Obstetric Complications Insecurity Armed Conflicts Ouahigouya

Placental Abruption in the Obstetrics and Gynecology Service of Regional Hospital Center of Ouahigouya: Epidemiological, Clinical Ant and Therapeutic Aspects about 89 Cases Collected from 1<sup>st</sup>January 2013 to 31<sup>st</sup>December 2015

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Open Journal of Obstetrics and Gynecology 2017年第1期7卷 86-94页

作者： Issa Ouedraogo Yobi Alexis Sawadogo Dantola Paul Kain Hyacinthe Zamane sansan rodrigue sib sibraogo Kiemtore Adama Ouattara Ali Ouedraogo Justin Payirwende Yao Blandine Thieba Jean Lankoande Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in OuagadougouOuagadougouBurkina Faso Department of Obstetrics and Gynecology Teaching Hospital in OuahigouyaOuahigouyaBurkina Faso Unity of Training and Research in Health Sciences(UFR/SDS) University of OuagadougouOuagadougouBurkina Faso

Objective: To study epidemiological, clinical ant therapeutic aspects of placental abruption in the service of obstetrics and gynecology of regional hospital center of Ouahigouya. Methods: We conducted a cross-sectional study scheduled for 3 years, from 1st January 2013 to 31st December 2015. Data were collected from patients’ folder, theater register and maternity delivery register. Results: We recorded 5791 deliveries, out of which 89 were placental abruption cases giving a rate of 1.54% of deliveries. The women most affected were whose with age ranging 25 - 30 years (30.33%), the nulliparous women (32.58%), the married women (83.52%) and whose with bad antenatal clinic attendance (54.6%). The clinical aspect was most often complete: nil fetal heart rate (82.00%), hypertony uterine (79.90%) and vaginal bleeding (74.20%) were the most signs found. Spontaneous vaginal delivery has been made in 64.04%. Maternal prognosis was dominated by a morbidity linked by an anemia in 53.90%. Maternal lethality was 2.20%. Fetal newborn-death was 88.80%. Conclusion: Placental abruption represents an obstetrical and medical emergency by its start of brutal installation, its unforeseeable character and its materno-fetal consequences. Only a tacking of risk populations, precocious of diagnosis and a speed management in surgical and medical unit allow improving the prognosis of this disease.

关键词： Placental Abruption Rate Risk Factors Prognosis Maternal Neonatal

Maternal Mortality in the Obstetrics and Gynecology Service of Regional Hospital Center of Ouahigouya: Epidemiological, Etiological Aspects and Contributing Factors—About 151 Cases Collected in Three Years from 1st January 2013 to 31 December 2015

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Open Journal of Obstetrics and Gynecology 2017年第4期7卷 447-454页

作者： Issa Ouedraogo sansan rodrigue sib sibraogo Kiemtore Yobi Sawadogo Dantola Paul Kain Hyacinthe Zamane Adama Ouattara Alexandre Goumbri Sidbewenne Yacinthe Kabore Ali Ouedraogo Blandine Bonane-Thieba Department of Obstetrics and Gynecology Teaching Hospital in OuahigouyaOuahigouyaBurkina Faso Unity of Training and Research in Health Sciences(UFR/SDS) University of OuagadougouOuagadougouBurkina Faso Department of Obstetrics and Gynecology Yalgado Ouedraogo Teaching Hospital in OuagadougouOuagadougouBurkina Faso Department of Obstetrics and Gynecology Teaching Hospital in TenkodogoTenkodogoBurkina Faso

The objective of our study was to study the epidemiological, etiological and contributory factors of maternal deaths in the obstetrics and gynecology department of the regional hospital center (RHC) of Ouahigouya from 2013 to 2015. We carried out a descriptive and analytical study on maternal deaths in maternity of the RHC of Ouahigouya, including all patients who died in the obstetrics and gynecology department of the RHC of Ouahigouya from 1 January 2013 to 31 December 2015, which meets WHO’s definition of maternal death. We recorded 151 maternal deaths and 5481 live births, a maternal mortality ratio of 2755 per 100,000 live births. The most affected women were women aged 20 - 24 years (27.8%), multiparous (25.5%), married women (88.7%) and those without income-generating activities (85.4%). The main causes of death from direct obstetrical complications were hemorrhage (38.3%), infections (21.5%), abortions (16.8%) and complications of hypertension disorders (15.8%) and for indirect obstetrical complications, malaria (36.6%), anemia (29.5%), and HIV/AIDS (9.1%). Contributing factors to maternal deaths prior to admission were delay in referral (33.3%) and delay in transfer (31.5%) and delay in admission (32.8%) and delay in diagnosis (23.4). From our study, it appears elsewhere as well as that most maternal deaths are preventable, hence the need for coordinated actions to effectively fight against maternal mortality.

关键词： Maternal Mortality Epidemiological Aspects Etiologies Contributing Factors

Prevention and Control of Healthcare-Associated with Infections in Birth Rooms of Referral Hospitals in Ouagadougou: Availability of Equipment, Knowledge and Practices of Health Workers

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Open Journal of Obstetrics and Gynecology 2020年第1期10卷 135-150页

作者： Der Adolphe Some P. Aline Tougma Souleymane Ouattara Caroline Yonaba Okenge Gandaaza Armel E. Poda R. Barnabé Yameogo Semon Paulin Kam Bintou Traore sansan rodrigue sib Blandine Thieba Bonane Blami Dao Souro Sanou University Teaching Hospital Bobo-Dioulasso Burkina Faso University Hospital Teaching of Bogodogo Ouagadougou Burkina Faso Yalgado Ouédraogo University Teaching Hospital Ouagadougou Burkina Faso Regional University Teaching Hospital of Ouahigouya Ouahigouya Burkina Faso Jhpiégo Ouagadougou Burkina Faso.

Objective: The neonatal mortality rate remains a serious problem in most countries in sub-Saharan Africa such as Burkina Faso, where, in 2010 this mortality rate was 28 per 1000 live births [1] [2]. Its reduction is possible and passes first by the strict prevention of infections in birth rooms. The objective of this study was to describe the practices of infection prevention in the birth rooms of seven referral hospitals in Ouagadougou from April 1 to July 31, 2016. Materials and Methods: This was a cross-sectional study on the knowledge, attitudes and practices of the rules of prevention and control of healthcare associated infections (PCHAI) among 123 consenting health workers who provided birth room care in 7 hospitals in Ouagadougou. Data were collected through individual interviews and direct observations. The study was authorized by the Institutional Ethics Committee in 2015 under the number 32. The data analysis was done with the Epi Info software version 2000. Results: The “five clean in the birth room” were known by 26.83%. Regarding the equipment used for PCHAI, sterile gloves were mentioned by 75.61% of the agents, the source of clean water by 62.60% and soap by 57.11%;in practice, 17.07% of the respondents had not washed their hands and 42 providers (34%) had not performed with complete mastery the wearing of sterile gloves before giving birth, and 55.28% had not cleaned the perineum. Conclusion: Deficiencies in the prevention and control of healthcare-associated infections have been identified. Training on infection prevention in the neonatal period is needed for the benefit of hospital providers.

关键词： Newborn Cares Infection Prevention Knowledge Practice Ouagadougou

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