Anemie du Premature et Pratiques Transfusionnelles au Centre Hospitalo-Universitaire de Yopougon à Abidjan, Cote d'Ivoire

Epidemiological, clinical, and prognostic aspects of preterm birth over 10 years in Ouagadougou, Burkina Faso

“…The frequency of neonatal cerebral injury in this study is as high as 11.9%, similar to earlier findings in Ouagadougou [6] and the rate of 10.6% reported in Bangui, Central African Republic [17]; however, our rate is higher than the 7% reported in Abidjan, Republic of Côte d'Ivoire [22]. In newborns, including preterm, neonatal cerebral injury is associated with the lack of pregnancy monitoring, insufficient monitoring during work, poor delivery conditions, and resuscitation of the newborn in the birth ward [18,26].…”

“…Our findings were comparable to the reported results of 28.4% in Central African Republic, [17] but lower than the rates of 30.3% and 53% observed in Côte d'Ivoire, [22,27] 33% in Mali, [18] 35.5% in Madagascar, [14] and 58% in Togo [28]. The diagnosis of bacterial NNI is mainly based on clinical examination in Africa [18,22,27,29,30] so the risk of over-or under diagnosis must be taken into account to explain differences in NNI frequencies. Preventing NNIs will reduce the incidence of preterm birth, in addition to morbidity and lethal burden.…”

“…After birth, the causes of anemia in preterm newborns include blood loss due to sampling, shortened lifespan of red blood cells, iron deficiency, and inflammation [25]. The frequency of hemorrhagic disease in preterm newborns reported here was lower than the rate of 8% reported in Côte d'Ivoire, [22] perhaps due to the smaller sample size. NNIs are ubiquitous in studies conducted in sub-Saharan Africa, although they demonstrate different statistics by country.…”

“…Although we have not investigated etiologies of anemia among preterm because this retrospective study was not designed to answer this question. In the Republic of Côte d'Ivoire, authors reported a lower frequency of 25% of anemia in preterm newborns [22]. This difference is due to the cut-off value used to define anemia, which is lower in their study (< 13 g/dL).…”

“…Respiratory and cardiovascular disorders were observed at the same level as congenital malformations. Perhaps because our sample was small, we found a lower frequency of respiratory distress in preterm newborns in comparison with Central African Republic (11%) [17] and Côte d'Ivoire (16%) [22]. One of the main causes of respiratory distress in preterm newborns is Respiratory distress syndrome (RDS).…”