Kaolin consumption and outcome of surgery in women: a comparative study of 263 operations at the Yaound and eacute; Gyneco-Obstetric and Pediatric Hospital

Foumane, Pascal; Esiéné, A; Dohbit, Julius Sama; Mbasso, Raissa Carine Ambatta; Nsahlai, Christiane; Minkande, Jacqueline Zé

doi:10.18203/2320-1770.ijrcog20164317

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“…These data are in line with studies conducted in Yaoundé in 2015 and 2016, which stipulate that the consumption of kaolin has a prevalence of 32.4% and 40.5% respectively. The consumption pattern was 49.50% and 55%, respectively [8] [11].…”

Section: Discussionmentioning

confidence: 99%

Kaolin Clay Consumption and Pregnancy: Prevalence, Hematological Consequences and Outcome of Labour in the Douala

Essome¹,

Engbang²,

Ndedi³

et al. 2017

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Objective: To determine the prevalence, haematological repercussions and prognosis of childbirth in the event of consumption of kaolin during pregnancy. Materials and Methods: It was a study over a period of 3 months at the Laquintinie Hospital Douala. It compared two groups of women, one of whom had consumed kaolin during pregnancy (exposed group) and the other had not consumed it (non-exposed group). Results: A total of 342 women were included in our study, 121 (35.4%) of whom had consumed kaolin during pregnancy. Women exposed to this consumption (P < 0.05) after univariate analysis were those of pregnant women from the Far North (OR = 3.37, CI: 1.29 -8.79, P = 0.013), single (OR = 1.65, CI = 1.05 -2.59, P = 0.029), those with primary education (OR = 2.25, CI = 1.06 -4.79, P = 0.035) and those with HIV (OR = 2.75, IC = 1.02-7.43, P = 0.045). Consumption was more frequent in the first trimester of pregnancy (37%) and in the third quarter (34%), at a predominantly weekly rate (47.9%). The most frequently cited reasons were envy (82%), and nausea (45%). This consumption was associated with a risk of premature delivery (RR = 2.26, IC = 1.27 -4.05, P = 0.001), yellowish amniotic fluid (RR = 4.66, IC = 1.81 -11, P = 0.001), birth weight < 2500 g in newborns (RR = 1.72, IC = 3.36 -9.56, P = 0.025), but increased the probability of delivery (RR = 1.94, IC = 0.96 -3.90, P = 0.039). For the hematological aspect, the occurrence of anemia (RR = 1.55, IC = 0.97 -2.31, P = 0.003) and a decrease in mean hemoglobin concentration (RR = 1.29, IC = 0.83 -2.03, P = 0.041) were associated with kaolin in pregnancy. After multi- The use of kaolin is a frequent feeding behavior in pregnancy, mainly motivated by envy, which nevertheless presents serious maternal and fetal complications.

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Section: Discussionmentioning

confidence: 99%