Introduction: Severe preeclampsia is a frequent cause of maternal death, and also a frequent indication for caesarean deliveries when faced with the need to expedite delivery. We sought complications specific to caesarean deliveries in patients with severe preeclampsia. Methods: It was a case-control study carried out over 6 months, from December 1st, 2015 to May 31st, 2016 at the Yaoundé Central and the Yaoundé Gynaeco-Obstetric and Paediatric Hospitals. We evaluated 159 women undergoing a caesarean delivery to assess the risk of maternal and foetal postoperative complications in patients with severe preeclampsia. Significance level was set at 0.05. Results: The incidence of postoperative complications stood at 26.4%. Maternal and foetal complications were more frequent in preeclamptic women at 54.5% versus 11.5% (p < 0.05) and 47.3% versus 27.9% (p < 0.05) respectively. The incidence of adverse events was greater in women with preeclampsia: pruritus and limb pain (RR = 2.96; p < 0.001), the persistence of high blood pressure (RR = 4.51, p < 0.001), maternal death (RR = 2.93, p < 0.001), postpartum convulsions (RR = 3, p < 0.001) headaches resistant to first-line analgesics (RR = 3, p < 0.001), Disseminated Intravascular Coagulation (DIC) (RR = 2.92, p < 0.001), a cute pulmonary oedema (RR = 2.92, p < 0.001), prematurity (RR = 4.43, p < 0.001), neonatal asphyxia (RR = 2.93, p < 0.001), and hyaline membrane disease (RR = 2.93, p < 0.001). Conclusion: Severe preeclampsia

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Uterine myomas are a real handicap for women in Africa. The aim of this study was to determine the clinical, psychological and socio-professional impact of symptomatic uterine myomas.We conducted a descriptive cross-sectional study from December 2017 to May 2018 in the gynecology department of the Yaoundé Gyneco -Obstetrics and Pediatric Hospital.We included 101 women aged on average 38.7 +/-7.6 years, living in urban areas. Female genital bleeding was found in 63.3% of women, anemia in 95%, women and infertility in 57% of women.Moderate anxiety accounted for 46.5% of patients, mental depression 70.3%, social discomfort with a negative effect on the couple in 32.7%, absenteeism at work in 70.3%, decrease in work efficiency, 64.4% of the patients.Uterine myomas have a clinical effect (bleeding and infertility), a psychological impact (anxiety, depression) and socio professional impact (decreased work efficiency and absenteeism at work) in women.

Introduction: The purpose of our study was to investigate the factors that favour teenage pregnancy. This was a case-control study of adolescent girls aged 13 to 19 who were sexually active. It was conducted over a period of 5 months in the Gynecology and Obstetrics Department of the Yaounde Gynaeco-Obstetrics and Pediatric Hospital (YGOPH) and Yaoundé Central Hospital (YCH). We compared teenage girls seen at prenatal consultations (cases) to those coming for gynecological consultations (controls). The variables analyzed were sociodemographic data, risk behaviours, family data, data related to education and sexuality, and contraception. Data analysis was done using the Epi Info software version 3.5.4 and SPSS version 20. Results: We recruited 170 teenage girls, 85 cases and 85 controls. Predictors of pregnancy occurrence among adolescents found in univariate analysis were: co-habitation (OR = 4), in a semi-urban setting (OR = 2.2), with her husband / fiance (OR = 3.02), having only one sexual partner (OR = 15.16), having sisters (OR = 3.3), having a mother who conceived in adolescence (OR = 2.05), having her first sexual intercourse before age 16 (OR = 2.2), knowing family planning (OR = 2.98) and considering FP counseling as useless (OR = 3.3), not discussing sexuality with peers (OR = 2.27), does not search for information about sexuality in magazines / newspapers (OR = 4.7) or on the internet (OR = 5.4), does not know about abstinence (OR = 2.2) , coitus interruptus (OR = 8.2) or the morning-after pill (OR = 5.18). Conclusion: The independent predictors of teenage pregnancy in our setting were premarital sex before age 16 and non-use of contraceptive methods.