Background: The authors report an initial assessment of the practice of obstetrical ultrasound in Conakry in order to make suggestions to improve the quality of services in Guinea.Methods: It is about a cross-sectional study of three months (August 1st to October 31st, 2013) conducted in Conakry. The study population consisted of health personnel performing fetal ultrasounds in Conakry and who agreed to participate in the survey. The data collected were about the socio-professional characteristics of the service providers, their knowledge and attitudes. The data were analyzed in a simple descriptive statistical analysis way. The results were analyzed according to the norms and standards issued by the French Fetal Ultrasound College and the National Technical Committee for Prenatal Diagnosis Ultrasound.Results: Twenty one service providers over twenty-six (80.8%) were male (80.8%) aged 40-49 years old (46.2%), obstetrician-gynecologists (76.9%), working in a public hospital (46.2%) and not having an ultrasound degree (59.2%). Eight service providers over twenty-six ((30.8%) affirmed knowing the recommended period for a fetal biometry. The majority (60%) indicated measuring the nuchal translucency and 85.2% (22/26) the craniocaudal length. The anatomical landmarks were not correctly identified in 75.2% of cases for the biparietal and the head circumference and in 63.8% of cases for abdominal circumference. Nine service providers over twenty-six (34.6%) affirmed explaining the limitations of ultrasound. Eighteen devices over twenty-six (69.2%) had more than 9 years of age, 73% (19/26) of them did not have a vaginal probe and 65.3% (17/26) did not have a pulsed wave Doppler.Conclusions: Improving the quality of the practice of obstetrical ultrasound in Guinea goes through training of service providers, establishing distribution and compliance with norms and standards as well as quality control of ultrasound devices.
Objectives: to calculate the frequency of oligoamnios, to describe the socio-demographic characteristics, to identify the causes and to establish the maternal and fetal prognosis. Methodology: This was a 16-month descriptive retrospective study conducted in the Obstetric Gynecology Department of Donka National Hospital. All women diagnosed with oligoamnios who gave birth in the ward during the study period were included in the study. All women who were admitted for complications of oligoamnios and those who had premature rupture of membranes were excluded. After applying the selection procedure, we obtained a sample of size N = 60 cases. Results: The frequency of oligoamnios was 4.6 per 1000 births. The socio-demographic profile was that of: a pregnant woman aged 40-44 (28, 33%), housewives (50%), not schooled (41.67 %.), Married (83.33%), not having not carried out prenatal follow-up (66.67%) and having given birth by cesarean section (80%). The a etiology was not found in 28.33% followed by hypertension (20%). The vast majority of our patients had performed an obstetric ultrasound 96.66% versus 3.44% who did not. Maternal morbidity was dominated by hypertension (10.4%). We recorded 20% perinatal mortality.Conclusion: Oligoamnios is a serious pathology for two reasons: its etiology which, as a rule, compromises the vital prognosis and its consequences on the development of the fetus mainly on the pulmonary level.
Objectives: The objectives of this study were to: calculate the frequency of urogenital trichomoniasis, describe the socio-demographic characteristics and analyze the biological samples. Methodology: This was a six (6) month cross-sectional prospective study carried out in the maternity ward (gynecological consultation) and in the laboratory of the Prefectural Hospital of Macenta. All the women who came for gynecological consultation were included in the study and among them, all those who presented a laboratory examination report for vaginal secretions and / or urine during the study period. Not included in the study were all the women who came for a gynecological consultation but who had not received a laboratory examination report for vaginal secretions and / or urine and all those already undergoing treatment to imidazole in the 15 days preceding the survey were not included. After applying the selection procedure (inclusion and non-inclusion criteria), we obtained a sample size N = 703 cases. Results: The frequency of urogenital trichomoniasis was 26.46% among urogenital infections. The epidemiological profile was that of: young women aged 22-27 (42.47%), housewife (39.76%), having a primary education (30.43%) and married (28.53%). half of the patients were asymptomatic followed by those with fetid leucorrhoea 32.61%. High positivity was found in vaginal secretions (30.41%). Conclusion: Urogenital trichomoniasis is a sexually transmitted infection, common in women of childbearing or childbearing age. It constitutes a public health problem, one of the control strategies for which it involves sensitization and care for women / couples at all levels of the health pyramid.
Background: The frequency of caesarean sections (CS) increased dramatically in the world over the last twenty years. The objective of this study was to evaluate caesarean section practices based on Robson classification in an urban referral hospital in Conakry, GuineaMethods: We conducted a cross-sectional study of 2,266 birthing records collected at the maternity ward of the Coronthie Communal Medical Center in Conakry, from January 1st to December 31st 2016. We included in the study all women who had a caesarean section and whose medical records were complete. Robson's classification was used to classify women into 10 groups based on maternal and fetal characteristics. The relative size of each group, its gross caesarean section rate as well as its contribution to overall caesarean section rate and the main caesarean section indications were calculated.Results: In 2016, 769 caesarean sections were performed out of 2,266 deliveries, corresponding to a hospital section rate of 33.9%. Groups 5 (11.0%), 1 (4.8%), and 3 (4.3%) of the Robson classification were the most contributors to registered hospital caesarean section rate. The main indications for caesarean section were uterine scar in group 5 and acute fetal distress in groups 1 and 3.Conclusions: The systematic reference to the Robson classification could help to identify and avoid the relative indications of the caesarean section in urban Guinea. Besides, increasing induction of labor and strengthening providers’ capacities in emergency obstetric and newborn care services could contribute to reduce caesarean section rates in Guinea.
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