[Management of ectopic pregnancies at the university clinic of gynecology and obstetrics in Cotonou (Benin)]. / Prise en charge de la grossesse extra-utérine à la Clinique universitaire de gynécologie et d'obstétrique de Cotonou (Bénin).

In 1993 and 1994, there were 223 cases of ectopic pregnancy, resolved by surgery, at the University Clinic of Gynecology and Obstetrics of the National Teaching Hospital in Cotonou. This represents 4.57% of the number of deliveries. The study of 204 cases reveals the following characteristics: (i) There are clinical signs: pelvic pains and/or metrorrhagia in 97% of cases; (ii) Diagnosis was often late with a hemoperitoneum and required major intervention (salpingectomy). Ultrasound scanning allowed accurate diagnosis in 30.39% of cases. Celioscopy was necessary in 3.92% of cases; (iii) The life prognosis is usually good (1 death in 204 cases; i.e. 0.49%). The functional prognosis is difficult to estimate. The evolution of medical techniques, with the help of ultrasound scans facilitates early diagnosis and application of modern less traumatic therapies such as endoscopic surgery and conservative treatment.

[Types of hypertension in pregnant women of Benin admitted to the National University Hospital of Cotonou]. / Les différents types d'hypertension artérielle chez les femmes enceintes béninoises admises au CNHU de Cotonou.

We carried out a retrospective and prospective study between January 1995 and August 1996, of pregnant women with high blood pressure. The aim of this work was to determine the prevalence of each type of hypertension according to the classification of the American College of Obstetricians and Gynecologists (ACOG) and to evaluate the prognosis for the mother and child. The prevalence of hypertension in pregnancy was found to be 7.65%. A family history of hypertension, obesity and a personal history of hypertension in pregnancy were all risk factors. Severe hypertension (diastolic blood pressure (DBP) > 110 mm Hg) affected 59.4% of the women. Chronic hypertension occurred in 41.51% of cases, preeclampsia in 26.41% of cases, associated preeclampsia in 18.87% of cases and isolated hypertension in 13.21% of cases. Eclampsia (70.6%) was the principal maternal complication in this study population. Fifty-four of the women gave birth to normal babies, 21 to hypotrophic babies, 15 gave birth prematurely and 3 had miscarriages. Six of the seven deaths involved women with DBP above 110 mm Hg.