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1.
Afr J Reprod Health ; 26(6): 97-103, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37585062

RESUMO

This study was conducted to describe the distribution of precancerous and cancerous lesions of the cervix uteri, enumerated during a mass screening in Burkina Faso. We conducted a cross-sectional study involving 577 women aged 18 to 60 years, carried out from November 23 to December 19, 2013, in the city of Bobo-Dioulasso and in the rural commune of Bama. Regarding the screening results, 89 participants (15.4%) were positive for pre-malignant cervical lesions. Chi-square testing and logistic regression analyses were conducted to identify the likelihood of cervical pre-cancer lesion in the women. Participants less than 29 years old were approximately 3 times more likely to have cervical lesions than participants >39 years. Participants who were parous (1-3 deliveries) and multiparous (four or more deliveries) were approximately 4 times more likely to present with cervical lesions than nulliparous women. Access to screening services is low in the Bobo-Dioulasso region. Further research should be conducted to understand the incidence and distribution of cervical precancerous and cancerous lesions in Burkina Faso.


Assuntos
Lesões Pré-Cancerosas , Neoplasias do Colo do Útero , Humanos , Feminino , Adulto , Ácido Acético , Neoplasias do Colo do Útero/diagnóstico , Neoplasias do Colo do Útero/epidemiologia , Neoplasias do Colo do Útero/prevenção & controle , Burkina Faso/epidemiologia , Estudos Transversais , Detecção Precoce de Câncer , Lesões Pré-Cancerosas/diagnóstico , Lesões Pré-Cancerosas/epidemiologia
2.
BMC Infect Dis ; 19(1): 997, 2019 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-31771564

RESUMO

BACKGROUND: Dengue fever is prevalent in the world; in recent years, several outbreaks occurred in West Africa. It affects pregnant women. We aimed to assess the consequences of dengue fever on pregnant women and their fetuses during dengue epidemic in Burkina Faso. METHODS: We conducted a cross-sectional study from November 1, 2015 to January 31, 2017 in 15 public and private health facilities in Ouagadougou, using secondary data. Immunochromatographic rapid test Duo detecting specific antibodies, immunoglobin M/G and /or dengue non structural antigen1 virus was used to diagnose dengue cases. RESULTS: Out of 399 (48%) women registered during the study period, 25 (6%) were pregnant. The average age of pregnant women was 30 years, with 18 and 45 years as extremes. The main symptoms were fever (92%) and headache (92%). Nine patients (36%) had severe dengue characterized by bleeding (16%), neurological symptoms (16%) and acute respiratory distress (8%). Eight (32%) of the 25 women had early miscarriage and 8 (32%) women gave birth to viable fetuses. Among those with viable babies, 5 (20%) presented post-partum hemorrhage and 3 (12%) presented early delivery. The main fetal complications included 3 cases of acute fetal distress (12%). One case of maternal death (4%) and 4 cases of neonatal mortality (44.5%) were notified. CONCLUSION: Dengue fever occurring during pregnancy increases maternal and neonatal mortality. Its severe complications require specific monitoring of pregnant women until delivery.


Assuntos
Dengue/epidemiologia , Complicações Infecciosas na Gravidez/epidemiologia , Aborto Espontâneo/epidemiologia , Aborto Espontâneo/virologia , Adolescente , Adulto , Burkina Faso/epidemiologia , Estudos Transversais , Dengue/etiologia , Vírus da Dengue/genética , Vírus da Dengue/patogenicidade , Feminino , Febre/epidemiologia , Febre/etiologia , Febre/virologia , Humanos , Pessoa de Meia-Idade , Gravidez , Complicações Infecciosas na Gravidez/virologia , Resultado da Gravidez , Prevalência , Dengue Grave/epidemiologia , Dengue Grave/etiologia , Fatores Socioeconômicos , Adulto Jovem
3.
BMC Pregnancy Childbirth ; 19(1): 523, 2019 Dec 26.
Artigo em Inglês | MEDLINE | ID: mdl-31878899

RESUMO

BACKGROUND: Giant ovarian cyst is very rare in gravid-puerperium period. It is a cause of a maternal-fetal morbidity. We report a case of a giant benign ovarian cyst in gravid-puerperium period which was diagnosed and managed in a hospital of a low-resource country. CASE PRESENTATION: Data were collected by historical review, clinical examination, laboratory investigations, imaging examination, and by histopathological study of the excised surgical specimen. It is the case of a 25-year-old woman who was third gravida and third para with unknown pathological history. After she had given birth through vagina, a giant ovarian cyst, unknown during pregnancy, was diagnosed. A left oophorectomy carrying the cyst was performed after laparotomy in Yalgado Ouedraogo University Hospital Center of Ouagadougou (Burkina Faso). The cyst was 42 cm long and weighed 19.7 kg. The histology of the operative specimen revealed serous cystadenoma of the ovary. The postoperative course was uneventful. CONCLUSION: This case reports that vaginal delivery is possible with a giant ovarian cyst associated with pregnancy. Surgical management of the cyst can be performed in the postpartum with satisfaction.


Assuntos
Cistadenoma Seroso/cirurgia , Neoplasias Ovarianas/cirurgia , Ovariectomia , Período Pós-Parto , Complicações Neoplásicas na Gravidez/cirurgia , Adulto , Cistadenoma Seroso/diagnóstico por imagem , Cistadenoma Seroso/patologia , Parto Obstétrico , Feminino , Humanos , Neoplasias Ovarianas/diagnóstico por imagem , Neoplasias Ovarianas/patologia , Gravidez , Complicações Neoplásicas na Gravidez/diagnóstico por imagem , Complicações Neoplásicas na Gravidez/patologia , Tomografia Computadorizada por Raios X , Carga Tumoral , Ultrassonografia
4.
BMC Emerg Med ; 17(1): 17, 2017 05 31.
Artigo em Inglês | MEDLINE | ID: mdl-28569134

RESUMO

BACKGROUND: Hemorrhage is the main cause of maternal death during pregnancy. This study aims to evaluate incidence and outcomes of Severe Ante Partum Hemorrhage (SAPH) during the third trimester of pregnancy prior to delivery. METHODS: Analytical cross-sectional study with prospective data collection during 12 months in Yalgado Ouedraogo Hospital, Ouagadougou, Burkina Faso. In this context SAPH is specifically referring to Ante Partum Hemorrhage (APH) and Intra Partum Hemorrhage (IPH) in the 3rd trimester. Postpartum Hemorrhage (PPH) was not included. RESULTS: During our study 7,469 women were admitted in obstetrics and 122 cases of SAPH were recorded. SAPH represented 1.6% (n = 122) of hospitalizations causes and 14.5% (n = 1083) of hemorrhages during pregnancy. Mean age was 27.8 ± 6.9 years, mean parity 2.8 ± 1.3 and mean duration of pregnancy was 37 Weeks Amenorrhea (WA). Evacuation from other facilities was the main mode of admission (91.8%, n = 112) and blood transfusion was the essence of resuscitation. Complications were observed in 80.3% (n = 98). During the study, 118 maternal deaths were reported of which 15.6% (n = 19) related to SAPH. Among SAPH cases who died (n = 19) majority (n = 16) had severe anemia (n = 16; 82.6%, p = 0.004). Ten women (8.19%) were admitted in Intensive Care Unit (ICU). Fifteen premature births (12.3%) and 22 perinatal deaths (18.1%) were recorded. Evacuation (p = 0.04), critical clinical condition during admission (p = 0.004), and Uterine Rupture (UR) (p = 0.002) were associated with poor outcome. The Retroplacental Hemorrhage (RPH) (40.9%) was the most common cause of fetal death (p = 0.005) and was associated with High Blood Pressure (HBP) and pre-eclampsia. CONCLUSION: APH is a complication associated with significant maternal and fetal morbidity and mortality.


Assuntos
Hospitais de Ensino/estatística & dados numéricos , Complicações na Gravidez/epidemiologia , Hemorragia Uterina/epidemiologia , Adolescente , Adulto , Burkina Faso/epidemiologia , Estudos Transversais , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Gravidez , Resultado da Gravidez/epidemiologia , Terceiro Trimestre da Gravidez , Adulto Jovem
5.
J Cancer Educ ; 29(1): 69-73, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24057691

RESUMO

The lack of awareness about prostate cancer and other prostate-related issues has been identified as a cause of low survival and higher mortality rates among black men. The aim of this study is to assess the knowledge of prostate cancer (PCa) among men in the general public, in the main city of Burkina Faso (Ouagadougou). The targeted population was black African men aged 25 years and older, with no history of PCa. Six hundred men who provided informed consent were invited to participate in a PCa knowledge questionnaire through face-to-face interviews. The questionnaire was composed of multiple-choice items designed to ascertain participant's characteristics (age, profession, and level of education) and knowledge of prostate and PCa (risk factors, diagnosis tests, and curative treatments). The average age of men was 42 (min 25, max 80), and 63% reported primary school or less. Sixty-two percent admitted they did not know the terms prostate and prostate cancer. Only two respondents (0.3%) cited race as a risk factor, when 90 (15%) perceived too much sexual activity as a risk factor. A majority of respondents (70.3%, n = 422) stated that they were unaware of any diagnosis tests for PCa. The level of education was strongly correlated with PCa knowledge (p < 0.001). Men in the city of Ouagadougou have poor knowledge of PCa. Educational interventions should target the entire populations to improve self-informed decision about early diagnostic possibilities of PCa.


Assuntos
Detecção Precoce de Câncer , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias da Próstata/diagnóstico , Adulto , Negro ou Afro-Americano , Idoso , Burkina Faso , Seguimentos , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Neoplasias da Próstata/prevenção & controle , Neoplasias da Próstata/psicologia , Fatores de Risco , Inquéritos e Questionários
6.
Med Trop Sante Int ; 1(4)2021 12 31.
Artigo em Francês | MEDLINE | ID: mdl-35685853

RESUMO

Introduction: Urocolpos is rare as is the reflux of urine into the uterus which may be associated with it. Female genital mutilation (FGM) is a rarely described cause. We present two cases, one of which is associated with reflux of urine into the uterus. Clinical cases: Two 7-year-old and 15-month-old girls presented after FGM with pelvic pain, pushing dysuria, and episodes of urine retention. Results: It was the pelvic ultrasound which made it possible to objectify an urocolpos associated in the 7-year-old patient with reflux of urine into the uterine cavity. Bacteriology has isolated Escherichia coli from urine. Deinfibulation and antibiotic therapy restored normal urination. Urocolpos and reflux of urine into the uterus may be due to FGM. Conclusion: There are some signs that suggest urocolpos in the context of FGM, but the ultrasound is important for the diagnosis.


Assuntos
Circuncisão Feminina , Retenção Urinária , Burkina Faso , Criança , Feminino , Hospitais de Ensino , Humanos , Útero/diagnóstico por imagem
7.
Mali Med ; 35(2): 38-42, 2020.
Artigo em Francês | MEDLINE | ID: mdl-37978771

RESUMO

INTRODUCTION: Sexual abuse is a health problem that needs to be adequately and comprehensively managed. A preventive strategy must be conducted to deter potential abusers. The purpose of the study was to describe the cases of sexual abuse received in the Department of Gynecology and Obstetrics at Yalgado Ouedraogo University Hospital. PATIENTS AND METHOD: It was a retrospective and descriptive study covering a period from January 1, 2009 to December 31, 2013.The study involved victims of sexual violence received in the obstetrics and gynecology department of Yalgado OUEDRAOGO Hospital and whose files were usable. RESULTS: The average age of alleged victims was 16 years, ranging from 03 years to 32 years. Rape was the most frequent reason for consultation (93.1%). It was practiced nightly, usually in the residences. The most common genital lesion was vulvar lacerations (17.8%). The most frequent of non-gynecological lesion was scratches (10.9%).The victims' support was essentially medical and surgical. The short-term prognosis was favorable (100%). Psychological support was marginal.


INTRODUCTION: Les violences sexuelles constituent un problème de santé dont la prise en charge doit être adéquate et globale. Une stratégie préventive doit être menée afin de dissuader les potentiels agresseurs. Le but de l'étude était de décrire les cas de violences sexuelles reçus dans le Département de gynéco-obstétrique du Centre Hospitalier Universitaire Yalgado Ouédraogo (CHUYO). PATIENTES ET MÉTHODE: Il s'est agi d'une étude rétrospective à visée descriptive couvrant une période allant du 1er janvier 2009 au 31 décembre 2013. L'étude a concerné les présumées victimes de violences sexuelles reçues dans le département de gynécologie obstétrique du CHUYO et dont les dossiers étaient exploitables. RÉSULTATS: La moyenne d'âge des présumées victimes était de 16 ans avec des extrêmes allant de 03 ans à 32 ans. Le viol était le motif de consultation le plus fréquent (93,1%) et se déroulait nuitamment, généralement dans les domiciles. La lésion génitale la plus fréquente était les déchirures vulvaires (17,8%). La lésion non gynécologique la plus fréquente était les égratignures (10,9%).La prise à charge des victimes était essentiellement médico-chirurgicale. Le pronostic à court terme était favorable (100%). La prise en charge psychologique était marginale. CONCLUSION: Les violences sexuelles restent une préoccupation bien que sa fréquence soit faible. Ce fléau touche essentiellement les adolescentes.

8.
Int J Gynaecol Obstet ; 147(3): 350-355, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31523811

RESUMO

OBJECTIVE: To assess the effects of strengthening family planning capacity on the uptake of long acting reversible contraceptive (LARC) methods at two primary health centers. METHODS: Between April 2016 and March 2017, the Society of Gynecologists and Obstetricians of Burkina Faso (SOGOB) increased the capacity of two primary health centers in Ouagadougou, Burkina Faso, to offer LARC methods by training staff and providing family planning equipment and commodities. Uptake of LARC methods was compared between the year preceding the intervention and the year during the intervention. RESULTS: Within a year, the number of new users of family planning increased 2.8-fold from 2936 new users before the intervention to 8267 during it. The rate of new users of contraception increased 1.9-fold (14.9% vs 28.1%; P<0.001) for all LARC methods, 2.4-fold for intrauterine contraceptive devices (IUCDs), and 1.7-fold for subdermal contraceptive implants. The proportion of new users of the copper IUCD younger than 25 years was higher during the intervention than before it (57.2% vs 46.9%; P=0.026). CONCLUSION: The SOGOB's family planning intervention resulted in an increase in the use of LARC methods at the two primary health centers.


Assuntos
Serviços de Planejamento Familiar/métodos , Pessoal de Saúde/educação , Contracepção Reversível de Longo Prazo/estatística & dados numéricos , Adolescente , Adulto , Burkina Faso , Feminino , Humanos , Ensaios Clínicos Controlados não Aleatórios como Assunto , Atenção Primária à Saúde/métodos , Melhoria de Qualidade
9.
Pan Afr Med J ; 32: 35, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31143340

RESUMO

Surgical site infections are frequent in developing countries. Cesarean section is one of the most common surgery among women in the world. This study aims to analyse the epidemiological, clinical, therapeutic and prognostic aspects of parietal suppurations after cesarean section in the Department of Gynecology and Obstetrics at the Yalgado Ouédraogo University Hospital in order to reduce their occurrence. We conducted a descriptive cross-sectional study over a period of 6 months, from 1st April 2015 to 30th September 2015. Out of 1998 cases of cesarean section, seventy patients had parietal suppurations, corresponding to an incidence of 3.5%. The average age of patients was 26.2 ± 6.1 years; the patients were predominantly housewives (77%). Emergency cesarean section was performed in all patients. Suppuration was mainly diagnosed in the 1st week (60%). Staphylococcus aureus was detected in 37.8% of cases. Second abdominal wall surgery was necessary in 34.3% of cases. Outcome was favorable in all patients. Parietal suppuration after cesarean is common. Second surgery is sometimes necessary. Further studies should be conducted to better identify factors favoring this disease in order to significantly reduce their incidence and therefore improve maternal prognosis.


Assuntos
Cesárea/efeitos adversos , Infecções Estafilocócicas/epidemiologia , Infecção da Ferida Cirúrgica/epidemiologia , Parede Abdominal/cirurgia , Adolescente , Adulto , Burkina Faso/epidemiologia , Estudos Transversais , Emergências , Feminino , Hospitais Universitários , Humanos , Incidência , Gravidez , Prognóstico , Infecções Estafilocócicas/microbiologia , Supuração , Infecção da Ferida Cirúrgica/microbiologia , Resultado do Tratamento , Adulto Jovem
10.
Int J Gynaecol Obstet ; 136(2): 215-219, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28099728

RESUMO

OBJECTIVE: To evaluate the results of an intervention by the Societé de Gynécologues et Obstétriciens du Burkina (SOGOB) to improve postabortion care (PAC) in rural areas of Burkina Faso. METHODS: From June 1, 2012, to May 31, 2013, SOGOB increased capacity for PAC by providing training in health care and equipment to 45 rural health facilities. Performance in PAC in the year before intervention (June 1, 2011, to May 31, 2012) was compared with that in the year following intervention (June 1, 2013, to May 31, 2014). RESULTS: The number of cases of incomplete abortion managed within a year increased from 1812 before the intervention to 2738 afterwards. Before capacity building, none of the health facilities was using misoprostol for management of incomplete abortion. After capacity building, misoprostol was used in 805 (29.4%) cases. The use of inappropriate methods to empty the uterus decreased (27.5% [498/1812] vs 1.4% [38/2738]; P<0.001). The frequencies of uterine perforation and pelvic infection also decreased (P≤0.01 for both). In the year after implementation, 2035 (78.3%) of 2600 women had taken up a family planning method before leaving the facility. CONCLUSION: SOGOB's intervention has improved the quality of PAC in rural health facilities in Burkina Faso.


Assuntos
Abortivos não Esteroides/administração & dosagem , Aborto Incompleto/tratamento farmacológico , Assistência ao Convalescente/normas , Instalações de Saúde/provisão & distribuição , Pessoal de Saúde/educação , Misoprostol/administração & dosagem , Aborto Incompleto/epidemiologia , Adulto , Burkina Faso , Serviços de Planejamento Familiar/estatística & dados numéricos , Feminino , Humanos , Gravidez , População Rural , Sociedades Médicas
11.
Int J Gynaecol Obstet ; 127 Suppl 1: S40-2, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25087176

RESUMO

The Society of Gynaecologists and Obstetricians of Burkina Faso (SOGOB) conducted a project to reinforce skills in respectful maternity care among its members and health workers at three facilities. The participatory process allowed health workers to self-diagnose quality of care, recognize their own responsibility, propose solutions, and pledge respectful care commitments that were specific for each unit. Key commitments included good reception; humanistic clinical examination; attentive listening and responsiveness to patient needs; privacy, discretion, and confidentiality; availability; and comfort. These commitments can potentially be modified after each evaluation by SOGOB. Poor working conditions were found to negatively impact on quality of care. High staff turnover, frequent technical malfunctions, and inadequate infrastructure were identified as issues that require future focus to ensure improvements in quality of care are sustainable. Programs that aim to improve the maternity experience by linking good practice with humanistic care merit rollout to all healthcare facilities in Burkina Faso.


Assuntos
Competência Clínica , Serviços de Saúde Materna/organização & administração , Obstetrícia/organização & administração , Qualidade da Assistência à Saúde , Burkina Faso , Feminino , Instalações de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Serviços de Saúde Materna/normas , Obstetrícia/normas , Projetos Piloto , Gravidez , Melhoria de Qualidade
12.
Int J Gynaecol Obstet ; 125(3): 214-8, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24629788

RESUMO

OBJECTIVE: To assess the level and determinants of unnecessary cesarean delivery. METHODS: In a retrospective study, the medical charts were reviewed for 300 low-risk women who underwent intrapartum cesarean delivery at 10 referral hospitals in Burkina Faso between May 2009 and April 2010. In this context, cesarean deliveries were delegated to clinical officers who have less training than doctors. RESULTS: Among the 300 study patients, 223 women (74.3%) were referred from primary healthcare facilities. The reason for referral was not medically justified for 35 women. Cesarean was performed by a gynecologist-obstetrician (46.0%), a trained doctor (35.0%), or a clinical officer (19.0%). Acute fetal distress and fetopelvic disproportion were the main indications recorded for intrapartum cesarean delivery. These diagnoses were not confirmed by an obstetrician-gynecologist in 12.0% of cases. Clinical officers were associated with a higher risk of unnecessary cesarean delivery compared with gynecologist-obstetricians by multivariate analysis (odds ratio, 4.46; 95% confidence interval, 1.44-13.77; P = 0.009). CONCLUSION: Verification of cesarean indications by highly qualified personnel (i.e. second opinion), in-service training, and supervision of health workers in primary healthcare facilities might improve the performance of the referral system and help to reduce unnecessary cesarean deliveries in Burkina Faso.


Assuntos
Cesárea/estatística & dados numéricos , Encaminhamento e Consulta/estatística & dados numéricos , Procedimentos Desnecessários/estatística & dados numéricos , Adolescente , Adulto , Burkina Faso , Feminino , Humanos , Análise Multivariada , Gravidez , Estudos Retrospectivos , Adulto Jovem
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