Introduction: Late pregnancies are a hot topic for both women and perinatal health workers because of their increasing increase. In the elderly primiparous pregnancy, pregnancy has always preoccupied birth attendants for a long time because high-risk pregnancy is the one that is associated with certain risk factors that can hinder its normal evolution. Objective: Study childbirth in the elderly primiparous at the Reference Health Center of Commune V of the District of Bamako. Materials and Methods: This was a retrospective and analytical case/control study (1 case for 2 controls), from 1January 2019 to 31 December 2021.It had covered all deliveries recorded in the ward. Results: The frequency of delivery in the elderly primiparous was 0.36%. The most educated elderly primiparous accounted for 73.3% (p=0,000; OR= 2.014; 95% CI = [0.006-0.31]). Dystocia was the most common obstetric complication (p=0.13; OR= 0.69; 95% CI = [0.42-1.12]). Caesarean delivery accounted for 77.1% in cases versus 49% in controls (p=0.000; OR= 0.28; 95% CI = [0.170.48]). Apgar's score was greater than or equal to 8 in 90.5% of cases versus 82.4% of controls. We have not recorded any maternal deaths. Conclusion: Pregnancy and childbirth in the elderly primiparous are risk situations in some cases. Childbirth in the elderly primipare requires a skill that can detect and prevent morbid situations and allow adequate care.
Introduction: Malnutrition acts on the immune system and thus increases susceptibility to infections. Infections can weaken the body and cause malnutrition, so we speak of a vicious circle between malnutrition and infection. Objective: To study the clinical and epidemiological aspects of severe acute malnutrition in children aged 6 to 59 months. Methodology: This was a prospective and descriptive study extending from July 1, 2018 to June 30, 2019. All severely acute malnourished children aged 6 to 59 months were hospitalized at URENI whose parents or careers accepted their participation in the study. Results: Severe acute malnutrition
Aims: this study aimed at contributing to the improvement of the quality of the practice of the AMTPC and the prevention of the occurrence of postpartum hemorrhages that we carried out in the delivery room of the commune VI of the district of Bamako. Patients and Methods: This was a cross-sectional study, on 407 parturients and 30 agents in charge of assisted deliveries. Results: Among these birth attendants surveyed, 7 (23%) had no training in AMTPC. The number of gestures required for the correct practice of the AMTPC for a parturient was estimated at 34 divided into 5 stages, only the closing stage was correctly done (94.1%) with a score higher than normal (80 %). The scores for the correct practice of the 4 other stages were insufficient: preparation (58.2%), delivery (62.4%), uterine massages (19.7%), examination of the genital canal (30%) are below the national standard (80%). Conclusion: The practice of the AMTPC is systematic in the delivery room of the referral health center of Commune VI. However, the quality of the AMTPC remains insufficient in the delivery room since among the five stages evaluated, only that of the fence was correctly practiced.
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