[Urinary infections in gyneco-obstetrical practice at DAKAR U.H.C]. / Les infections urinaires en pratique gynéco-obstétricale au C.H.U. de Dakar.

This prospective study seeks to define the epidemiological, clinical and biological boundaries of the danger of urinary infection in women, with a view to facilitating therapy where bacteriological competition is absent. 238 samples taken over a 4 month period revealed 57 bacteriologically positive, i.e. 24%. Urinary infection is particularly associated with women in their 30s, poor, and from a low socio-economic class, with little urinary history. Risk increases for pregnant women during the second quarter. Typical, classical symptoms, each for what it is worth, are to be found in over 75% of the positive samples. The most common germs are enterobacteria particularly sensitive to quinolones, aminosides and 3rd generation cephalosporines.

[Induced abortion in Senegal. What justification?]. / Avortement provoque au Senegal. Quelles justifications?

PIP: Physicians consider an adolescent pregnancy to be a high risk pregnancy. An immature adolescent body often explains early loss of first pregnancy. Pregnancy tends to have a disastrous effect on the development and harmonious growth of the adolescent body, especially when it occurs shortly after the beginning of puberty. Adolescents tend not to receive prenatal care, to have a difficult labor and delivery, and to undergo obstetrical surgery. All these troubles explain, if not justify, recourse to illegal abortion with its effects (mortality, morbidity, and sterility). In Senegal, there is still much to do to make adolescent pregnancy justification for legal abortion. Practicing an abortion on an adolescent has two indications: therapeutic abortion and criminal abortion. In Senegal, physicians must discuss the indications for therapeutic abortion with specialists and the couple requesting the abortion, then submit a report to the Order of Physicians. Criminal abortion is disapproved on a legal, religious, and social basis. In rural areas, the family (especially an aunt or the grand-mother) affectionately embraces a pregnant adolescent and prepares her for her role as a future mother. Based on honor, the pregnant girl's mother tends to reject the pregnancy. In urban areas, a pregnant adolescent is advised to obtain social assistance. Social assistance refers her to a health center and provides her moral and sometimes material support. If the pregnancy is not wanted based on health reasons, the physician will complete her record with a therapeutic abortion in mind. The probability of a urinary infection during pregnancy and during the puerperium is proportional to the age of the patient and is highest during the second trimester and among women in the lowest socioeconomic group. All women with blood in their urine have a urinary infection. In Senegal, it is legally easier to obtain an abortion during the first trimester than the other trimesters.^ieng