Introduction: Spontaneous fertility after myomectomy for pregnancy desire remains a concern. Objective: Appreciate spontaneous fertility after a myomectomy for pregnancy desire. Methods: This was a descriptive and analytical study to collect retrospective data on cases of myomectomy pregnancy desire realised between 2016 and 2020 in the university maternity wards of Cotonou. All myomectomy records for desire for pregnancy were identified. The post myomectomie fertility related data and the clinical characteristics influencing the occurrence of pregnancy and its outcome after myomectomy were analyzed with regard to the rules of professional conduct and ethics. Results: On 188 myomectomies performed for desire of pregnancy, 102 had been analyzed. The mean age was 34 years ± 5.7. Nulligest and nulliparous were the most numerous in the respective proportions of 39.2% and 71.6%, and 16.7% (n=17) had a history of polymyomectomy. Fertility after myomectomy was observed in 16.7% (n=17) of cases. The mean time to return to fertility (pregnancy) after myomectomy was 27 months. Alcohol addiction (p=0.00), gestality (p=0.01), myoma size (p=0.00) and adenomyosis (p=0.00) had an negative impact on the time to onset pregnancy after myomectomy. Of 17 pregnancies recorded after myomectomy, 11 (64.7%) progressed normally with term delivery and 5 spontaneous abortions (29.4%) were recorded. One (1) pregnancy was ongoing at the time of the survey. Planned caesarean section (n=9) was the most frequent mode of delivery. Eleven (11) newborns were welcomed and the diaper suites were simple. Conclusion: Spontaneous fertility after myomectomy remains low in our series. Factors with a negative impact on fertility must be taken into account.
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.
Background: Sickle cell disease is one of the most common genetic disorders in the world, with a high prevalence in Africa. It is a pathology that threatens the maternal-fetal prognosis in case of pregnancy. The objective of this study was to describe the maternal-foetal complications and to identify the factors associated with maternal-foetal complications in sickle cell pregnant women (SP).Methods: This was a descriptive cross-sectional study with retrospective data collection over a period of 4 years (01 January 2015 to 31 August 2019). The study population was All SP who had given birth in the maternity ward of the UH of Borgou/Alibori.Results: We recorded 130 SP out of 10087 admissions, either a frequency of 1.3%. There were 119/130 exploitable files. Maternal complications during pregnancy were: vaso-occlusive crises 79%; severe anaemia 27.7%; hyponatremia 10.1%; vasculo-renal syndromes 18.4%; infections 74.8%. The foetal complications during pregnancy were: Preterm births 38.6%, in utero deaths 17.6%, low birth weight 54.7%. Early neonatal mortality was 8.4% (8/95). There was a 4.2% (5/119) of maternal deaths. Low educational level of the SP, SS genotype, insufficient antenatal follow-up and antenatal follow-up outside the specialized center for the care of sickle cell pregnant women (SCCSP) were the factors associated with maternal-foetal complications in the SP.Conclusions: The association of pregnancy and sickle cell disease is frequent in West Africa, particularly in Benin, and is characterised by numerous maternal-foetal complications that are associated with certain factors.
The purpose of this study was to evaluate the prevalence of Hypertensive Disorders in Pregnancy (HDP) and to determine the factors associated with them in the city of Parakou in Benin, a West African country. Method: It has been a descriptive cross-sectional study with a prospective collection of data using a questionnaire in prenatal consultation in the health center of Parakou's commune for 4 months (May 1 to August 31, 2019). Result: A proportion of 8.2% (55/671) of the pregnancy had the hypertensive disorders of pregnancy. The Gestational HyperTension was the most common type of arterial hypertension (AHT) with a proportion of 49.1%. The factors associated with HDP were the age of 30 to 34 (OR: 11.9; 95% CI: 1.54 -92.29; p = 0.0346), the family history of Arterial HyperTension (AHT) (OR: 1.5; 95% CI: 1.03 -4.66; p = 0.0481), the BMI > 30 (OR:14.2; 95% IC: 7.02 -28.69; p = 0.0235), being married or in a common-law relationship (OR = 2.51; 95% CI: 1.30 -4.86; p = 0.0412), the stress (OR: 2.0; 95% CI:1.09 -3.32; p = 0.0209), the history of HDP (OR: 9.0; 95% CI: 2.53 -15.23; p < 0.05). Conclusion: HDP are common in Parakou. Some factors previously described in the literature are associated with them.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.