Profil épidémiologique et prise en charge de l’éclampsie au Sénégal: à propos de 62 cas

Diouf, Abdoul Aziz; Diallo, Moussa; Mbaye, Magatte; Sarr, Sokhna Diarra; Faye-Diémé, Marie Edouard; Moreau, Jean Charles; Diouf, Alassane

doi:10.11604/pamj.2013.16.83.3101

Cited by 9 publications

(16 citation statements)

References 8 publications

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“…According to this work, the high rate of vaginal delivery among infected women is due to their lower viral load. Also, Diouf et al, (2016) [9] had noted a high rate of deliveries out of 37 cases, i.e. 88.10%.…”

Section: Discussionmentioning

confidence: 95%

Clinical parameters of children born to mothers on antiretroviral treatment in three Abidjan hospitals

Mariam,

Shcherazade,

Yao

et al. 2023

J Pharmacogn Phytochem

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Prevention of mother-to-child transmission (PMTCT) of HIV is a dynamic field. The latest updates from the World Health Organization (WHO) in the context of PMTCT date back to April 2012. The WHO recommends that low-and intermediate-resource countries introduce life-long triple therapy for HIVpositive women (WHO). The aim of the present study is to examine the relationship between maternal serology and clinical parameters in newborns. It is a prospective, descriptive, retro study carried out on 529 HIV-positive and 467 HIV-negative women in three hospitals in the city of Abidjan. Clinical parameters were measured using a balance and a measuring cup, and blood samples were taken. Among the 543 exposed infants, 2 were found to be seropositive after three PCR tests. In 94.9% of seropositive women, delivery was vaginal. Most newborns were born at full term (98.9%) in seropositive patients, with 65.1% having a birth weight of between 2,500 and 3,500 g and a good apgar score (92.7%) at the first minute and (99.5%) at the fifth minute. Breastfeeding was the most common method of delivery, irrespective of the mother's serostatus: 94.3% for seropositive and 97.6% for seronegative mothers. In this study, the mother's serology had no influence on the clinical parameters of newborns on ARV treatment.

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Section: Discussionmentioning

confidence: 95%

Clinical parameters of children born to mothers on antiretroviral treatment in three Abidjan hospitals

Mariam,

Shcherazade,

Yao

et al. 2023

J Pharmacogn Phytochem

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“…Statistical data from developing countries show that the incidence of obstetric AKI is: in India, Pakistan and Africa 7% -11%, 18% and 57% respectively [6].…”

Section: Discussionmentioning

confidence: 99%

Obstetrical Acute Kidney Injury: Epidemiology and Clinical Aspects in Teaching Hospital of Ignace Deen, Conakry Guinea

Bah¹,

Diakité²,

Baldé³

et al. 2020

CRCM

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Introduction: In Guinea, data on the acute kidney injury (AKI) of women in the obstetrical context is still limited. This study attempted to determine the prevalence and the clinical signs of obstetric AKI in Guinea. Patients and methods: The study population consisted of pregnant or postpartum women with AKI, whom we treated in this institute from August 2018 to January 2019. All had normal anterior renal function with serum creatinine clearance ≥ 120 μmol/L, and then suffered AKI. Patients characteristics were examined; maternal age, gestational weeks, AKI characteristics. Results: Of 2438 pregnant women admitted during the study period, 56 showed AKI. Antepartum and postpartum AKI accounted for approximately 80% and 17%, respectively. Regarding the maternal age, <25 years of age accounted for 54% (range: 17-40). Multiple gestations accounted for 34 (60.71%) of which functional AKI, organic AKI, and obstructive AKI accounted for 28/34, 2/34, and 4/34, respectively. Regarding the clinical manifestations, abdominal pain, tinnitus, visual disturbances, edema of the lower limb, and facial swelling accounted for 79%, 75%, 7%, 57%, and 54%, respectively. Conclusion: We here demonstrated peripartum AKI in Guinea, which findings may provide fundamental data to establish some strategy against this condition in this region.

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“…On the other hand, the surveillance of pregnancies by qualified health personnel, the screening of pregnancies at risk and the information of the patients made it possible to reduce this pathology [2] [4]. However, it remains common in our developing countries (3.5% in our series) and this prevalence is almost constant in sub-Saharan Africa [1] [2] [5]. This high rate is related to several factors that have as a common denominator the low socio-economic level of the populations.…”

Section: Epidemiological Aspectsmentioning

confidence: 99%

“…It is a paroxysmal gravido-puerperal accident with dominant neurological expression of unknown or abused pregnancy toxemia. It is defined by the occurrence of one or more generalized seizures and/or disorders of consciousness that can not be related to a pre-existing neurological problem [1]. Its incidence varies from country to country, significantly higher in developing countries where it reaches 5% to 10%, or even 15% in some areas.…”

Section: Introductionmentioning

confidence: 99%

“…Its incidence varies from country to country, significantly higher in developing countries where it reaches 5% to 10%, or even 15% in some areas. In developed countries, thanks to a better organization of antenatal surveillance, its incidence is gradually declining and is currently between 0.2 and 0.5 per 1000 births [1] [2]. Considered as one of the serious obstetric situations severely affecting the maternal and fetal prognosis, its management must be multidisciplinary fast and adequate.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic and Prognostic Epidemic Aspect of Eclampsia at the Kolda Regional Hospital Center (Senegal)

Touré¹,

Biaye²,

Diouf³

et al. 2019

OJOG

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Objectives: To evaluate the epidemiology of eclampsia, to assess maternal and perinatal prognosis and management. Material and method: This was a retrospective, descriptive study from January 1, 2015 to December 31, 2018. Included were all women received in the emergency department of our health facility for generalized seizures and/or disturbances of consciousness, occurring between the 20th Week of Amenorrhea (WA) and the 6th week of postpartum on a field of hypertension. The sources of the data consisted of antenatal consultation cards, delivery records, hospital records, operating theater and resuscitation records. The variables studied were sociodemographic characteristics, the course of pregnancy, childbirth and neonatal parameters. Data were captured and analyzed using SPSS 11.0 software. Results: The study focused on 190 cases with a prevalence of 3.5%. The average age of the patients was 20 years with extremes of 14 and 40 years. The average parity was 4.1 deliveries with extremes of 1 and 7. Nearly three-quarters of the patients (74.7%) of the patients were primiparous. Almost all the patients were evacuated. More than half of the seizures (53.1%) were recorded before work and more than one out of two patients had two seizures. Caesarean section was the mode of delivery in more than one out of two patients (56.8%). Maternal complications were marked by renal failure (23 cases), the HELLP syndrome (72 cases), and the retro placental hematoma (83 cases). The fetal impact was marked by prematurity in 90% of cases and 17 cases of fetal death in-utero. Nineteen maternal deaths were recorded while early neonatal mortality was 437 per 1000 live births. The average hospital stay of the survivors was 6.2 days. Conclusion: Eclampsia is still common in our regions. It occurs preferentially in young primiparas with hypertension and/or proteinuria on a poorly followed pregnancy. Magnesium sulphate and cesarean section can How to cite this paper:

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Profil épidémiologique et prise en charge de l’éclampsie au Sénégal: à propos de 62 cas

Cited by 9 publications

References 8 publications

Clinical parameters of children born to mothers on antiretroviral treatment in three Abidjan hospitals

Clinical parameters of children born to mothers on antiretroviral treatment in three Abidjan hospitals

Obstetrical Acute Kidney Injury: Epidemiology and Clinical Aspects in Teaching Hospital of Ignace Deen, Conakry Guinea

Diagnostic and Prognostic Epidemic Aspect of Eclampsia at the Kolda Regional Hospital Center (Senegal)

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