Risk factors for ectopic pregnancy in a sub-Saharan African country.

Our case-control study aimed at identifying the risk factors (RFs) for ectopic pregnancy (EP), and was carried out between 1st February and 31st May, 2019. Women who had EP were compared to those without EP. Out of 3421 pregnancies, 93 (2.

Pre-eclampsia in a Sub-Saharan African country and maternal-perinatal outcome.

Our comparative cohort study, carried out between 3 January and 30 April 2020, looked at the maternal and perinatal outcomes associated with pre-eclampsia. Of 2019 booked pregnant women, 141 (7.0%) had pre-eclampsia, and 59.

Risk factors for placental abruption.

Our case-control study, aiming at identifying the risk factors for placental abruption (PA), looked at variables including maternal age, daily transportation means, folic acid consumption, smoking, past-history of infertility, number of antenatal visits done, presence of pre-eclampsia and umbilical cord insertion. Significant risk factors for PA were frequent transportation by motorbikes, consumption of haematinic preparation not containing folic acid, passive smoking, past-history of infertility, pre-eclampsia and marginal cord insertion. Pregnant women should be counselled about the above-mentioned risk factors.

Suspected resistance to artesunate in Cameroon: A case report.

Malaria in pregnancy is associated with adverse maternal and perinatal outcomes. The first-line treatment for severe malaria in the second and third trimesters of pregnancy is parenteral artesunate, according to WHO recommendations. Resistance of to artesunate has not yet been noted in our country.

Risk factors for stillbirth after 28 complete weeks of gestation.

Purpose: To identify the risk factors for stillbirth (SB).

Material And Methods: This case-control study was carried out between 1 December 2019 and 30 April 2020. Women whose fetuses died after the 28 week of gestation, but before delivery and women whose newborns were alive and healthy after delivery were examined.

Influence of the human immunodeficiency virus on cervical precancerous lesions.

Objective: To study the influence of HIV status on the occurrence of cervical precancerous lesions (CPL).

Methods: This analytical cross-sectional study was carried out between December 1, 2019 and May 31, 2020. All women with documented HIV status screened for CPL with biopsies performed were recruited.

What are the most common sexually transmitted bacteria in women with cervico-vaginitis nowadays?

Introduction: Cervico-vaginitis is usually the initial infection which, when undiagnosed, can evolve to salpingitis with tubal infertility, ectopic pregnancy, and chronic pelvic pain as consequences. This study aimed at identifying the sociodemographic profile and clinical presentation of women diagnosed with cervico-vaginitis, as well as the microorganisms isolated.

Materials And Methods: This cross-sectional, descriptive study was carried out between October 1, 2013, and March 31, 2014.

Malaria in the third trimester and maternal-perinatal outcome.

Objective: To evaluate maternal and perinatal outcomes in cases of third-trimester malaria (TTM).

Methods: A parity-matched comparative cohort study was carried out between December 1, 2018, and April 30, 2019, in three university teaching hospitals in Yaoundé (Cameroon). Women with and without TTM were followed up till delivery.

Outcome of pregnancies among women with sickle cell disease.

Purpose: To evaluate the outcome of pregnancies among women affected by sickle cell disease (SCD).

Material And Methods: This retrospective comparative cohort study was carried out between 1 January 2014 and 31 December 2018. The files of pregnant women with and without SCD were analyzed.

Outcome of pregnancies with marginal umbilical cord insertion.

Purpose: To evaluate the outcome of labor in cases of marginal umbilical cord insertions.

Material And Methods: This case-control study was carried out between December 1st, 2017 and April 30th, 2018. All singletons with marginal cord insertion (MCI) and three new-borns without MCI were recruited.

Pap smear accuracy for the diagnosis of cervical precancerous lesions.

This cross-sectional descriptive study, aimed at accessing the accuracy of Pap smear in diagnosing cervical precancerous lesions, was carried out between 3 January and 30 April 2017. All women screened for cervical dysplasia by means of Pap smear with biopsy done for confirmation were subsequently recruited. Data were analysed using SPSS 20.

Outcome of labor among women admitted at advanced cervical dilatation.

To identify in our setting the outcome of labor among women admitted at advanced cervical dilatation. This prospective cohort study was carried out between 1 December 2015 and 31 March 2016. Women carrying live term singletons in vertex presentation admitted with a cervical dilatation >5 cm (late arrival group) or ≤5 cm (early arrival group) were followed up till delivery.

Knowledge, attitudes and practices of health personnel of maternities in the prevention of mother-to-child transmission of HIV in a sub-Saharan African region with high transmission rate: some solutions proposed.

Background: High mother-to-child (MTC) transmission rate of HIV might contribute to the increased pandemic rate. The aim of this study was to identify the knowledge, attitude and practices of health personnel working in maternities in the prevention of MTC transmission of HIV.

Methods: This cross-sectional descriptive study was carried out from 20th February to 30th April, 2017.

An intramural uterine fibroid became submucosal in the puerperium - proposed probable mechanism: a case report.

Background: Vaginal prolapse of a large uterine fibroid is a rare phenomenon in a woman who delivered vaginally recently, given that this fibroid might have obstructed labor. The author presents a case report of a vaginally prolapsed large pedunculated submucosal uterine myoma in a woman with a recent uncomplicated vaginal delivery.

Case Presentation: A 25-year-old black African woman had four intramural uterine fibroids of diameters 62 to 94 mm diagnosed in April 2013 with standard ultrasound scan.

Risk factors for nuchal cord entanglement at delivery.

Objective: To identify nuchal cord risk factors.

Methods: The present case-control study was carried out between December 2016 and April 2017 at two hospitals in Yaoundé, Cameroon. Singletons with a nuchal cord at delivery (case group) as well as the two neonates without a nuchal cord delivered immediately after each case (control group), all in cephalic presentation, were included.

Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report.

Background: Urethrovaginal fistulas are usually secondary to a foreign body in the vagina or to vaginal gynecologic surgeries. We present a case of an urethrovaginal fistula secondary to vaginal prolapse of a huge pedunculated submucosal uterine myoma.

Case Presentation: A 25-year-old black African woman with a past history of huge uterine fibroids and an uncomplicated vaginal delivery 5 weeks prior to presentation consulted for a difficult micturition that occurred 2 days earlier.

Uterus preserving surgery versus hysterectomy in the treatment of refractory postpartum haemorrhage in two tertiary maternity units in Cameroon: a cohort analysis of perioperative outcomes.

Background: Little evidence exists on the efficacy and safety of the different surgical techniques used in the treatment of postpartum haemorrhage (PPH). We aimed to compare uterus preserving surgery (UPS) versus hysterectomy for refractory PPH in terms of perioperative outcomes in a sub-Saharan African country with a known high maternal mortality ratio due to PPH.

Methods: This was a retrospective cohort study comparing the perioperative outcomes of all women managed by UPS (defined as surgical interventions geared at achieving haemostasis while conserving the uterus) versus hysterectomy (defined as surgical resection of the uterus to achieve haemostasis) for PPH refractory to standard medical management in two tertiary hospitals in Cameroon from January 2004 to December 2014.

Trial of Labor After Cesarean Section Among Women with Unique Lower Segment Scarred Uterus and Fetal Weight >3500 g: Prognostic Factors for a Safe Vaginal Delivery.

Objective: To evaluate outcome of trial of labor after cesarean section (TOLAC) with fetal weight >3500 g.

Materials And Methods: This retrospective descriptive study was carried out between March 1, 2012, and February 28, 2015. Medical and obstetrical records of women with birth weight (BW) >3500 g admitted in the labor ward with advanced labor or admitted in early labor but with underestimated fetal weight >3500 g were analyzed.

Placenta abruption surface and perinatal outcome.

Objective: To identify the relationship between the placenta abruption (PA) surface and the perinatal outcome.

Methods: This prospective descriptive study was carried out from 1 February to 30 September 2014. We recruited all women whose delivery was complicated by PA with onset preceded by the presence of active fetal movement.

Acute Pelvic Inflammatory Disease in Cameroon: A Cross Sectional Descriptive Study.

This cross-sectional descriptive study, aimed at identifying the sociodemographic characteristics of women diagnosed with acute pelvic inflammatory disease (PID), as well as the microorganisms isolated, was carried out between October 1st, 2013 and March 31st, 2014 in two major hospitals in Yaoundé, Cameroon. Seventy women diagnosed with acute PID were recruited. The main variables recorded were maternal age, occupation, marital status, number of current sexual partners, the clinical presentation at admission and the microorganisms identified.

Risk Factors for Macrosomia.

Objective: To identify risk factors for macrosomic babies.

Methods: This cross-sectional analytical study was carried out in the University Teaching Hospital and the Central Hospital of Yaoundé (Cameroon) from October 1st, 2012 to March 31st, 2013. Women who gave birth to ≥4,000 or 3,000-3,499 g babies were recruited.

Factors associated with poor attendance at the postpartum clinic six weeks after delivery in Cameroon.

Objective: To identify reasons why women do not attend the 6-week postpartum clinic in Cameroon.

Methods: A retrospective cross-sectional cohort survey was undertaken among women who had delivered at the University Teaching Hospital in Yaoundé between November 15 and December 31, 2013. Their medical files were retrieved and reviewed.

Hematologic features among anemic Cameroonian pregnant women: a cross sectional study.

Introduction: Iron deficiency anemia is the leading cause of anemia worldwide. It may also be the leading cause of anemia in pregnancy, although this has not yet been demonstrated in our country. The aim of the study was to describe hematologic features of Cameroonian anemic pregnant women.

Knowledge, attitudes and practices of contraception by HIV positive women followed in a Cameroon region with high illiteracy rate: a cross sectional study.

Introduction: To evaluate the knowledge, attitude and practices of contraception by HIV positive women.

Methods: This cross-sectional descriptive study was carried out in the Maroua Regional Hospital (Cameroon) from September 1(st), 2012 to February 28(th), 2013. All HIV positive women aged between 15 and 49 years who were received in the HIV clinic were recruited.