Objectives: To evaluate professionals practices and the contribution of magnesium sulphate in a better medical care for persons with severe preeclampsia at CHU-MEL. Materials and Method:We conducted a retrospective and cross-sectional study with the aim come up with a descriptive and analytical paper. Our study was conducted from January 15th, 2015 to July 15th, 2016, i.e. during eighteen (18) months. The sampling was exhaustive. The population was made of all patients admitted for severe preeclampsia with or without complications. Confidentiality requirements were met and informed consent obtained from all subjects. For the analytical study, the chi-square test was used and the difference was statistically significant with a p-value inferior than 0.05. Results:The prevalence of preeclampsia during the study period was 7.70% (447/5805 deliveries). Out of the 312 files that we were able to find and exploit, 272 revealed that patients were administrated a dose of magnesium sulphate, at a frequency estimated at 87.18%. Irregularities were noted in the protocol implementation: the maintenance dose was administered in 30% of cases, as a slow infusion (66.33%), for less than 24 hours in 37.24% of cases, and under supervision only in 22.62% of cases. Primary and secondary prevention of eclampsia was achieved in 98.5% and 80% of cases, respectively. Respecting the duration of treatment significantly reduces the onset and recurrence of seizures (p=0.003 and p=0.004). Decreased reflexes and respiratory distress were noted in 34.78% and in 8.7% of cases respectively. The maternal lethality rate was 1.34% and the stillbirth rate was 11.40%. Conclusion:Magnesium sulphate intake is undeniable in dealing with severe preeclampsia, but this solution/ drug is misused at the CHU-MEL. Appropriate solutions must therefore be taken in the execution and monitoring of the protocol.

Introduction: Breast cancer remains a global public health problem. In Benin, it is the first type of cancer developed by women and it causes an important morbidity and mortality. Objective: The purpose of this study is to assess women's knowledge, attitudes and practices regarding breast cancer screening in a hospital located in the southern side of Benin republic. Framework and study method: We conducted a descriptive cross-sectional study exploring the knowledge, attitudes, and practices of women regarding breast cancer screening. The population studied was made of women of 30 years old minimum admitted at the mother and child hospital (HOMEL) from July 1 st to September 30 th 2017. The data were collected using a structured questionnaire. Results: The participation rate to this survey was 67.1%. The average age of the respondents was 35.2 years old with extremes ranging from 30 to 48 years old. They were traders by profession (43%) with a level of education not exceeding the primary school in 42% of cases. They had heard about breast cancer in more than 9 out of 10 cases; by the media in half of the cases. Breast cancer risk factors were unknown in 51% of cases; Breast self-examination was practiced by 57% of the women, 6% of which conducted it properly. More than 8 out of 10 women (84%) had never been screened for breast cancer. Conclusion: Public awareness must be strengthened by all available means, including media, schools and social gatherings and waiting areas in primary health care centers.

Objective: Vertical transmission of HIV remains the second mode of infection in Benin. To study the epidemiological aspects of HIV infection during the pregnancy at University Hospital Centre for Mother and Child Lagoon (CHU-MEL). Patients and methods: We conducted a descriptive cross-sectional study at the Mother and Child Hospital in Benin from 1 January 2015 to 30 June 2017. The sampling was exhaustive. The selection criteria were: all pregnant or parturient seropositive who were taken care of during the study period at HOMEL. The data analysis was done with the Epi Info software, by calculating averages and standard deviations. Results and conclusion: The prevalence rate of HIV amongst pregnant women was 1.9% (188/9554). The average age was 30 years old ± 5 years. They were married (45.6%), crafts women (67.7%), lived in a monogamous family (60.3%) and gave birth at least once (73.8%). The prevalence rate varied depending on the level of education; it was lower among the unschooled (17.5%), around (7.4%) among those who went to high school and higher among those with an intermediate level of education. HIV prevalence remains stable in the population of pregnant women. The education of young girls and the increasing purchasing power of women must be taken into consideration when drafting HIV control strategies.

Gestational diabetes mellitus is the most commonly observed endocrine disorder during pregnancy. It results in severe fetal and maternal complications that can increase the fetal morbidity and mortality and the risk for overt diabetes in women. Identification of pregnant women at high risk for gestational diabetes mellitus is therefore needed for early detection in order to reduce its consequences for the mother, the fetus and the newborn. The objective of the study was to identify risk factors for gestational diabetes in a reference maternal health care centre in southern Benin. This was a case-control study carried out from 1st February 2015 to 31st July 2017 in reference maternal health care centre at the University Hospital of Porto-Novo. All pregnant women with a gestational age of 24 to 28 weeks of amenorrhea, who utilized antenatal care service of University Hospital of Porto-Novo, were screened for gestational diabetes mellitus. The chi-square test was used to identify risk factors for gestational diabetes mellitus. The statistical significance was fixed at p < 0.05. Of the 967 pregnant women participated in the study, 73 cases of gestational diabetes mellitus, were detected (7.5%). Risk factors of gestational diabetes identified were: maternal age ≥ 35 years [OR 7.82 CI 95% (4.75-12.89)], body mass index ≥ 25 kg/m 2 [OR 9.56 CI 95% (5.17-17.70)], family history of diabetes at 1st degree [OR 2.78 CI 95% (1.53-5.06)], a history of fetal macrosomia [OR 7.25 CI 95% (3.11-16.92)], a history of stillbirth [OR 2.98 CI 95% (1.78-5.00)], an antecedent of more than two spontaneous miscarriages [OR 1.93 CI 95% (1.19-3.12)] and the personal history of hypertension [OR 3.91 CI 95% (1.52-10.07)]. This study confirmed the influence of maternal age and some medical and obstetric histories as risk factors of gestational diabetes mellitus. These pregnant women at high risk of gestational diabetes mellitus should benefit from early detection.

inclusion criteria. Variables studied are the dependent variables (stillbirths) and the independent variables (socio-demographic profile of new mothers).For data collection, we have used obstetric records, delivery registers, operating room registers and operating protocols for parturient women who delivered stillborn babies during the study period. The data were collected on a survey sheet prepared for this purpose.Data processing was done using SPSS 20.0 and EPI Info version 7. For the analysis of data, the Chi-2 test has been used and the difference is statistically significant for a p ≤ 0.005. Ethical aspectsThe study has been carried out with the approval of administrative authorities at different levels. Confidentiality and anonymity of the data have been respected. Results Stillbirth rateIn the course of our study, we have selected 971 obstetric files that ObjectiveThe main objective is to study the epidemiological and etiological aspects of stillbirth. Materials and Study MethodThis is a descriptive retrospective study carried out from January 1, 2013 to June 30, 2016, at the University maternity hospital of Porto Novo in Benin. It covered all deliveries recorded within the maternity during our study period. All cases of deaths in utero or intrapartum deaths recorded in the service during the study period, with a gestational age ≥ 28 weeks or a birth weight ≥ 1000 g were also included. Deaths born outside the maternity, newborns with apparent death (suspended animation) (Apgar score=3), cases of expulsion of products of conception before the 28 th week and deaths of early neonatal period were not taken into account.Sampling is systematic with full recruitment of all cases meeting our Results: During the study period, we recorded 1,010 stillbirths out of 13,069 births. The overall stillbirth rate is 83.8%. The highest proportions of stillbirths were among women with the following characteristics: Age between 20 and 34 (80.2%), retailers/traders (55.8%), married women (87, 1%), referred from peripheral health facilities (82%), paucigest (33.5%), pauciparous (33.8%), multiparous (31.7%) and the large multiparity group (14.2%). Etiologies are haemorrhages (38.8%), infections (17.6%), vascular renal syndromes (16.4%), unknown causes (11.8%), obstructed labor (dystocia) (9.8%), Cord diseases (5.9%), fetal abnormalities (1.6%), non-infectious maternal pathologies (0.9%) and other causes (2.1%). Conclusion:Reducing stillbirth involves improving the health system and strengthening health infrastructures. Supervision of women with high-risk pregnancies, screening and management of diseases during pregnancy are necessary in order to reduce the frequency of fetal death in utero in our environment.

Introduction: Care during pregnancy is important for the health of the mother and the development of the unborn baby. Objective: To evaluate the quality of Refocused Prenatal Consultations (RPNC) in one health zone of the Northern Benin. Patients and methods: This is a prospective and evaluative study carried out from March 20 th to May 25 th , 2017 in twelve health centers at the Kandi-Gogounou-Segbana health zone (KGS) in northern Benin. Sampling is systematic with extensive recruitment. The study included all midwives practicing in the study area and all pregnant women received by these midwives at one of the twelve public health centers of the KGS health zone during the study period. Each midwife and each pregnant woman are included after oral consent. Results: The quality of the Prenatal Consultation (PNC) at the KGS health zone in the Northern Benin is unsatisfactory (76.9%). Several steps of RPNC (Reception of pregnant, physical examination, tasks after examination, counseling/advices) were insufficiently executed. The best executed steps are Prevention care (92.8%), prenatal checkup (92.0%) and Interview/interrogation (91.3%). The quality of the RPNC is compromised by the lack of control and monitoring of norms and standards in force in Benin.

We report a case of twin pregnancy in a malformed uterus incidentally discovered during an emergency caesarean section relating to a primigravida at CHU-MEL in Cotonou. The patient is a 25-year-old woman referred from a neighbourhood center, without particular antecedents, admitted there because of an acute fetal distress at 38 weeks of amenorrhea +1 day. The objective examination presents two hemi-vaginas and two hemi-cervixes. The Acute fetal distress diagnosis is confirmed. By means of a caesarean section on 10 th June 2016, two male twins have been removed by the cephalic pole from a bicornuate bicervical uterus, J2 being mature and weighing 2700 g and J1 the other presenting signs of prematurity and weighing 1200 g. Referred to the neonatal unit, J2 is allowed to leave after 24 hours of hospitalization and J1 after 5 days of hospitalization. Postoperative care has been simple for the mother and the new-born babies are healthy. Both mother and children are allowed to leave the 5 th day after operation.

Introduction: Breast cancer is a true public health problem; it is the first cause of female mortality from cancer in the world.