Objective: To take a census of side effects related to the use of hormonal contraception reported by the women received in the Family Planning (FP) Service of CHU-MEL. Patients and methods:It was a cross-sectional prospective study which was carried out in the family planning service ofCHU-MEL in Cotonouover a three-month period from June 1st to August 31st, 2016.Results: 303 women were involved in this survey. The average age was 33 years (extremes of 15 and 49 years).Side effects were vaginal bleeding apart from the menses (37.2%) amenorrhea (32%) and weight increase (27.3%). The reasons for abandonment of hormonal contraceptionwere amenorrhea (13%), weight gain (11%), pelvic pain (0.07), nausea (0.05%) and bleeding (0.04). Conclusion:Hormonal contraception has many side effects. Some of them are well known by patients. They influence compliance with treatment. Their management is not always optimal and leads to abandonment.

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Introduction: The maternal mortality ratio in developing countries is 239/ 100,000 live births (LV) in 2015, compared to 12/100,000 live births (LV) in developed countries. This study aims to analyze the avoidability of maternal deaths at the CHU-MEL from 2015 to 2019. Patients and Method: This was a descriptive analytical study with retrospective data collection from January 1st 2015 to August 31st 2019, i.e. 56 months. The data were collected from medical records, maternal death registers, anaesthesia registers. They were entered and analyzed using Epi info version 7 software. The associations between avoidability of death and aetiologies were tested using Chi 2 or Fisher's test as appropriate. The threshold for statistical significance was 5%. Results: The maternal mortality ratio over 5 years was 905 maternal deaths per 100,000 LV. The age of the deceased women ranged from 15 to 44 years, with an average of 29.09 ± 7.04 years. They were illiterate or primary educated (47.02%), married (64.50%) primigravida or paucigravidae (47.02%) and primiparous or pauciparous (59.52%). Of the 151 maternal deaths, (90.73%) were deemed preventable. Delay was the main reason for maternal death, and 82.11% had at least one type of delay. There was no significant difference between the avoidability of death and the main aetiologies of haemorrhage (p = 0.865), infections (p = 0.208) and hypertensive complications (p = 0.438). Conclusion: The maternal mortality ratio during the study period was 905 maternal deaths per 100,000 LV. Deaths were preventable in 90.73% of cases. The avoidability factors found were varied.

The authors report a case of angular ectopic pregnancy interrupted at six weeks of amenorrhoea with the patients of 32 years old, with her 2 nd pregnancy, nulliparous an antecedent of laparotomy for right ectopic pregnancy (EP). At the admission, the clinical examination and the ultrasound have permitted to make a diagnosis of an abdominal pregnancy. During the operation the diagnosis of a left retort ectopic pregnancy has been made. It has profited from a suture with a perfect haemostasis. The aftermaths of the operation have been simple and the patient has been recovered five days (5 days) after the operation.

Introduction: Pregnancy related Acute Kidney Injury (AKI) accounts for a heavy fetal and maternal mortality and morbidity.