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  • 1
    Online Resource
    Online Resource
    SASPR Edu International Pvt. Ltd ; 2022
    In:  Scholars International Journal of Obstetrics and Gynecology Vol. 5, No. 4 ( 2022-04-23), p. 192-197
    In: Scholars International Journal of Obstetrics and Gynecology, SASPR Edu International Pvt. Ltd, Vol. 5, No. 4 ( 2022-04-23), p. 192-197
    Abstract: Introduction: The main objective was to determine the maternal and fetal consequences of severe anemia in pregnancy at the maternity ward of the Kalabancoro Reference Health Center. Methods: Our descriptive cross-sectional study with prospective data collection was conducted from January 1, 2019 to September 30, 2019 at the maternity ward of the Kalabancoro Health Center. Eligible patients were all consenting pregnant women presenting for prenatal consultation or in the delivery room in which the diagnosis of severe anemia was retained. The anemia was considered severe when the hemoglobin level was less than 7 g/dl and/or with clinical manifestations of decompensation of the anemia. Data were processed and analyzed by SPSS 12 software. Results: A total of 161 cases out of 2010 pregnant women were recruited and treated at the Kalabancoro Health Center, which represents a prevalence of 8% of severe anemia in pregnancy. The 14-19 year age group was the most representative, i.e. 52.2% of pregnant women, with extremes of 14 to 35 years and over. Malaria was the most predominant etiology with 31.05% followed by blood spoliation 25.47% and malaria plus malnutrition 14.29%. Prematurity represented 5% of cases. Maternal death was 1.9%. Low birth weight was 16.7% and stillbirths represented 3.7%. Conclusion: Severe anemia in pregnancy remains, through its complications, one of the most dreaded pathologies. Thus, a prospective analytical study is necessary to better study the causes of severe anemia in pregnancy.
    Type of Medium: Online Resource
    ISSN: 2616-8235 , 2617-3492
    Language: Unknown
    Publisher: SASPR Edu International Pvt. Ltd
    Publication Date: 2022
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  • 2
    In: Advances in Applied Sociology, Scientific Research Publishing, Inc., Vol. 13, No. 02 ( 2023), p. 159-170
    Type of Medium: Online Resource
    ISSN: 2165-4328 , 2165-4336
    Language: Unknown
    Publisher: Scientific Research Publishing, Inc.
    Publication Date: 2023
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  • 3
    Online Resource
    Online Resource
    SASPR Edu International Pvt. Ltd ; 2022
    In:  East African Scholars Multidisciplinary Bulletin Vol. 5, No. 5 ( 2022-05-24), p. 88-93
    In: East African Scholars Multidisciplinary Bulletin, SASPR Edu International Pvt. Ltd, Vol. 5, No. 5 ( 2022-05-24), p. 88-93
    Abstract: Introduction This study was the first at the level of the obstetrics gynecology department of the Reference Health Center (CSRef) of Kalaban-coro Kati Mali. The objective was to determine the profile of the pathogenic germs identified and their proportion in case of imbalance of the vaginal flora in the genesis of lower genital infections in women at the level of our service. Methods: This was a descriptive study of the cross-sectional survey type which took place in the gynecology department of the Reference Health Center (CSRef) in the municipality of Kalaban – coro circle of Kati Koulikoro Mali. The study extended over a period of 12 months from February 2015 to January 2016 and involved patients seen in outpatient gynecology at our Center. The size of our sample consisted of 90 patients who agreed to participate in our study. The data was collected through a previously established survey form. Word processing was processed on World 2007 software and data entry and analysis were performed on SPSS 23.0 fr software. The statistical test used was the Chi2 considered significant when P 〈 0.05. Results: The frequency of genital infections was 10.01%. The most represented age group was 20 to 35 years old with 61.1%. The main germs identified were respectively: Candida albicans, Escherichia coli, Klebsiella and Gram-negative Bacilli with 16.7%, 15.7%, 13.4% and 11.1% respectively. Conclusion: At the end of this study, we found that the most frequent germs of lower genital infections were mainly represented by: Candida albicans, Escherichia coli, Klebsiella and Gram-negative bacilli.
    Type of Medium: Online Resource
    ISSN: 2617-4413 , 2617-717X
    Language: Unknown
    Publisher: SASPR Edu International Pvt. Ltd
    Publication Date: 2022
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  • 4
    In: Scholars International Journal of Obstetrics and Gynecology, SASPR Edu International Pvt. Ltd, Vol. 6, No. 4 ( 2022-04-13), p. 174-179
    Abstract: Introduction: Placenta previa is a complication of pregnancy, corresponding to the insertion of Anor male insertion of the placenta into the lower segment of the uterus. The objective of our study was to determine the frequency of hemorrhagic placenta previa, its epidemiological and clinical profile and its maternal-fetal prognosis in the maternity ward of Sominé Dolo Hospital. Methods: This was a descriptive cross-sectional survey type study of 40cas collated with hemorrhagic placenta previa ranging from February 1, 2016 to January 31, 2017, a 12-month period. Data were entered and analyzed on SPSS software (version 16 .0). Results: During the study period we collected on 946 deliveries of which 54 cases of placenta previa among which 40 cases were hemorrhagic placentas previa that is a prevalence of 4.2%. The age group 19-35 years represented 50% of the cases. The epidemiological profile was that of married women (80% of cases), housewives (50% of cases), and multiparous women (45% of cases). The delivery by high route was practiced in 87.5% of the cases and the main indications were placenta previa covering, hemorrhage despite amniotomy in labor, breech presentation and acute fetal distress with respectively 70%, and 6% of the cases for the last three indications each. Fetal mortality was represented by 25% of cases. Maternal complications were represented by hemorrhagic shock and delivery hemorrhage with respectively 60% and 40% of cases. Conclusion: Hemorrhagic placenta previa is nowadays a dreadful event that can jeopardize the maternal and fetal prognosis. Rapid management by a multidisciplinary team composed of obstetricians, resuscitators, neonatologists and biologists, could improve the maternal and fetal prognosis.
    Type of Medium: Online Resource
    ISSN: 2616-8235 , 2617-3492
    Language: Unknown
    Publisher: SASPR Edu International Pvt. Ltd
    Publication Date: 2022
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  • 5
    In: Scholars International Journal of Obstetrics and Gynecology, SASPR Edu International Pvt. Ltd, Vol. 6, No. 1 ( 2023-01-21), p. 23-28
    Abstract: A relatively rare congenital malformation, hematocolpos is the progressive accumulation of menstrual blood in the vaginal cavity at puberty. It is often the consequence of a hymen imperforation. It is clinically manifested by cyclic pelvic pain and primary amenorrhea and, more rarely, by a pelvic mass syndrome. The diagnosis is primarily clinical. Ultrasound and magnetic resonance imaging (MRI) are additional tests to confirm hematolcolpos and exclude other associated genitourinary malformations. Treatment consists of a hymenotomy to drain the hematocolpos. The age of discovery of hematocolpos varies from 13 to 14 years. We report a case of hematocolpos secondary to hymenal imperforation diagnosed in a 17-year-old girl with periodic pelvic pain, primary amenorrhea and a pelvic mass. A first ultrasound trap had evoked a large ovarian cyst but the repeat pelvic ultrasound in our hospital confirmed the diagnosis of hematocolpos.
    Type of Medium: Online Resource
    ISSN: 2616-8235 , 2617-3492
    Language: Unknown
    Publisher: SASPR Edu International Pvt. Ltd
    Publication Date: 2023
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  • 6
    Online Resource
    Online Resource
    SASPR Edu International Pvt. Ltd ; 2023
    In:  Scholars International Journal of Obstetrics and Gynecology Vol. 6, No. 2 ( 2023-02-04), p. 66-69
    In: Scholars International Journal of Obstetrics and Gynecology, SASPR Edu International Pvt. Ltd, Vol. 6, No. 2 ( 2023-02-04), p. 66-69
    Abstract: Introduction: A child is defined as “any human being under the age of 18, unless majority is reached earlier due to the legislation applicable to them. In reality, initial care is also found in multipurpose or adult emergency departments. In France (Seine-Saint-Denis), out of 390 children rescued by the Emergency Medical Assistance Service (SAMU) in 2004, 77% of child deaths were medicalized by the Regional Emergency Medical Service (SMUR). all-rounders of the department. As a result, at the hospital in Mali, many children are referred to the emergency department, while there is no pediatrician in the SAU and the technical platform is not well suited to their care,hence the objective of this work.. Methods and Materials: We conducted a prospective, longitudinal study over a period of 12 months from January 1, 2019 to December 31, 2019 at the emergency department of the hospital in Mali. The study involved patients aged zero (0) to fifteen (15) years The parameters studied were socio- demographic and clinical variables Results: During the study period, we collected 458 children aged 0 to 15 out of 6517 visits to the service, i.e. a frequency of 8.12%. The age group of 10 to 15 years was the most representative with 39% of cases. The male sex represented 58% of cases with a sex ratio of 1.36. The patients were uneducated in 10% of the cases, the workers represented 28.8% among the fathers and 54.8% of the mothers were housewives. Children belonging to families with more than three children accounted for 50.9% of cases and 39.5% of patients lived outside Bamako, the capital. Our study shows that 53.9% of patients were admitted between 8 a.m. and 4 p.m., 54.8% of patients came to the service by taxi, vehicle or motorbike and admissions by referral/evacuation represented 60.3% of case. AVP accounted for 48.7% of cases After the initial examination on admission, 36% of patients were classified as category three according to the Clinical Classification of Emergency Patients (CCMU3). Conclusion: The grounds for recourse of children from 0 to 15 years old to the general-purpose SAU of the Hospital of Mali are multiple. Accidents remain the most frequent reason for recourse in the service.
    Type of Medium: Online Resource
    ISSN: 2616-8235 , 2617-3492
    Language: Unknown
    Publisher: SASPR Edu International Pvt. Ltd
    Publication Date: 2023
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