A propos d’un cas de grossesse abdominale très prolongée

Abstract

Un cas de grossesse abdominale prolongée d'environ 18 mois avec mort fœtale, vécu à l'hôpital général de référence de Mulongo dans la province du Katanga, en République Démocratique du Congo, est rapporté dans ce papier. Ce cas clinique d’évolution étonnante permet de faire la revue de la littérature, de rappeler l'importance d'un bon suivi clinique et échographique de la grossesse et de s'interroger sur le niveau d’éducation de la femme ainsi que la qualité des soins prénataux en milieu rural congolais.

Abdominal Pregnancy with Live Fetus: A Case Report at Dassa-Glazoue Regional Hospital, Benin 2019

“…The lack of and/or poor prenatal consultations, and the absence of early diagnosis of the disease contribute to the development of abdominal pregnancy [13]. Kangulu et al inquired whether the development of such pregnancies was not the result of poor prenatal consultations due to service providers' incompetence [13]. We cannot rule out this possibility in the context of Benin given that, rural areas of the country are not all provided with health facilities staffed with qualified personnel.…”

“…We cannot rule out this possibility in the context of Benin given that, rural areas of the country are not all provided with health facilities staffed with qualified personnel. Conducting good clinical and ultrasonographic follow-up of the pregnancy and educating or raising awareness of women on risk exposure during pregnancy could provide opportunity for early diagnosis and prevent the occurrence of complications in relation to this disease [13]. The major peculiarity of this observation lies in the fact that the live fetus was extracted in apparent good health.…”

“…It is more acute in developing countries as a result of late diagnosis, with a reported incidence between 1/10,000 in developed countries [11] and 3.4/10,000 in sub-Saharan countries, especially in Nigeria [12]. Two main factors account for higher frequency of abdominal pregnancies in developing countries: genital infection and poor prenatal consultations [13]. Although an ultrasound was performed and viable abdominal pregnancy at 31 weeks + 1-day gestation was established, the patient only returned to hospital a month later, despite being referred and sensitized.…”

“…This attitude reflects expectant mothers' lack of interest in medical examination results and awareness, if they are in apparent good health. According to a Congolese study, women's education level justifies such attitudes [13]. The lack of and/or poor prenatal consultations, and the absence of early diagnosis of the disease contribute to the development of abdominal pregnancy [13].…”

“…According to a Congolese study, women's education level justifies such attitudes [13]. The lack of and/or poor prenatal consultations, and the absence of early diagnosis of the disease contribute to the development of abdominal pregnancy [13]. Kangulu et al inquired whether the development of such pregnancies was not the result of poor prenatal consultations due to service providers' incompetence [13].…”