Introduction:The World Health Organization considers for many years obesity as a pandemic which affects as well the developed countries as the developing ones.The consequences of the overweight on the medical, gynaeco-obstetrical, and surgical plan are no longer demonstrating. Objective:The current paper aims to study the influence of the weight of the mother on the evolution of the pregnancy with the pregnant women in the town of Parakou. Material and methodologicalapproaches: It was about a descriptive transversal study for an analytical purpose with forecast data collection. It has been conducted on a period of six (06) months going from 23rd of February to 31st of August 2015 and had covered 272 pregnant women in the town of Parakou.The sampling probabilistic method has been used according to the survey technique. Results:The average age of the surveyed women was about 26, 1± 5, 8 years old with the extremes of 14 and 51 years old. The predominance of the overweight and the obesity with the pregnant women in Parakou was respectively about 34, 9% and 15, 8%. The diabetes pregnant woman, the exceeding of term and the macrosomy were statistically associated with obesity. The diabetes pregnant women, the exceeding of term, the resuscitation at birth were statistically associated with overweight. Conclusion: The fight against overweight is one of the great challenges of this century. It has some consequences on obstetrical plan. A planning of pregnancies with the patients of overweight would then permit a clear improvement of the undertaking of their social securitywithin the maternities and an improvement of the maternal, perinatal and neonatal indicators.
As in other countries of West Africa, Benin has a low rate of MCM utilization. The factors which lead to this low rate of use vary from one country to another. Purpose: The purpose of this work was to determine the factors associated with the use of modern contraceptive method (MCM) by women of childbearing age (WCBA) in Parakou in 2017. Materials and Methods: It was a cross-sectional and descriptive study with an analytical purpose among WCBA selected in households of the municipality of Parakou after a 2-degree cluster survey. Results: The WCBA's average age was 29 ± 5.6 years old with extremes of 15 and 46 years. The modern contraceptive prevalence was 14.74%. Among WCBA, 57.14% had an average level of knowledge. The media were the main source of information (75.84%). Among them 34.39% never discussed the matter with their spouse; the latter were not in favor of contraception. The educational level, the perception of woman, the spouse's favorable opinion, the discussion with the spouse, the level of knowledge of MCM and the knowledge of the existence of FP service were significantly associated with the use of MCM with p = 0.0000 after multivariate analysis. Conclusion:The level of MCM use still remains low. Any effort to increase the modern contraceptive prevalence should take into account its associated factors in order to optimize the use of MCM in the municipality of Parakou in 2017.
Objective: To study parturient women’s psychological real-life experience in the delivery room of CHUD-B maternity hospital. Patients and Methods: This study shows a descriptive cross-sectional study with an analytical aim and a prospective data collection. It involves 100 parturient women who had a vaginal delivery at the gynecology and obstetrics department of Departmental University Teaching Hospital of Borgou. It covered the period from June 11 th to August 11 th 2014. Results: The average age of the parturient women was 27 years old ± 5.55. The parturient women were predominantly Muslims (58%), married (48%), and out-of-school (36%). They had a monogamous relationship (77%) with their husbands (66%). Also, they had conflict with the people around them (22%). They were anxious (58%), distressed (27%), and timorous and restless (57%). The main reasons for stress noticed among these parturient women were related to the fear of stillbirth (82%), a malformed child (76%), an infected newborn baby (76%), obstetrical trauma in the newborn baby (58%), and the newborn baby’s sex (26%). Subsequently, the fears of the parturient women were: the cesarean section (64%), maternal death (58%), the pain of childbirth (48%), traumatic maternal injury (47%), post-partum hemorrhage (45%), and the inability to face childbirth (31%). The parturient women before getting into the delivery room confided in traditional religious authorities (36%) who were either healers or marabous, witch doctors, spiritual advisors, or Christian priests. Conclusion: Delivery causes anxiety among parturient women whose apprehensions were about the pain of childbirth, the unborn baby, and their own mental ability to overcome the trial.
Lipid profile abnormalities at birth indicate that initial genetic inheritance is already at risk of developing a cardiovascular disease. Investigate the profile of umbilical cord blood lipids of term newborns in Parakou (Benin). This research work was a cross-sectional study with descriptive and analytical purpose, based on prospective collection of data. It involved term newborns recruited through complete census in three health-care facilities located in the city of Parakou (Republic of Benin), after the informed consent read and approved by their respective mothers and ethics advice. The study data were collected from March 1 to May 30, 2017 by measurements of anthropometric and lipid parameters from umbilical cord blood using endpoint enzymatic methods. LDL cholesterol was obtained by Friedewald formula. A total of 120 newborns were recruited (60 males and 60 females). Their mean weight was estimated at 2992.68 ± 355.08 g with extremes from 2120 to 3125 g. The mean values of lipid parameters were: total cholesterol (0.68 ± 0.25 g/L), HDL cholesterol (0.29 ± 0.12 g/L), LDL cholesterol (0.31 ± 0.16 g/L) and triglyceride (0.39 ± 0.27 g/L). There was no significant difference in mean values of newborns ’ lipid parameters between both sexes (p > 0.05). Total cholesterol and HDL cholesterol were normal, respectively in 75.83% and 85% of cases; hypotriglyceridemia was observed in 61.67% of newborns.
Introduction: En Afrique et dans les pays en développement, le cancer du col de l’utérus représente le 1er cancer chez la femme. Objectifs: Evaluer les connaissances, attitudes et pratiques des professionnels de santé en matière de cancer du col de l’utérus à Parakou en 2016. Cadre et méthode d’étude: Il s’est agi d’une étude transversale descriptive de type connaissance, attitude et pratique (CAP) chez les agents de santé de la ville de Parakou au Nord du Bénin. Elle a couvert une période de 3 mois allant du 1ermars 2016 au 1er juin 2016. Résultats: Au total 133 agents de santé avaient participé à l’étude. L’âge moyen était de 36 ans ± 8 ans avec des extrêmes de 19 ans et 70 ans. Les facteurs de risque étaient connus par 1,5% de la population d’étude. Soixante-six virgule deux pour cent (66,2%) des enquêtés méconnaissaient l’existence de vaccins contre le HPV. La connaissance sur le cancer du col de l’utérus était 71,4%. Pour 98,5% le cancer du col de l’utérus est une affection grave et 81,2% trouvent que le dépistage de ce cancer est mal organisé au Bénin. De façon globale, 27,8% des agents avaient une attitude juste en matière de cancer du col de l’utérus. Soixante-dix-huit virgule neuf pour cent (78,9%) des enquêtés pratiquaient le dépistage de ce cancer. Parmi eux 71,4% pratiquent l’IVA/IVL et 14,3% le FCV mais seulement 1,5% des enquêtés avaient une pratique adéquate face au cancer du col de l’utérus. Au total 5 agents sur les 133 (3,8%) avaient un bon score CAP global. Conclusion: Ces résultats mettent en évidence la nécessité d’une formation continue des professionnels de santé y compris les paramédicaux en matière du cancer du col. Introduction: in Africa and developing countries, cervical cancer is the leading cancer in women. Objectives: Assess knowledge, attitudes and practices of health care professionals as regards cervical cancer in Parakou in 2016. Framework and methodology: This was a descriptive cross-sectional knowledge, attitude and practice (KAP) study among health workers in the city of Parakou in northern Benin. It covered a period of 3 months from March 1, 2016 to June 1, 2016. Results: In total 133 health workers were involved in the survey. The average age was 36 years ± 8 years with extremes of 19 years and 70 years. The risk factors were known by 1.5% of the study population. Sixty-six-point two percent (66.2%) of respondents were unaware of the existence of HPV vaccines. On the whole, they had average knowledge of cervical cancer (71.4%). For 98.5% cervical cancer is a severe disease and 81.2% think that the screening of this cancer is poorly organized in Benin. Overall, only 27.8% of the workers had a right attitude as regards cervical cancer. Seventy-eight-point nine percent (78.9%) of respondents practiced screening for this cancer; 71.4% among them performed VIA/ VILI and 14.3% cervical smear but only 1.5% of the surveyed had a suitable attitude as regards cervical cancer. In total, only 5 workers out of 133 (3.8%) had a good overall KAP score. Conclusion: These results bring to the fore the need for continuing training for healthcare professionals including paramedics as regards cervical cancer.
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