Objective: To analyse the colposcopy results at the Gynaecological Clinic of Houéyiho. Patients and methods: Retrospective, descriptive and analytical studies were conducted by the Clinic of Houeyiho in Cotonou from January

Background: The discovery of a lethal or disabling malformation requires a thoughtful decision in the event of a termination of pregnancy on medical grounds. The termination of pregnancy can be selective in the case of multiple pregnancies if a twin is suffering from a serious condition. Objective: To report a case of anencephaly on a twin pregnancy and conduct a review of literature. Case: This is a 30-year-old woman carrying a pregnancy obtained after the third attempt at in vitro fertilization (IVF) with transfer of two embryos. No risk factor was found on this pregnancy except for the twinning. The diagnosis was made at 14 weeks +1 day during first term ultrasound, which discovered an on-going bi-chorial bi-amniotic twin pregnancy, with twin B (TB) carrying a defect on his head. A selective interruption was performed on TB at 16 weeks by cordonal injection with potassium chloride. The pregnancy went on without incident and with spontaneous vaginal delivery of the second twin at 39 weeks of pregnancy. Despite the selective termination, the pregnancy went on without any complication. Conclusion: Anencephaly on twin pregnancy is a rare occurrence. In a bichorial pregnancy, a selective feticide can improve the gestational age at birth.

Introduction: En Afrique et dans les pays en développement, le cancer du col de l’utérus représente le 1er cancer chez la femme. Objectifs: Evaluer les connaissances, attitudes et pratiques des professionnels de santé en matière de cancer du col de l’utérus à Parakou en 2016. Cadre et méthode d’étude: Il s’est agi d’une étude transversale descriptive de type connaissance, attitude et pratique (CAP) chez les agents de santé de la ville de Parakou au Nord du Bénin. Elle a couvert une période de 3 mois allant du 1ermars 2016 au 1er juin 2016. Résultats: Au total 133 agents de santé avaient participé à l’étude. L’âge moyen était de 36 ans ± 8 ans avec des extrêmes de 19 ans et 70 ans. Les facteurs de risque étaient connus par 1,5% de la population d’étude. Soixante-six virgule deux pour cent (66,2%) des enquêtés méconnaissaient l’existence de vaccins contre le HPV. La connaissance sur le cancer du col de l’utérus était 71,4%. Pour 98,5% le cancer du col de l’utérus est une affection grave et 81,2% trouvent que le dépistage de ce cancer est mal organisé au Bénin. De façon globale, 27,8% des agents avaient une attitude juste en matière de cancer du col de l’utérus. Soixante-dix-huit virgule neuf pour cent (78,9%) des enquêtés pratiquaient le dépistage de ce cancer. Parmi eux 71,4% pratiquent l’IVA/IVL et 14,3% le FCV mais seulement 1,5% des enquêtés avaient une pratique adéquate face au cancer du col de l’utérus. Au total 5 agents sur les 133 (3,8%) avaient un bon score CAP global. Conclusion: Ces résultats mettent en évidence la nécessité d’une formation continue des professionnels de santé y compris les paramédicaux en matière du cancer du col. Introduction: in Africa and developing countries, cervical cancer is the leading cancer in women. Objectives: Assess knowledge, attitudes and practices of health care professionals as regards cervical cancer in Parakou in 2016. Framework and methodology: This was a descriptive cross-sectional knowledge, attitude and practice (KAP) study among health workers in the city of Parakou in northern Benin. It covered a period of 3 months from March 1, 2016 to June 1, 2016. Results: In total 133 health workers were involved in the survey. The average age was 36 years ± 8 years with extremes of 19 years and 70 years. The risk factors were known by 1.5% of the study population. Sixty-six-point two percent (66.2%) of respondents were unaware of the existence of HPV vaccines. On the whole, they had average knowledge of cervical cancer (71.4%). For 98.5% cervical cancer is a severe disease and 81.2% think that the screening of this cancer is poorly organized in Benin. Overall, only 27.8% of the workers had a right attitude as regards cervical cancer. Seventy-eight-point nine percent (78.9%) of respondents practiced screening for this cancer; 71.4% among them performed VIA/ VILI and 14.3% cervical smear but only 1.5% of the surveyed had a suitable attitude as regards cervical cancer. In total, only 5 workers out of 133 (3.8%) had a good overall KAP score. Conclusion: These results bring to the fore the need for continuing training for healthcare professionals including paramedics as regards cervical cancer.

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Objective: To assess the efficiency and tolerance of misoprostol versus oxytocin in Active Management of the Third Period of Childbirth. Framework and Method of Study: The study was carried out at the Porto-Novo university maternity in Benin. The hospital is level 3. He acted in a randomized clinical trial with a descriptive and comparative aim referred from 1st January 2017 to 31st December 2017. We included all eligible women in labor in the delivery room during the study period and at that gestational age was greater than or equal to 37 weeks of amenorrhea, delivery was done through vaginal birth and delivered with a live birth and agreed to participate in the study. The cases eligible by order of admission were grouped in blocks of two, "Misoprostol" and "Oxytocin" corresponding to the Active Management of the Third Period of delivery. The data collected were captured and analyzed using the SPSS version 20 software. For the comparison of the results, we used the chi-square statistical test and the difference was assumed to be statistically significant for a p ≤ 0.05. The confidentiality of parturient was respected. Results: we recorded 1234 of which were delivered via vaginal birth. The Active Management of the Third Period of Delivery was carried out in 1202 parturients. According to our inclusion criteria, 892 parturients were retained for the study, of which 446 for each group. The average age of parturients was 26.94 ± 5.65 years. Almost pregnancies were mono-fetal (95.7% vs. 93.5%). The average time to expel the placenta after utero-tonic administration was 4.05 ± 0.27 min in the "Misoprostol" group versus 3.82 ± 0.52 min in the "Oxytocin" group (p > 0.05). We had only 9 cases of placental retention in the group "Misoprostol" versus 5 cases in the "Oxytocin" group. Most of the parturients had blood loss 322 Open Journal of Obstetrics and Gynecology less than 500 ml (96.2% vs. 96.6%). The frequency of delivery hemorrhage was 3.8% in the "Misoprostol" group versus 3.4% in the "Oxytocin" group. The mean blood volume lost was 284.33l ± 13.31 ml in the "Misoprostol" group versus 225.94 ± 21.52 ml in the "oxytocin" group. Maternal prognosis was generally good in both groups. Conclusion: Misoprostol may be an alternative in Active Management of the Third Period of Delivery especially in developing countries where the cold chain is often lacking.