Objective: To determine the prevalence, haematological repercussions and prognosis of childbirth in the event of consumption of kaolin during pregnancy. Materials and Methods: It was a study over a period of 3 months at the Laquintinie Hospital Douala. It compared two groups of women, one of whom had consumed kaolin during pregnancy (exposed group) and the other had not consumed it (non-exposed group). Results: A total of 342 women were included in our study, 121 (35.4%) of whom had consumed kaolin during pregnancy. Women exposed to this consumption (P < 0.05) after univariate analysis were those of pregnant women from the Far North (OR = 3.37, CI: 1.29 -8.79, P = 0.013), single (OR = 1.65, CI = 1.05 -2.59, P = 0.029), those with primary education (OR = 2.25, CI = 1.06 -4.79, P = 0.035) and those with HIV (OR = 2.75, IC = 1.02-7.43, P = 0.045). Consumption was more frequent in the first trimester of pregnancy (37%) and in the third quarter (34%), at a predominantly weekly rate (47.9%). The most frequently cited reasons were envy (82%), and nausea (45%). This consumption was associated with a risk of premature delivery (RR = 2.26, IC = 1.27 -4.05, P = 0.001), yellowish amniotic fluid (RR = 4.66, IC = 1.81 -11, P = 0.001), birth weight < 2500 g in newborns (RR = 1.72, IC = 3.36 -9.56, P = 0.025), but increased the probability of delivery (RR = 1.94, IC = 0.96 -3.90, P = 0.039). For the hematological aspect, the occurrence of anemia (RR = 1.55, IC = 0.97 -2.31, P = 0.003) and a decrease in mean hemoglobin concentration (RR = 1.29, IC = 0.83 -2.03, P = 0.041) were associated with kaolin in pregnancy. After multi- The use of kaolin is a frequent feeding behavior in pregnancy, mainly motivated by envy, which nevertheless presents serious maternal and fetal complications.
Background and objective: Pain is a major concern in the surgical environment, but its management remains insufficient due to several factors related to the nursing staff, the organization of the structure or the patient himself. The objective of this study was to assess the knowledge of the nursing staff on postoperative pain at the Laquintinie Hospital in Douala. Methodology: This was a cross-sectional study carried out at the Laquintinie Hospital in Douala from September to December 2018. Participants were consecutively selected among members of nursing staff in charge of operated patients in the visceral surgery, trauma surgery, surgical reanimation, gynaecology and obstetrics services. Socio-professional data and data related to knowledge of postoperative pain were collected from this personnel using a pre-tested semi-structured questionnaire. Results: With regard to knowledge of postoperative pain, the proportion of correct answers to the knowledge questions was 61.4%. This proportion varied significantly with the specific training received on pain and the specialization of the nursing staff (p < 0.001). Conclusion: The results of the study reveal knowledge in this population that deserves to be improved with a view to better management of patients undergoing surgery.
Introduction: The female condom is a polyurethane sheath that fits into the vagina before the sexual act, protecting the woman against both sexually transmitted infections, including HIV, and unwanted pregnancies. Objectives. We assessed the attitudes and practices of the female condom among female students in three faculties at the University of Douala. Methods: We conducted a prospective, cross-sectional and analytical study of female students aged at least 21 years old and willing to participate in the study. We excluded those who were not sexually active, as well as those whose cards were poorly completed. A pre-tested and questionnaire was used to collect socio-demographic characteristics, attitudes and practical knowledge of female condom students. The rating tables have been established. Data was analyzed using SPSS version 2.0 software. Results: A total of 320 students were enrolled in the study. The average age was 23.6 ± 4 years old. The majority of participants were single. 74.4% were poorly knowledgeable, 17.5% had average knowledge, and 0.3% had good knowledge of female students. The attitude regarding the female condom was unfavorable at 83.3% and indeterminate at 16.2%. The female condom use rate was 8.4% with a user satisfaction rate of 7.4%. Conclusion: Students in these 3 faculties have poor knowledge of the female condom. Their attitude is unfavorable, and its use infrequent and unsatisfactory
Background: Children and adolescent mortality remains a public health concern in developing countries. This study aimed to describe risk factors and aetiologies of mortality among children and young adolescents at a tertiary hospital in the town of Douala, Cameroon. Methods: We carried out a retrospective cohort study from January 1 st to May 31 st , 2019 among deceased patients aged 1 month to 15 years admitted to the paediatric ward of the Gynaeco-Obstetric and Paediatric Hospital. Data of interest were collected and analysed. Results: Out of 3088 children admitted, 123 death cases were recorded. The overall hospital mortality rate was 3.98%. Females accounted for 51% of the deceased patients. Fever was the main reason for consultation. Severe malaria was the most common diagnosis. In univariate logistic regression analysis, factors associated with mortality included hyperthermia (OR = 0.24; 95% CI 0.80 -1.33; p = 0.012), coma/impaired consciousness (OR = 0.30; 95%
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