Contraception is the set of methods used to temporarily and reversibly avoid pregnancy. The aim of the study was to contribute to the evaluation of knowledge about contraception among medical students. Materials and Methods: This was a cross-sectional and descriptive study of two (2) months duration from March to April 2022 on knowledge and attitudes about contraception among medical students of N'Djamena faculty of human health sciences (NFHHS) the University of N'Djamena. Studies variables were epidemiological and on knowledge and practice about contraception. Data were analyzed using SPSS version 18.0, Word 2013 and Excel 2013. Results: the prevalence of students who participated in the study was 44.84%. The average age was 26.5. Males represented a rate of 60%. Single people were the most represented with 73.2%. Birth spacing was the most known benefit with 94%. The main source of information was health workers with 34.6%. Condom was the most known contraceptive method with 47.4%. Students who used contraception represented 32%. The absence of side effects in the use of contraception was reported by 51.2%. Religion was reported as an obstacle to the expansion of contraceptive methods in 33.8%. Conclusion: Contraception in the student environment is a well-known subject, however, certain factors such as religion constitute the brake on its use.
Recent reports showed that sexual violence occurs throughout the world. These reports come mainly from India and Africa countries. Diverse reasons are found: sexual desire, vengeance, witchcraft practice, humiliation.
Introduction: A maternal near miss is defined by WHO as a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. Maternal morbidities occur more frequently than maternal deaths, maternal near miss was suggested as a more useful indicator for the evaluation and improvement of maternal health services than the maternal death The prevalence of maternal near -miss is variable around the world.. The aim of this study was to analyze the quality of care had saved severe obstetric complications in N'Djamena Mother and Child University Hospital Center. Patients and Method: This was a prospective and descriptive survey of one year from January 1 st to December 31 st , 2019 performed at the maternity of N'Djamena Mother and Child University Hospital Center on incidence and causes of maternal near -miss. All pregnant, parturient or delivered had presented a severe obstetric complication and agreed participate in the study was included. The analysis was made using the SPSS 18.0. Results: We recorded 248 maternal near -miss cases among 8.124 deliveries giving a frequency of 3.1%. The mean age was 26.5 ± 1.8 years. The majority of patients (61.3%) were multipara, uneducated (44.7%), referred in 75.4% cases and practiced one at two antenatal care in 43%. Main morbidities were: haemorrhage (66.1%) and hypertensive complication (17%) followed by abortion complications (7.7%). In 54% cases, treatment was being introduced within 30 minutes of diagnosis. Patients were satisfied with management in 84% cases. Conclusion:Maternal near -miss is frequent in our hospital. Haemorrhage and hypertension are the main pathologies registered. Its reduction impose improvement the quality of care.
Introduction: Abdominal twin pregnancy is a rare condition characterized by the implantation and the development of two eggs in the abdominal cavity. We report a case of secondary abdominal twin pregnancy with fetal death. Case presentation: Patient of 22 years, 2 pregnancies, a living child, with a history of salpingitis, was referred from surroundings hospital to N'Djamena Mother and Child Hospital for suspicion of uterine rupture in a the context of fetus death in utero. Clinical examination allowed us to retain the diagnosis of abdominal twin pregnancy. We performed an emergency laparotomy. Per operative discoveries were: an average hemoperitoneum, a uterus with a size of grapefruit carrying a breach of old appearance at the right corneal level clogged by the epiplon, 2 intra-abdominal amniotic sacs in which extracted the first fetus dead macerated weighing 2800 g and second fetus died recently weighing 2250 g. The placenta was partially detached and located on the posterior wall of the abdomen. We removed the placenta without incident. The operative courses were simple. Conclusion: Management of abdominal twin pregnancies is similar to the single abdominal pregnancy.
We report a case of invasive mole presenting as an haemoperitoneum. The patient presented with acute abdominal pain vagina bleeding, and amenorrhoea of 10 weeks duration. Emergency laparotomy revealed a invasive mole perforating through the uterine isthmus, resulting an haemoperitoneum. Hysterectomy was performed followed by chemotherapy. She had no side effects of chemotherapy and adhered to the follow up schedule.
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