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.

Objective: To take a census of side effects related to the use of hormonal contraception reported by the women received in the Family Planning (FP) Service of CHU-MEL. Patients and methods:It was a cross-sectional prospective study which was carried out in the family planning service ofCHU-MEL in Cotonouover a three-month period from June 1st to August 31st, 2016.Results: 303 women were involved in this survey. The average age was 33 years (extremes of 15 and 49 years).Side effects were vaginal bleeding apart from the menses (37.2%) amenorrhea (32%) and weight increase (27.3%). The reasons for abandonment of hormonal contraceptionwere amenorrhea (13%), weight gain (11%), pelvic pain (0.07), nausea (0.05%) and bleeding (0.04). Conclusion:Hormonal contraception has many side effects. Some of them are well known by patients. They influence compliance with treatment. Their management is not always optimal and leads to abandonment.

Introduction: Hysterectomy is one of the most performed medical interventions on women. Its impact on women's sexual life has been poorly addressed in the sub-region.

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Introduction: The expectant mother's natural body changes will lead the couple to redefine their emotional and sexual life throughout pregnancy.Objective: Study the influence of sexuality on full term expectant mothers' labor induction in Parakou.Methods: It was a cross-sectional, descriptive and analytical study conducted from 15 th April to 15 th August 2017 in Parakou public maternity wards. Prospective data collection was carried out, along with a comprehensive census of full term expectant mothers with no fetal anomaly incompatible with life and able to deliver vaginally.Outcomes: Globally, 141 expectant mothers were enrolled in the study, including 47 practicing sexual abstinence (group A) and 94 sexually active (group B). The frequency of weekly sexual activities ranged from 1 to 7 with 2.4 ± 1.5 as mean value. According to group B expectant mothers practicing intra-vaginal ejaculation, sexual intercourse would facilitate delivery (80.00%, p=0.0006). Group B expectant mothers (87, 92.55%) engaged in sexual fondling, including 82 (94.25%) who practiced nipple stimulation. 23 (28.75%) regularly reached orgasm. Nipple stimulation and orgasm influenced significantly spontaneous labor with p=0.0001 and 0.0006 respectively. Among Group A expectant mothers, there were 9 or 19.15% prolonged pregnancy against 0% for Group B, 15 or 31.91% spontaneous delivery against 05.32% for Group B and 9 or 19.15% cesarean section against 4.25% for group B. There is a statistically significant link between sexuality and the mode of delivery (p=0.0001). Conclusion:Nipple stimulation and orgasm during full term pregnancy facilitate spontaneous labor in childbirth process.