Objective: To improve the practice of cesarean section by analyzing the cesarean section according to Robson's classification. Methodology: This was a cross-sectional and descriptive study carried out at the University Hospital of Cocody. It covered the Cesarean sections performed during the year 2015 and ranked according to the 10 groups of Robson. Results: The overall Cesarean section rate in 2015 was 42.8% (3100 cesarean sections for 7229 deliveries). Group 1 was the largest contributor to overall Cesarean section with a rate of 20.5% followed by Group 3 (18.6%), Group 5 (16.4%) and Group 10 (12.2%), unlike other data in the literature where groups were in descending order Groups 5, 1, 3. This difference was driven by medical evacuations and our working conditions. Conclusion: The Cesarean section rate is constantly increasing in our department. Referred patients played a huge role in the distribution of C-section along the Robson's 10 groups classification.

Pregnancy in an abnormal uterus is a high-risk situation in obstetrics. Uterus bicornis unicollis with a rudimentary horn is often discovered incidentally. The aim of this report is to warn obstetricians about recurrent abdominal pain in the second trimester of pregnancy without any cause identified. Pregnancy can proceed in the rudimentary horn. We presented a case of a rupture of the rudimentary horn which occurred at 25 weeks of amenorrhea in an unmarried 19-year-old primigravida. The rudimentary horn was removed after performing an emergency laparotomy for an intraperitoneal hemorrhage with signs of shock. This abnormality is often revealed by uterine rupture, which usually occurs in the second trimester of pregnancy. Conclusion: We emphasize the importance of early diagnosis of this uterine abnormality, before pregnancy if possible. Undiagnosed, this condition evolves towards uterine rupture during pregnancy and requires emergency surgery with excision of the rudimentary horn.

Disseminated peritoneal leiomyomatosis (DPL) is a benign tumor of smooth muscle tissue. It is rare and is characterized by the development of multiple peritoneal nodules simulating peritoneal carcinosis. Less than 200 cases have been reported in the literature so far. We are reporting a case of DPL detected during a Caesarean section 6 years ago in a 41-year-old female patient, G5P2. The patient underwent an elective iterative caesarean section at 38 weeks of amenorrhea for a fetus in breech presentation. During laparotomy, there was a marked regression of the peritoneal nodules varying in size from 0.1 to 0.5 cm. Histological examination showed a proliferation of smooth muscle fibers without mitosis, atypia or necrosis. DPL is a benign, confusing condition that simulates peritoneal carcinomatosis, which must be recognized as such in order to avoid a dilapidated and unnecessary surgical procedure.

Malignant melanomas or lymphoma of the skin are malignant tumors of the skin and/or the mucous membranes whose uterine metastases are rare. The secondary uterine localizations, although rare, must be evoked in front of a pelvic tumoral syndrome, or diffuse metastases and a personal past history of melanoma, even after a long time of remission. In our observation, the evolution of the tumor in the pelvis extended to the muscular structures of the uterus and the sigmoid colon of a 72 year old patient, what made it an exceptional case. The diagnosis of these secondary localizations is a diagnosis of elimination, almost always post-operative, made on the histopathological and immunocytochemical study of the surgical specimen, supported by cytogenetics, even molecular biology. The treatment is based on chemotherapy.

Background: The purpose of this study was to describe the characteristics of respiratory pathologies during pregnancy and postpartum.Methods: This was a case-control study over a 7-year period from January 2008 to December 2014 at CHU de COCODY. We compiled 86 cases of the PPH department hospitalized patients for pulmonary disease during pregnancy and for postpartum up to 42 days after delivery. The control samples were represented by those hospitalized in Obstetrics for a non-respiratory general condition during the same gravido puerperal period.Results: The age group of 20-29 years was the most affected in both groups with extremes ranging from 16 to 40 years (p=0.827). Respiratory pathology was common among housewives or unemployed women (p=0,001). Pauciparous and multiparous were the most affected (p=0.020). They had a medical history in 55.8% of cases versus 22.8% in controls (p=0.001). Positive HIV serology was also found (p=0.001) and was most often passive tobacco related (p=0.015). Respiratory pathology was progressive in 72.9% in cases vs 8.9% (p=0.001) with dyspnoea as the main sign (58%). Tuberculosis (29.70%) was the most common respiratory disease. Maternal complications accounted for 48.1% of PPH vs 25.6% (p=0.001) with maternal mortality of 11.6% (p = 0.001). As for foetal prognosis, 25.6% of foetal complications were noted in patients admitted to PPH versus 48.1% (p = 0.001).Conclusions: Respiratory disease during the gravido puerperal period is severe with significant maternal repercussion.