Introduction of postabortion contraception, prioritizing long-acting reversible contraceptives, in the principal maternity hospital of Gabon.

A prospective, descriptive, analytic study was conducted at the Centre Hospitalier de Libreville in Gabon between February and September 2013 to evaluate acceptance of long-acting reversible contraceptives (LARC) and depot-medroxyprogesterone acetate (DMPA) following abortion. Women received counseling on the combined oral pill, DMPA, copper intrauterine devices (IUDs), and implants. The association between sociodemographic and clinical characteristics, knowledge of contraceptives, and acceptance was analyzed.

The contribution of research results to dramatic improvements in post-abortion care: Centre Hospitalier de Libreville, Gabon.

In 2009, we published an article in RHM showing a large delay in provision of emergency obstetric care to women who died from unsafe abortion complications at the Centre Hospitalier de Libreville. The paper raised awareness among hospital and government authorities of a serious delay in timely treatment, and they supported the recommendation of the hospital's Maternal Mortality Committee to greatly reduce the delay and also improve the care of women with abortion complications. Training in manual vacuum aspiration (MVA) for uterine evacuation was introduced, for use by midwives as well as obstetrician-gynaecologists, with local anaesthesia.

Delay in the provision of adequate care to women who died from abortion-related complications in the principal maternity hospital of Gabon.

Deaths resulting from unsafe induced abortions represent a major component of maternal mortality in countries with restrictive abortion laws. Delays in obtaining care for maternal complications constitute a known determinant of a woman's risk of death. However, data on the role of delays in providing care at health care facilities are sparse.

[Maternal mortality in Libreville, Gabon: assessment and challenges].

Objective: To analyze the course over time of the rates and causes of maternal mortality in Libreville, Gabon.

Material And Methods: This prospective descriptive study covers the 6-year period from January 1, 2001, to December 31, 2006. It was performed at the Libreville Hospital Center (LCH) maternity ward, the leading obstetrical care facility in the country.

[Audit of the severe obstetrical morbidity (near miss) in Gabon].

Objective: To examine "near-miss" cases to identify the weak points of our department.

Material And Methods: This prospective study took place at the Libreville Hospital Maternity Center for six months, from 1 June to 31 December 2006. It included all pregnant women with a severe obstetrical complication (uterine haemorrhage with signs of shock, eclampsia, severe infection) or whose condition required a major intervention to prevent death.

[Risk factors for eclampsia in Libreville (Gabon): a case-control study].

Objectives: To determine the current prevalence of eclampsia in our department, identify its risk factors and assess the prognosis of mother and child.

Material And Methods: This retrospective case-control study took place from January 1, 2004, through December 31, 2005, in the gynecology-obstetrics and intensive care departments of the Libreville Hospital Center. Every case of eclampsia was compared with three control patients.

[Nonpalpable breast lesions: correlation of the BI-RADS classification and histologic findings].

Unlabelled: Diagnosis of nonpalpable breast lesions too often requires a breast biopsy or tumorectomy.

Objective: To validate the American College of Radiology (ACR) classification and lexicon using a standardized description to improve the uniformity of management of abnormal mammographic lesions and reduce the number of unnecessary tumorectomies.

Material And Methods: This prospective study was conducted in Libreville Hospital Center over a 4-year period and compared the histologic results of 150 nonpalpable masses identified by mammography and their ACR classification to assess the correlation between the radiographic and histologic findings.

[Emergency obstetrical hysterectomy: about 58 cases at Libreville Hospital Centre].

Objective: To evaluate the incidence, indications and prognosis of this surgery in our daily practice in order to suggest preventive action.

Patients And Method: This is a retrospective study over a period of 10 years, from January 1, 1992 to December 31, 2001. Using patient's documents, parameters have been analysed as followed: age, parity, antecedent of uterine surgery, indications, surgery technique, foeto-maternal prognosis.