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Le but de l'étude est de déterminer les éléments du diagnostic du syndrome des ovaires micropolykystiques chez les femmes infertiles à Cotonou, analyser les modalités du traitement et établir le pronostic. C'est une étude prospective, longitudinale à but descriptif et analytique sur une période de 12 mois, du 1 er janvier 2010 au 31 décembre 2010. Elle a porté sur des femmes suivies pour infertilité et répondant aux critères PCOS (polycystic ovary syndrome). Les principaux signes cliniques étaient la spanioménorrhée 61 sur 74, l'hirsutisme et l'acné dans les mêmes proportions 35 sur 74. Les critères échographiques ont été retrouvés chez toutes les patientes. Le taux de testostérone était élevé chez 55 sur 60. Les mesures hygiéno-diététiques n'ont pas été observées par toutes les patientes. La metformine a été utilisée chez 50 sur 74. Aucune patiente n'a bénéficié du « drilling » ovarien. Le cycle menstruel a été régularisé dans 34 cas, 15 grossesse ont été enregistrées.

Objectives: Cesarean section rates are still high in referral hospitals in Benin. One of the Cesarean main indications is uterine scar to avoid the risk of uterus rupture. The objective of this study was to evaluate the outcomes of inducing labor on uterine scar in Cotonou. Patients and Methods:This was a prospective study conducted at Lagune Mother-Child University Hospital (HOMEL) in Cotonou, Benin Republic from 1 January 2009 to 31 December 2013. The population of study was pregnant women with scarred uterus, selected after calculation of oxytocin perfusion score. Results: The frequency of inducing labour on scarred uterus in our sample was 0.49%. Vaginal birthing rate was 93.54. Apgar score was greater than 7 in the first minute in 95.69% of cases. A case of neonatal death as a result of neonatal infection was recorded. Maternal complications included hemorrhages (3 cases), dehiscence of the scar (1 case), and no case of maternal death. Conclusion: Induction of labor on scarred uterus is possible in underdeveloped countries, with a success rate similar to that of developed countries under good medical supervision.

Objectives: To evaluate the influence of pre-conception cervical plastic surgery on the prognosis of pregnancy in women with a history of abortive disease through cervical incompetence. Method:Retrospective study over a period of 20 years, from January 1990 to June 2010. We carried out an exhaustive census of the patients with a cervico isthmic gap, who benefited of a pre-pregnancy cervical plasty associated with a systematic cervical cerclage carried out in the first trimester of pregnancy. Results:We identified 10 files that met the inclusion and non-inclusion criteria. The mean age of the patients was 33.8 years. They were multigravida (extremes 2 and 10) and pauciparous (mean parity was low of 1.29). The history of recurrent spontaneous miscarriage was found in all women. The diagnosis of cervico isthmic gap was evoked on the basis of clinical and paraclinical arguments. Seven women got pregnant for a total of nine pregnancies. All pregnancies have reached the age of viability which was 24SA. The prematurity rate was 4/9 pregnancies and the average gestational age for preterm delivery was 31 SA. Five pregnancies evolved to term and the average term for childbirth was 38 SA+6 days. Conclusion:Pre-pregnancy cervical plasty associated with cervical cerclage in the first trimester of pregnancy has yielded interesting results in the prevention of preterm delivery in patients with cervico-isthmic gap. A study on a larger sample is necessary to draw conclusions.

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