Abdominal pregnancy is a life threat to both mother and fetus requiring surgery regardless of the age of pregnancy. We report a case of abdominal pregnancy, delivered by laparotomy with a live newborn. This is a 31-year-old woman with 34 weeks and 2 days of amenorrhea whose ultrasound showed an abdominal pregnancy. Laparotomy extracted a newborn female weighing 3000 grams with APGAR at birth rated at 7/10 at one minute. The postoperatives were simple. The patient was discharged on the 14th postoperative day on 20 mg methrotrexate injection once a week for four weeks.
Introduction: The majority of pregnancies and births go off without incident even though they all present risks. Retro-placental hematoma (RPH) is an extreme obstetric emergency. The aim of our study was to assess the maternal-fetal prognosis of this pathology in our patients. Patients and Methods: This is a retrospective descriptive and analytical study over 5 years ranging from the period from January 1st, 2015 to December 31st, 2019. The study's population consisted of pregnant women, in the 3rd trimester, who were presented with the retro-placental hematoma during the pregnancy or childbirth and taken care of in the maternity ward of the Centre Hospitalier Universitaire Communautaire. Results: During our study period, we recorded 87 cases of retro-placental hematoma, and 40,763 deliveries. The frequency of retro-placental hematoma was 0.21% at delivery. The average maternal age was 26.4 years with extremes of 16 and 40 years. The parity's average was 3.8 with extremes of 1 and 13. The mean gestational age at the time of the onset of the accident was 35.9 amenorrhea weeks (AW) with extremes of 28 and 40 AW. We performed 4 cases of hysterectomy (4.5%). We recorded 8 maternal deaths (9.2%) and 60 newborn deaths (69%). The causes of maternal death were dominated by afibrinogenemia 62.5%, followed by renal failure in 25%. Conclusion: Retro-placental hematoma is a serious pathology during the pregnancy.
Objective: Assess the impact of B + option on mother-to-child HIV's transmission at the community university hospital center after 4 years of use. Patients and methods: This was a retrospective and analytical study from January 1st 2015 to December 31st 2018 i.e. 4 years. The population's study was on HIV-positive mothers and their infants care in the service. Results: A total of 323 files of infants born from HIV-positive mothers were selected and having performed the PCR. 9 of them were HIV positive representing a rate of 2.79% mother-to-child HIV's transmission. This prevalence was 1.1% for women who started ART before and during pregnancy. The average age of newborns was 29 years. Mothers were literally rating in 24.15% during the period of starting antiretroviral therapy, 63% during pregnancy and 19% before pregnancy. For the delivery's way 295 delivered vaginally; they represented 91.33%. Cesarean delivery was 8.67%. Exclusive breastfeeding represented 87.31% of the diet. Mothers who started ARV therapy during the labor and after delivery were more likely to transmit HIV to their infants than mothers who started ART before and during pregnancy (p = 0.01). The other risk factors were represented by premature rupture of the membranes (p = 0.0001), hours of labor (p = 0.0001), use of suction cup (p = 0.0005), birth weight less than 2500 g (p = 0.00). Conclusion: Mother-to-child HIV's transmission still remains a public health problem at the Community University Hospital.
Introduction: The teenager is the one whose chronological age is between 10 and 19 years according to the World Health Organization. Pregnancy during teenage age, whether desired or not, presents serious obstetric risks. The purpose of this study was to assess risk factors associated with childbirth in teenagers. Patients and Methods: This was an analytical cross-sectional study (witness case) conducted over the period from April 1st to September 30th, 2019 (6 months) in the maternity ward of the Centre Hospitalier Universitaire. It was included in the study all the parturients who were presented according to the place where the pregnancy was monitored. Results: A total of 510 childbirths were recorded during the study period, we identified 157 childbirth aged under 20 (teenager), and 353 controls. The frequency of childbirth for teenage girls was 30.7%. The average age of teenage girls was 15 years with extremes of 13-19 years old. Risk factors were represented by preeclampsia, episiotomy. The low birth weight and premature birth are the most significant fetal morbidity. Conclusion: The pregnancy in teenagers is a public health issue.
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