RESUMEN
We tried through this study to reassemble the cases of medical termination of pregnancy for foetal or maternal anomalies and analyse the epidemiological characteristics of our population and the procedures of induction of labour. We report a retrospective study about 55 cases of medical termination of pregnancy during 20 months indexed in service "C" of the centre of maternity and neonalogy in collaboration with the service of fetopathology. 12.73% of our patients were older than 38 years. The incidence of medical termination of pregnancy during the same period was about 1.90 cases/100 deliveries. Maternal indications was reported in 34.55% of cases and neurological malformations dominate the foetal anomalies (47.22%). Extra-amniotic saline infusion was used in 52.72% of cases and was responsible of all the complications observed (16.36%).
Asunto(s)
Aborto Inducido/estadística & datos numéricos , Complicaciones del Embarazo , Aborto Inducido/métodos , Adulto , Factores de Edad , Anomalías Congénitas , Femenino , Humanos , Persona de Mediana Edad , Embarazo , Estudios Retrospectivos , TúnezRESUMEN
The omphalocele is an average coelosomie, frequency of which is estimated at 1/5000 births. We confront diagnosis antenatal with the exam foetopathologic in purpose of 41 cases of omphalocele brought together over a period going from January 1, 1991 till December, 2000 in the unity of foetopathologie from the CMNT. The frequency of omphaloceles is 4.88% of the children malformed and of 1.64% of the set (group) of the performed an autopsy children. An association malformative was found in 85.4% of cases and a karyotype typical aberration trisomie 13.18 and 21 was identified in 17% of cases. The preview of the children bearers of this deformation is especially bound (connected) to the existence and to the gravity of associated abnormalities. The omphalocele required a multidisciplinary making coverage intervernir obstetriciens, néonatologistes, surgeons pediatre and foetopathologistes.
Asunto(s)
Anomalías Múltiples , Aberraciones Cromosómicas , Hernia Umbilical/diagnóstico , Diagnóstico Prenatal , Adulto , Autopsia , Femenino , Hernia Umbilical/complicaciones , Hernia Umbilical/patología , Humanos , Incidencia , Recién Nacido , Cariotipificación , Masculino , Embarazo , Ultrasonografía PrenatalRESUMEN
OBJECTIVE: To establish the epidemiologic profile of holoprosencephalia and determine benefits of ultrasound and foetopathologic examination to the diagnostic. METHODS AN MATERIAL: [corrected] Retrospective study about 17 cases of holoprosencephalia observed in CMNT between Janaury 1992 and September 2000. RESULTS: Ultrasound diagnosis was made in 13 cases (75%). Ultrasound criteria were; absence of median structure of the brain and unique ventricule. The prognosis was always bad. Foetopathologic examination revealed 7 cases of lobar holoproencephalia and 10 of semi lobar. Fascial dysmorphia were noted in 82% of cases. CONCLUSION: The foetopathology and genetic counselling looking for fascial, dysmorphia in family's members gives a good evaluation of recurrences.
Asunto(s)
Holoprosencefalia/diagnóstico por imagen , Ultrasonografía Prenatal , Adulto , Aberraciones Cromosómicas , Cara/anomalías , Femenino , Holoprosencefalia/genética , Holoprosencefalia/patología , Humanos , Recién Nacido , Masculino , Embarazo , Pronóstico , Estudios RetrospectivosRESUMEN
UNLABELLED: It was a retrospective and continuous prospective study about 102 post-term pregnancy recensed on a 14 months period. The aim of this study is to evaluate our management of post term pregnancy and the peto-maternal morbidity and mortality. RESULTS: Frequency of post-term pregnancy in our study is 5.92%, in rate of session sector is not higher it is of 18.62. There is no maternal mortality. Neonatal mortality is a about 19/1000, the rate of neonatal morbidity is 2.9%.
Asunto(s)
Embarazo Prolongado/fisiología , Enfermedad Aguda , Adulto , Peso al Nacer , Cesárea , Distribución de Chi-Cuadrado , Femenino , Muerte Fetal , Sufrimiento Fetal/terapia , Edad Gestacional , Frecuencia Cardíaca Fetal/fisiología , Humanos , Recién Nacido , Trabajo de Parto Inducido , Trabajo de Parto/fisiología , Embarazo , Estudios Prospectivos , Estudios Retrospectivos , Ultrasonografía PrenatalRESUMEN
This is a retrospective study including 292 ambulatory diagnostic hystéroscopies realised during a period of 1 year and a half. The mid age of our patients is 44 years. The main indications are haemorrhage, infertility and abnormal ultrasound findings. The exams are carried out under analgesia. Its sensibility is good concerning the endométrial pathology. As a matter of fact, it equals 100% for adénocarcinomas, it varies from 56.5 to 77.3% for hyperplasia, 100% for endométrial polyps and from 88 to 90% for endométrial atrophy. In contrast, it is worse for the myométrial pathology such as adénomyose and sub mucosal myomas. Besides its sensibility, the tolerance of this exam allows its ambulatory realisation permitting a considerable economy.
Asunto(s)
Atención Ambulatoria/métodos , Histeroscopía/métodos , Enfermedades Uterinas/diagnóstico , Adolescente , Adulto , Distribución por Edad , Anciano , Atención Ambulatoria/normas , Femenino , Humanos , Histeroscopía/normas , Persona de Mediana Edad , Estudios Retrospectivos , Sensibilidad y EspecificidadRESUMEN
Lethal spina bifida continue to be frequent in Tunisia; we report 88 cases of letal spina bifida: 1.05 per thousand births. This pathology was more frequent with women. The up letal spina bifida situated is predominant with female and the dow spina bifida situated is frequent with male. We have noted an association with anencephalia (46 cases) and hydrocephaly (21 cases). Prevention is based on obstetric health care and hygiene dietetic advices to avoid alimentary deficit.
Asunto(s)
Disrafia Espinal/patología , Adulto , Femenino , Humanos , Incidencia , Lactante , Recién Nacido , Masculino , Embarazo , Atención Prenatal , Índice de Severidad de la Enfermedad , Factores Sexuales , Disrafia Espinal/epidemiología , Túnez/epidemiologíaRESUMEN
In this study, Dépo-Provéra was evaluated in 930 women. It is a retrospective longitudinal bicentric study: We revealed the following results: The average age is 30.8 years. 66.6% the women have between 1 and 3 children. The nulliparous represent 17%. In 84.3%, it is the first used contraceptive method. The first injection was done in the post abortion in 65.3% of the cases. Pearl index is 0.46. Thus, the efficacy level is 99.54%. Amenorrhea is the most frequent trouble; its incidence within a year is 52.3%. It the first cause of abandon. The other troubles of the cycle disappear within 12 months. The acceptability is 34.8% year women.