[Preterm births at Brazzaville University Hospital].

The objectives of our study were to assess the frequency, causes and outcomes of preterm births in Brazzaville University Hospital and to improve our obstetric and pediatric management. We retrospectively studied all births during 1994: 5109 in all. We collected information about the circumstances of preterm birth and all available information about its causes, mode of delivery, and immediate 24-h outcome.

[Arterial hypertension: epidemiological aspects and risk factors on pregnant and delivered woman].

Objectives: Determine frequency of hypertension in pregnancy and delivered women at the Teaching Hospital of Brazzaville and identify epidemiological aspects and risk factors.

Patients And Methods: A prospective and transversal study was realized from november 2004 to january 2005 in the Teaching Hospital of Brazzaville. Forty two patients (8 pregnant women, 34 delivered) with hypertension, have been enregistered among 825 admissions in the departments of gynecology and obstetric.

[Sexual violence in Brazzaville].

Unlabelled: This six-year retrospective study (1998-2003) reviewed the records of 102 women or girls examined in the hospital gynecology department at the official request of the police. We examined the following variables: social and demographic characteristics of the victim and the perpetrator (age, occupation, residence); their relationship, if any; type of contact; injuries caused by the rape. Of a total of 102 cases, we observed an important peak in 1998 (35.

[Placenta previa: maternal and fetal prognosis covering 128 consecutive cases from the Brazzaville University Hospital Center].

Objectives: The aim of this study was to determine the frequency of placenta previa (PP) in our hospital; to assess the maternal and fetal prognosis; to specify its location, the term at occurrence, and the mode of childbirth; and to propose preventive measures to improve its management.

Material And Method: This retrospective study covers a 5-year period from 1 January, 1998, to 31 December, 2002, and 128 cases of PP at the maternity ward of the Brazzaville University Hospital Center. The frequency of this complication during the study period was 0.

[Risk factors of intrauterine growth retardation in Congo].

A case-control study was performed between April 1st and September 30th to investigate determinants of intrauterine growth retardation (IUGR) in 3 centers in Brazzaville, Congo. Each patient group included 539 neonates. Cases were newborns with birth weight below the 10th percentile of the Leroy and Lefort curve.

[Maternal mortality in Brazzaville (1993-1994)].

Objective: The purpose of this cross-section study is: to determine the maternal mortality rate in Brazzaville, Congo; to identify the main pathologies and associated risk factors; to suggest appropriate courses of a action in order to reduce the mortality rate.

Study Design: Records from the Brazzaville Central Hospital, the morgue and the city districts were used to study all the cases of women aged 15 to 44, who died from May 1 1993, to April 30 1994. Cases of maternal mortality were selected.

[Uterine rupture in an African environment. 59 cases at the University Hospital Center in Brazzaville].

A retrospective study of 59 uterine ruptures was conducted at the University Hospital in Brazzaville. The frequency fo uterine ruptures in this institution was found to by 0.7% among the 8,138 women who delivered between 28 ans 42 weeks amenorrhoea.

[Clinical presentation of non-pernicious malaria attacks in patients hospitalized in Brazzaville (Congo) in 1989].

The clinical manifestations observed in 102 malaria patients (parasitaemia of over 8,000 Plasmodium falciparum/mm3) hospitalized in 1989 in Brazzaville (Congo) were analyzed after ruling out the cases of pernicious malaria. The clinical picture was fever, stomach upset with headache and musculo-articular pain as in classical cases. In children these manifestations were frequently associated with convulsions.

[Pathology of breast tumors occurring before the age of 30 in Brazzaville].

In 42 months, 175 patients (171 women and 4 men) were followed for mammary tumor in the Department of Medicine and Cancerology of l'Hopital General of Brazzaville. Among them, 63 files were retained for the study, corresponding to women under the age of 30. The study of these cases enabled the authors to establish the relatively important frequency of large tumors (larger than 5 cm), and the similarity of the general aspects of the pathology of mammary tumors, as compared to european studies.

[Prognosis of cancer of the breast in women under 40-years-old. Apropos of 55 cases].

Between the years 1972 and 1978, 55 women who were less than 40 years of age at the time of the diagnosis of the condition and of the original treatment were studied. 32 of these had local and regional treatment, which was surgery with or without radiotherapy. The remaining 23 had chemotherapy as well.

[Acute pancreatitis in the puerperium. Diagnostic problems following cesarean section].

A case is reported of acute pancreatitis following caesarean section. This complication, which is fortunately very rare, shows the diagnostic steps we had to take, in an obstetrical department, to arrive at the answer. The serious consequence of the outcome, if untreated, let us to emphasize: The need for rapid diagnosis, and Early treatment of the cause.

[Inflammatory cancer of the breast. Assessment after 6 years of 16 patients treated by primary immunochemotherapy].

Sixteen patients with clinical primary inflammatory carcinoma of the breast were treated with initial immunochemotherapy from September 1974 to May 1977. This chemotherapy was an association of adriamycin, vincristine, fluorouracil, methotrexate, and melphalan. Thermographic cooling was taken as the criterion of operability.