[Post-partum sexuality. Living in black African couple analysis].

Introduction: The period of the post-partum arouses a lot of questioning in the couple in particular regarding sexuality.

Objective: Analyze the real-life experience of the sexuality of the African black couples in the post-partum.

Patients And Method: It was about study type attitudes and practical knowledge which took place in the department of gynecology-obstetrics and andrology of the teaching hospital of Bouaké over the period going in September 30th, 2012 on April 30th, 2013.

[Reality of the impact of pregnancy on sexuality. Results about review of 200 Ivoirians pregnant women].

Background: Sexuality during pregnancy is a subject little approached during the antenatal follow-up while it sometimes constitutes a source of preoccupation for pregnant women for the preservation of the harmony of the couple.

Objective: Determine the opinions and the practices of women in sexuality during pregnancy.

Patients And Method: Prospective transverse study of type knowledge practical attitude which took place from September 1st, 2008 to February 28th, 2009 at the General Hospital of South Abobo.

[Spontaneous splenic rupture in the first trimester of pregnancy: report of a case and review of the literature].

The authors return a case of spontaneous rupture of the spleen occured at the first quater of pregnancy. It is a rare accident during pregnancy that often entails the maternal death. Its exact reasons are difficult to determine.

[Prognosis of uterine rupture during labor: a 293-case series compiled at the Bouake University Hospital Center (Ivory Coast)].

The purpose of this retrospective comparative study carried out between January 1, 1996 and December 31, 2001 was to determine the incidence of uterine rupture in the maternity ward of the Bouake University Hospital Center and evaluate prognosis for the mother and child in function of transportation distance to the Center. Patients were divided into two groups, i.e.

[Birth of a large fetus: epidemiologic aspects and analysis of factors of a case in an southern urban public health facility (Abidjan)].

Objective: to highlight the factors which influence the childbirth of the large foetus in order to propose adequate conduits.

Materials And Method: it acted of a study case--witness who had been held on May 1, 2003 to April 31, 2004. We had included 108 cases of childbirth large foetus and 229 cases of childbirth of foetus of standard weight.

Determinants of maternal deaths in induced abortion complications in Ivory Coast.

Persistently high levels of maternal mortality have been reported in Abidjan, the capital of Ivory Coast, with a high prevalence of deaths related to complications of induced abortion. In order to assess the determinants of maternal deaths in induced-abortion complications, this study investigated women admitted to the gynecological departments of four reference hospitals throughout Ivory Coast. Information concerning abortion events was collected by means of a questionnaire during a confidential, face-to-face interview.

Distribution of causes of maternal mortality during delivery and post-partum: results of an African multicentre hospital-based study.

Objective: To assess the maternal mortality ratio in maternity units of reference hospitals in large west African cities, and to describe the distribution of complications and causes of maternal deaths.

Study Design: Prospective descriptive study in twelve reference maternities located in three African countries (Benin, Ivory Coast, Senegal). Data (clinical findings at hospital entry, medical history, complications, type of surgery, vital status of the women at discharge) were collected from obstetrical and surgical files and from admission hospital registers.

Evaluation of the benefit of setting up a decentralised obstetric-surgical structure in order to reduce maternal mortality and transfers in the Ivory Coast.

Our purpose is to study the way to reduce maternal mortality when introducing a structured obstetric and surgical center to a community previously without such a center. The study was done in Ivory Coast, where such a structure was set up in 1982 in a rural hospital at Divo. It has been observed that with such a structure there are no more transfers of women from Divo to the teaching hospital at Cocody, and a reduction in maternal mortality at Divo.

Decentralization of maternity care.

One of the main reasons for the high maternal mortality rates in developing countries is the need to transfer patients long distances to city hospitals when they develop complications. Local obstetric facilities would relieve this situation.

[Maternal mortality caused by hemorrhage in developing countries. What policy is proposed?].

Maternal mortality in the third world is fifty to two hundred times higher than in developed countries. Haemorrhage following birth or abortion is one of the leading causes of maternal mortality and a specific analysis of this can clarify the problems. The incidence of maternal death by haemorrhage is not clearly documented and fluctuates between 6 and 90 per cent.

[ Hypoxia of the fetus and neonate of a diabetic mother. Importance of hemorheologic anomalies].

Death in utero (or immediately following birth) of children of diabetic mothers remains rather mysterious. Next to abnormalities of carbohydrates metabolism, hypoxia appears to be a determining factor of the frailty of children of diabetic mothers. Now, the so called "hemorheologic" alterations, which means the difficulties derived from the blood discharge by increased viscosity, represent a cause of hypoxia as well as an aggravating factor of hypoxia.

Cefotaxime in caesarian sections in patients with chorioamniotitis.

Fifty women who had Caesarian section in the presence of chorioamniotitis due to mixed aerobic and anaerobic bacteria were treated with cefotaxime 4 g daily. There was complete recovery in 96% of cases.