Ibrahima Koussy Bah*,Alhassane II Sow,Boubacar Alpha Diallo,Julien Tamba Tolno,Laouratou Diallo,Maimouna Balde,Alpha Ibrahima Balde,Kabinet Camara,Abdourahamane Diallo,Telly Sy
Issue:
Volume 13, Issue 2, April 2025
Pages:
17-21
Received:
12 February 2025
Accepted:
24 February 2025
Published:
6 March 2025
DOI:
10.11648/j.jgo.20251302.11
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Abstract: Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients who received a single dose of 2g of antibiotics intraoperatively after cord clamping while the other 125 patients (long protocol) received antibiotic therapy for 48 hours after the procedure. Results: The sociodemographic profile of the patients was the same in both arms. The mean age of the patients was 24 years with extremes of 14 and 42 years; the 20-24 age group was the most represented (31.2% vs 32.8%). Our series was dominated by primiparas (40% vs 42%). The main mode of admission was evacuation (78.4% vs 64%). The main early postoperative complication encountered was fever (8.2% vs 13.2%) followed by surgical site infection (4% vs 12%). Bivariate analysis shows a statistically significant association between the occurrence of postoperative fever and the long antibiotic protocol (p = 0.028) and this protocol is a protective factor against surgical site infection (p = 0.013). And is more frequently used in the context of emergency cesarean section (p = 0.011). Conclusion: Antibiotic prophylaxis is as effective as antibiotic therapy and thus represents a significant health saving for our countries.
Abstract: Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients ...Show More
Aminu Mohammed Yasin*,Bezabih Amsalu,Leyla Abrar Bedru,Hassen Mosa Helil,Neima Redwan Abdu
Issue:
Volume 13, Issue 2, April 2025
Pages:
22-29
Received:
14 September 2024
Accepted:
22 January 2025
Published:
29 April 2025
DOI:
10.11648/j.jgo.20251302.12
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Views:
Abstract: Background: Although Ethiopia has improved the accessibility of antenatal care services for pregnant women, there is a lack of specific data about the barriers hearing-impaired pregnant women encounter during their antenatal care visits, both nationally and in the study region. Purpose: The study aimed to explore barriers that hearing-impaired pregnant women encounter when utilizing antenatal care services at public health facilities (health centers or hospitals). Methods: A qualitative design was applied for this study. Study settings and participants were selected through purposive sampling techniques and interviewed individually using an interview guide, with the assistance of a voice recorder and field notes. The interviews were then transcribed verbatim, analyzed using an inductive thematic approach. The study was conducted in six districts (three urban and three rural) in Dire Dawa, Ethiopia, between June and July 2023. Findings: Four major themes were identified: staff attitude, staff communication, participants’ perceptions, and inclusive antenatal care services. Conclusions: The antenatal care service barriers for hearing-impaired pregnant women emanating from health facilities and self-perceptions or beliefs. Thus, it is imperative to develop socially sensitive and inclusive antenatal care service programs to better address the barriers.
Abstract: Background: Although Ethiopia has improved the accessibility of antenatal care services for pregnant women, there is a lack of specific data about the barriers hearing-impaired pregnant women encounter during their antenatal care visits, both nationally and in the study region. Purpose: The study aimed to explore barriers that hearing-impaired preg...Show More
Abstract: Abdominal pregnancy is a rare form of ectopic pregnancy, in which the fertilized egg implants and develops in the abdominal cavity. Diagnosis and management are difficult. We report the case of a 31 year-old female accountant referred from a local clinic for abdominal pregnancy in the context of 10 years of primary infertility. Despite the presence of suggestive signs and the number of ultrasounds performed, it was not until the 29th and 31st weeks that the diagnosis of abdominal pregnancy was made. We performed a laparotomy at 37 weeks and extracted a healthy live infant. Fetal extraction led to placental intrusion, the after-effects of which were enamelled with haemorrhagic complications originating from the placenta. These led to a right adnexectomy removing the placenta after an unsuccessful attempt to stop the abundant haemorrhage originating from the placenta. The immediate post-operative course was straightforward, with the patient discharged on the third post-operative day and the newborn well. The importance of this case is to underline the delay in making the diagnosis of abdominal pregnancy in our environment, despite the more frequent use of ultrasound and the possibility of full-term delivery of a healthy child. Conclusion: Abdominal pregnancy is a rare event. It is difficult to diagnose, and a conservative attitude to pregnancy is possible.
Abstract: Abdominal pregnancy is a rare form of ectopic pregnancy, in which the fertilized egg implants and develops in the abdominal cavity. Diagnosis and management are difficult. We report the case of a 31 year-old female accountant referred from a local clinic for abdominal pregnancy in the context of 10 years of primary infertility. Despite the presence...Show More