Mortalité maternelle à Libreville (Gabon): état des lieux et défis à relever en 2006

Mayi-Tsonga, S.; Ndombi, Isabelle; Oksana, Litochenko; Methogo, M.; Diallo, Tidiane; Mendome, Gabriel; Mounanga, M.

doi:10.1684/san.2008.0133

Cited by 5 publications

(4 citation statements)

References 0 publications

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“…This justifies a prevalence of under-25s (59.9%) practicing the most CAs. This trend is almost the same as that found by Mayi-Tsonga in Gabon in 2009 [7].…”

Section: Resultssupporting

confidence: 89%

Clandestine Abortion in Bangui, Central African Republic

Ngbale¹,

Koirokpi²,

Mbano-Dede³

et al. 2020

OJOG

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Introduction: The clandestine abortions remain a major health problem in developing countries including the Central African Republic. At the main maternity hospital of Bangui in the Central African Republic, a study conducted in 2000 indicates that clandestine abortions (CAs) accounted for 43.4% of all abortions recorded in the service. The purpose of our study was to evaluate the evolution of CAs about the health care management efforts made over the last 4 years. Patients and Methods: We conducted a prospective descriptive and analytical study over a period of 4 years (from January 2016 to December 2019). This study focused on the complications of clandestine abortions that occurred during the course of our study at the HCB reference maternity hospital. Results: We identified 267 clandestine abortions for 783 spontaneous abortions. The frequency of CAs was 34.1%. The highest number of CAs was observed in patients aged between 20 and 24 years with an average age of 23.7 years. The average parity was 2.6. It appeared in our study that students were the most represented (40.8%). Rescuers were the most incriminated (29.2%) in clandestine abortion (CA). Infectious complications predominated in (79.1%) of cases. Antibiotic therapy was almost systematic (96.6%). Laparotomy was performed in (38.9%) cases. The proportion of deceased women who had a pregnancy of more than 12 weeks was higher with a statistically significant difference (p < 0.001). Conclusion: Abortion affects all women regardless of age, parity, marital status and socioeconomic status.

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“…This justifies a prevalence of under-25s (59.9%) practicing the most CAs. This trend is almost the same as that found by Mayi-Tsonga in Gabon in 2009 [7].…”

Section: Resultssupporting

confidence: 89%

Clandestine Abortion in Bangui, Central African Republic

Ngbale¹,

Koirokpi²,

Mbano-Dede³

et al. 2020

OJOG

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“…This may be explained in part by the fact that this age group is when women most often give birth. These results are similar to those of Thiam and al [5] in Senegal, who reported 24.7%, Mayi-Tsonga and al [6] in Gabon 19%, and Bouba Toure and al [3] reported 16% in Guinea. Most of the women who died had a secondary education (49.23%).…”

Section: Socio-demographic Characteristics (Table 1)supporting

confidence: 91%

“…The high literacy rate is very high among girls in Guinea (83.9%) and in secondary school (67.4%) according to EDS [7]. The same observation was made by Bouba Toure and al [3], who put it at 48%, and Mayi-Tsonga and al [6] in Gabon at 84%. However, in Cameroon, Fomulu and al [8] found that 64% of women who died were illiterate.…”

Section: Socio-demographic Characteristics (Table 1)mentioning

confidence: 70%

“…The non-existence of a wellstructured referral system meant that parturients were referred late and under poor conditions. This lack of organization of the referral system at the three levels of the health pyramid has been noted by Fomulu and al [8] in Cameroon, Thiam and al [5] in Senegal and Mayi and al [6] al in Gabon. In terms of causes of death (text 3), direct obstetrical causes were more dominant at 84.62%.…”

Section: Circumstances Of Death (Table 2)mentioning

confidence: 92%

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Maternal mortality study in a level II hospital in guinea from 2016 to 2020

Soumah AFM,

Conte I,

Sylla I

et al. 2023

GSC Adv. Res. Rev.

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The objective of this work was to study the epidemiological profile of maternal deaths at the Forécariah prefectural hospital from January 1, 2016 to December 31, 2020. Methodology: this was a descriptive, cross-sectional study with retrospective collection, including women who died before, during or within 42 days after childbirth. Sociodemographic and clinical variables, circumstances and causes of death as well as the process of maternal death reviews (MDR) were studied. The data were analyzed using EPI Info version 7.2 6 software. Central tendency parameters (mean, standard deviation), relative and absolute frequencies were reported. Results: The maternal mortality ratio was 348 deaths per 100,000 live births. The average age was 31 ±5.65 years. The majority of deceased women were unemployed (67.69%), most of them married (72.31%), and multiparous in 33.85% of cases. Hemorrhages during delivery constituted 52.72% of the direct causes. The effectiveness of reviews of maternal deaths was 10.77% and deaths deemed avoidable represented 98.46%, mainly linked to the 3rd delay in 58.46% of cases. Conclusion: achieving the goal of sustainable development (SDG 3.1) requires community participation, reorganization of the health system and government involvement.

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Donkin psychosis

Brockington

2016

Arch Womens Ment Health

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Donkin psychoses are eclamptic psychoses without seizures. As symptomatic psychoses resulting from cerebral endothelial damage, they may explain the lucid intervals that sometimes occur between eclampsia and the eruption of psychosis. They have the same features as eclamptic psychoses, with onset during pregnancy or the early puerperium, especially in first-time mothers, a short duration and full recovery in most. The clinical picture is usually delirium, but mania is also seen, and some patients have retrograde amnesia or other cognitive defects. Donkin psychosis should be considered in the differential diagnosis of childbearing psychoses, and collaborative research is needed to clarify their differences.

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Mortalité maternelle à Libreville (Gabon): état des lieux et défis à relever en 2006

Cited by 5 publications

References 0 publications

Clandestine Abortion in Bangui, Central African Republic

Clandestine Abortion in Bangui, Central African Republic

Maternal mortality study in a level II hospital in guinea from 2016 to 2020

Donkin psychosis

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