Ectopic pregnancies constitute one of the principal complications of pregnancy. Their clinic is polymorphous with consequences such as infertility and death reliable to late diagnosis. The aim of this study was to determine the state of ectopic pregnancy in our context and to propose concrete actions that will permit a rapid diagnosis so as to ameliorate its management at the regional hospital of Ngaoundéré (RHN). As such, we carried out a descriptive cross-sectional, prospective and retrospective design study going from January 2008 to August 2017 in the gyneco-obstetric unit of the RHN. We had a sample size of 373 cases of ectopic pregnancies within study period. The data analysis was done by the means of the software’s Microsoft office tools and Sphinx Plus² v.5.1.0.6. A prevalence of 1.21% obtained and the most represented age group was that of 20 to 32 years with a rate of 69.1%. The most incriminated risk factor was a pelvic surgical history. Clinically the most reveal signs and symptoms was a pelvic pain in 96.51%. Tubal rupture was observed in 72.39% of the cases and the treatment of these ectopic pregnancies was possible through radical surgery in 94.10%. No death report due to ectopic pregnancy throughout study period.

In Cameroon, where the prevalence of infectious complications remains high, several factors that may or may not lead to these infectious complications are still to be known in our region. The aim of this work was to contribute to improved care delivery. This was a prospective study coupled with an exploratory study from May 10th to August 31st, 2016. All patients who had a gynecological and obstetric surgery at the HRN and without any infection before surgery were included in this study, and were followed each for 30 days. In total, we had 65 surgical procedures in gynecology and obstetrics. The average age of the patients was 29.23 years. Clean surgeries accounted for 98.5% of interventions, with contaminated clean surgeries accounting for 1.5% of interventions. A total of 6 cases of infections of the surgical site was observed (9.2%). Significant variables associated with postoperative infections were the use of antibiotic, the date of first dressing, the duration of surgery. The infection rate of the surgical site which is 9.2% is clearly greater to the data of the literature, despite the antibiotics in prophylactic in clean surgeries. However, better pre and post-operative care as well as strict adherence to the principles of perioperative asepsis should be the rule in our context.

The mission of the operating room is to provide an efficient framework for surgical interventions, programmed or emergency cases because patients increasingly claim the right to the best possible quality of care. The objective of this study was to improve the quality of care service produced in the operating room of the Regional Hospital of Ngaoundéré. It concerned and observational descriptive study going from August 1st to September 30th, 2016. Data collection was carried out through direct observation and interview. Results reveals from this study that, 46.66% of the operating room infrastructures were not up to the required international standards. Skin cleaning was carried out in 31 % of the cases by standard products but the different steps were not respected. Concerning hand washing and preliminaries to surgical scrub, it was a forgotten practice or non-applied practice in the regional hospital of Ngaoundéré. The surgical disinfection of hands by friction in its two stages were not observed normally in 75.70 % and 97.10 % respectively. We realized that only 34.4 % of observations regarding the required time allowed for surgical friction was equal to or a little greater to the standards.