Background: Assess the fetal prognosis of umbilical cord prolapse (UCP) at Cocody University Hospital.Methods: It was a cross-sectional, descriptive and case-control study about 92 cases of umbilical cord prolapse beating. It took place over a period of 3 years from 1 January 2013 to 31 December 2015.Results: The frequency of the umbilical cord prolapse beating was 0.73%. The patients came from other maternity in 84.8%. Upon arrival in our maternity, therapeutic attitude was dominated by the positioning of Trendelenburg (73.9%). The c-section was performed in 63% of cases. The fetal prognosis was bad; neonatal mortality was 41.3% at 5 minutes of life against 9.8% in the control group. The factors aggravating the fetal prognosis were the long delay between the occurrence of the umbilical cord prolapse and childbirth, the delivery mode and the small birth weight.Conclusions: The late management and the evacuations negatively affect the fetal prognosis. Improving fetal prognosis requires quick care and the provision of an efficient technical platform surrounding maternity.
Author report one case of bicornuate uterus and pregnancy in a patient who had a preterm delivery in her medical history. The support for the pregnancy was a cerclage of the cervix, bi-monthly prenatal consultation, a systematic work stoppage. The removal of cerclage was conducted at 37 weeks of amenorrhea. Childbirth is done vaginally. We didn’t realize restorative surgery of the uterus before pregnancy or after. The aim of our clinical case was to clarify the therapeutic possibilities in an African developing country. Moreover, the formation of an expert team for surgery of uterine malformations should be considered in our work environment.
We report a case of torsion of a pedunculated uterine leiomyoma. A 34-year-old housewife has been received at gynaecological emergency department for acute pelvic pain in June 2016. A pelvic ultrasound revealed a uterine with a pedunculated mass. With a preoperative diagnosis of torsion of a pedunculated subserosal leiomyoma, the patient underwent a myomectomy. In conclusion, torsion of a pedunculated uterine myoma is rare but represents a surgical emergency.
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