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Mforteh AAA, Pisoh DW, Boten M, Andoh NEL, Tameh TY, Mbi-Kobenge AFE, Ombaku KS, Takang WA, Mbu RE. Stillbirth rate and associated factors at the Bamenda Regional hospital, North-West region, Cameroon, from 2018 to 2022: a case control study. BMC Pregnancy Childbirth 2024; 24:270. [PMID: 38609848 PMCID: PMC11010432 DOI: 10.1186/s12884-024-06486-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 04/05/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Stillbirth is a common adverse pregnancy outcome worldwide, with an estimated 2.6 million stillbirths yearly. In Cameroon, the reported rate in 2015 was 19.6 per 1000 live births. Several risk factors have been described, but region-specific risk factors are not known in the northwest region of Cameroon. This study aims to determine the stillbirth rate and associated factors at the Bamenda Regional hospital, North-West region of Cameroon. MATERIALS AND METHODS A Hospital-based case‒control study conducted from December 2022 to June 2023 on medical files from 2018 to 2022 at the Bamenda Regional Hospital. Cases were women with stillbirths that occurred at a gestational age of ≥ 28 weeks, while controls were women with livebirths matched in a 1:2 (1 case for 2 controls) ratio using maternal age. Sociodemographic, obstetric, medical, and neonatal factors were used as exposure variables. Multivariable logistic regression was used to determine adjusted odds ratios of exposure variables with 95% confidence intervals and a p value of < 0.05. RESULTS A total of 12,980 births including 116 stillbirths giving a stillbirth rate of 8.9 per 1000 live births. A hundred cases and 200 controls were included. Factors associated with stillbirths after multivariable analysis include nulliparity (aOR = 3.89; 95% CI: 1.19-12.71; p = 0.025), not attending antenatal care (aOR = 104; 95% CI: 3.17-3472; p = 0.009), history of stillbirth (aOR = 44; 95% CI: 7-270; p < 0.0001), placenta abruption (aOR = 14; 95% CI: 2.4-84; p = 0.003), hypertensive disorder in pregnancy (aOR = 18; 95% CI: 3.4-98; p = 0.001), malaria (aOR = 8; 95% CI: 1.51-42; p = 0.015), alcohol consumption (aOR = 9; 95% CI: 1.72-50; p = 0.01), birth weight less than 2500 g (aOR = 16; 95% CI: 3.0-89; p = 0.001), and congenital malformations (aOR = 12.6; 95% CI: 1.06-149.7;p = 0.045). CONCLUSION The stillbirth rate in BRH is 8.9 per 1000 live births. Associated factors for stillbirth include nulliparity, not attending antenatal care, history of stillbirth, placental abruption, hypertensive disorder in pregnancy, malaria, alcohol consumption, birth weight less than 2500 g, and congenital malformations. Close antenatal care follow-up of women with such associated factors is recommended.
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Affiliation(s)
- Achuo Ascensius Ambe Mforteh
- Faculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon.
- Bamenda Regional Hospital, Bamenda, Cameroon.
| | - Dobgima Walter Pisoh
- Faculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon
- Bamenda Regional Hospital, Bamenda, Cameroon
| | - Merlin Boten
- Faculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon
| | | | | | | | | | - William Ako Takang
- Faculty of Health Sciences, University of Bamenda, P.O. Box 39, Bamenda, Cameroon
| | - Robinson Enow Mbu
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaounde, Cameroon
- Yaoundé Gyneco-Obstetric and Paediatric Hospital, Yaounde, Cameroon
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Amani A, Nansseu JR, Ndeffo GF, Njoh AA, Cheuyem FZL, Libite PR, Ateba AA, Ngo Bama S, Baye ML, Nguefack-Tsague G, Enow Mbu R. Stillbirths in Cameroon: an analysis of the 1998-2011 demographic and health surveys. BMC Pregnancy Childbirth 2022; 22:736. [PMID: 36183095 PMCID: PMC9526320 DOI: 10.1186/s12884-022-04993-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 07/26/2022] [Indexed: 11/10/2022] Open
Abstract
Background Many countries, including Cameroon, have found it challenging to estimate stillbirths, as there are limited available reports accurately. This analysis aimed to assess stillbirth rates and identify risk factors for stillbirth in Cameroon using successive Demographic and Health Survey data. Methods We conducted a cross-sectional analysis of data collected during the Demographic and Health Surveys of 1998, 2004, and 2011. Data were analyzed using SPSS 20.0. Logistic regressions were used to identify factors associated with stillbirth through odds ratios (ORs) at 95% confidence intervals (CI). Results were considered statistically significant at p-value less than 0.05. Results The crude stillbirth rate was 21.4 per 1,000 births in 2004 and 24 per 1,000 births in 2011, with respective standard errors of 1.8 and 1.3. The stillbirth rate increased with the mother's age (p < 0.001). The stillbirth rate reduction was prolonged between 1998 and 2011, with an annual reduction rate of 1.6%. The study observed that residing in rural areas, low socioeconomic status, and low level of education were risk factors associated with stillbirths. Conclusion Cameroon's stillbirth rate remains very high, with a slow reduction rate over the last 20 years. Although some efforts are ongoing, there is still a long way forward to bend the curve for stillbirths in Cameroon; supplementary strategies must be designed and implemented, especially among rural women, the poor, and the less educated.
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Affiliation(s)
- Adidja Amani
- Department of Family Health, Ministry of Public Health, Yaounde, Cameroon. .,Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
| | - Jobert Richie Nansseu
- Department of Disease, Epidemics and Pandemics Control, Ministry of Public Health, Yaounde, Cameroon.,Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
| | - Guy Ferdinand Ndeffo
- Ministry of Economy, Planning and Regional Development, National Institute of Statistics, Yaounde, Cameroon
| | - Andreas Ateke Njoh
- Department of Family Health, Ministry of Public Health, Yaounde, Cameroon
| | - Fabrice Zobel Lekeumo Cheuyem
- Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
| | - Paul Roger Libite
- Ministry of Economy, Planning and Regional Development, National Institute of Statistics, Yaounde, Cameroon
| | - Athanase A Ateba
- Department of Disease, Epidemics and Pandemics Control, Ministry of Public Health, Yaounde, Cameroon
| | | | | | - Georges Nguefack-Tsague
- Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
| | - Robinson Enow Mbu
- Department of Family Health, Ministry of Public Health, Yaounde, Cameroon.,, Yaounde, Cameroon
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Fouelifack FY, Meche Dahda LC, Fouedjio JH, Fouelifa LD, Enow Mbu R. [Factors associated to the coiling of umbilical cord: case-control study conducted in three hospitals in Yaoundé]. Pan Afr Med J 2020; 35:23. [PMID: 32341744 PMCID: PMC7174007 DOI: 10.11604/pamj.2020.35.23.19365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Accepted: 10/20/2019] [Indexed: 02/05/2023] Open
Abstract
Introduction La circulaire du cordon ombilical correspond à l’enroulement du cordon ombilical en un ou plusieurs tours sur une partie du fœtus. Anomalie la plus fréquente du cordon, sa prévalence varie selon les auteurs de 5,7% à 35,1%. En 2011, le taux de mortalité périnatale liée à la circulaire du cordon au Cameroun était de 6,1%. Cependant ses facteurs associés restent peu connus dans notre contexte. Notre objectif était de déterminer les facteurs associés aux circulaires du cordon dans trois hôpitaux de Yaoundé Méthodes Il s’agissait d’une étude analytique de type cas-témoin, réalisée pendant 4 mois dans les maternités de l’Hôpital Central de Yaoundé, du Centre Hospitalier et Universitaire de Yaoundé et du Centre d’Animation Sociale et Sanitaire de Nkoldongo. Pour un cas (nouveau-nés avec circulaire du cordon), on recrutait 2 témoins (nouveau-nés sans circulaire) tous en présentation céphalique, issus de grossesses monofoetales à terme. Les données recueillies étaient compilées sur des fiches techniques préétablies, saisies et analysées grâce aux logiciels Microsoft Excel 2017 et SPSS version 23. Les outils utilisés pour l’analyse étaient la moyenne d’âge, l’écart type et la fréquence, le rapport de cote cru (OR) et/ou ajusté (aOR) avec leur intervalle de confiance à 95%. P était considéré significatif pour toute valeur inférieure à 5% Résultats Sur un total de 3300 accouchements, 500 nouveau-nés soit 15,15% avaient une circulaire du cordon. Toutes les circulaires étaient autour du cou. Nous avons retenu et analysé 136 nouveau-nés avec circulaire du cordon (cas) pour 272 nouveau-nés sans circulaire (témoins). Les facteurs indépendamment associés aux circulaires étaient non modifiables: longueur du cordon = 70cm (ORa = 32 IC = 17,5-35 P = 0,02), sexe masculin (ORa = 67,09 IC = 22,31 - 97,46 P = 0,001), APGAR 5ème minute < 7 (ORa = 76,98 IC =2,19-27,05 P = 0,017), et modifiables: l’âge gestationnel ≥ 42SA (ORa = 15,15 IC = 6,14-18,2 P=0,001) Conclusion La circulaire du cordon est une anomalie fréquente du cordon. Nous suggérons aux décideurs de sensibiliser davantage le personnel de santé et la population sur l’importance de l’échographie du troisième trimestre afin de rechercher et prévoir la prise en charge des nouveau-nés avec circulaire du cordon. Les cliniciens devraient éviter autant que possible le post terme.
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Affiliation(s)
- Florent Ymele Fouelifack
- Hôpital Central de Yaoundé, Yaoundé, Cameroun.,Institut Supérieur de Technologie Médicale de Nkolondom, Yaoundé, Cameroun.,Groupe Associatif pour la Recherche, l'Education et la Santé (GARES-Falaise), Dschang, Cameroun
| | | | - Jeanne Hortence Fouedjio
- Hôpital Central de Yaoundé, Yaoundé, Cameroun.,Faculté de Médicine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun
| | - Loic Dongmo Fouelifa
- Faculté des Sciences de la Santé, Université de Lomé, Ecole des Services de Santé des Armées de Lomé, Lomé, Togo
| | - Robinson Enow Mbu
- Hôpital Central de Yaoundé, Yaoundé, Cameroun.,Faculté de Médicine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun.,Ministère de la Santé Publique, Yaoundé, Cameroun
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Egbe TO, Kobenge FM, Junette Arlette MM, Nyemb JE, Mbu RE. A case of Mayer-Rokitansky-Küster-Hauser syndrome in a low-resource tertiary hospital in Douala, Cameroon. SAGE Open Med Case Rep 2019; 7:2050313X19830817. [PMID: 30800315 PMCID: PMC6378465 DOI: 10.1177/2050313x19830817] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Accepted: 01/22/2019] [Indexed: 11/17/2022] Open
Abstract
The Mayer-Rokitansky-Küster-Hauser syndrome is the congenital absence or underdevelopment of the uterus and vagina even though the external genitalia, ovaries and ovarian function are normal. This condition is uncommon in Cameroon. A 23-year-old woman of the Fulbé tribe, a predominantly Islamic tribe of the northern part of Cameroon, complained of the absence of menstruation after age of puberty and lower abdominal pain occurring almost at the same period every month. She has been married polygamously for 10 years and has been having normal, satisfactory sexual intercourse. The sonographic and laparoscopic findings of this patient were consistent with Mayer-Rokitansky-Küster-Hauser syndrome. The patient was counseled for in vitro fertilization and surrogacy. Patients with Mayer-Rokitansky-Küster-Hauser syndrome typically present with primary amenorrhea during adolescence. With the existing medical technology in Cameroon, this condition is easily accessible in tertiary healthcare facilities. Patients with Mayer-Rokitansky-Küster-Hauser syndrome could become mothers through in vitro fertilization and surrogacy, but the cost is prohibitive in Cameroon.
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Affiliation(s)
- Thomas Obinchemti Egbe
- Department of Obstetrics and Gynecology, Faculty of Health Sciences, University of Buea, Buea, Cameroon.,Department of Obstetrics and Gynecology, Douala General Hospital, Douala, Cameroon
| | - Fidelia Mbi Kobenge
- Department of Obstetrics and Gynecology, Douala General Hospital, Douala, Cameroon
| | | | | | - Robinson Enow Mbu
- Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, The University of Yaounde 1, Yaoundé, Cameroon
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Akoku DA, Tihnje MA, Tarh EO, Tarkang EE, Mbu RE. Predictors of willingness to accept pre-marital HIV testing and intention to sero-sort marital partners; risks and consequences: Findings from a population-based study in Cameroon. PLoS One 2018; 13:e0208890. [PMID: 30566526 PMCID: PMC6300297 DOI: 10.1371/journal.pone.0208890] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2018] [Accepted: 11/26/2018] [Indexed: 01/28/2023] Open
Abstract
Introduction The objectives of this study was to investigate and compare levels of acceptability of pre-marital HIV testing; and intention to sero-sort future marital and its associated factors among unmarried adults in two cities in Cameroon. Methods A population-based survey was conducted simultaneously in the cities of Kumba and Buea, located in the Southwest region of Cameroon. Data were collected from September to October 2016 by trained interviewers who administered questionnaires to eligible and consenting unmarried adults aged 21–35 years. Data were weighted and logistic regression analyses performed to identify significant predictors. The level of statistical significance was set at p< = 0.05. Results A total of 1,406 respondents (767 in Kumba and 639 in Buea) participated in the study. In the pooled sample, the median age of respondents was 26 years (IQR = 23–29) and over half (54.8%) were males. Over 90% of respondents in both cities indicated their willingness to accept pre-marital HIV testing. Respondents who had previously tested for HIV in Kumba (AOR = 7.87; 95%CI, 4.02–15.44) were significantly more likely to accept premarital HIV testing than those who had never tested for HIV. In Kumba, older age (AOR = 0.42; 95%CI, 0.18–0.96) and those unemployed (AOR = 0.22; 95% CI, 0.06–0.76) were significantly less likely to accept pre-marital HIV testing. In Buea males (AOR = 0.64 95% CI, 0.45–0.89) who would test HIV negative would be significantly less likely to accept to marry an HIV positive partner. In Buea, respondents who indicated a moderate risk of contracting HIV (AOR = 1.71; 95%CI, 1.09–2.66, p = 0.018) were significantly more likely to accept to marry an HIV positive partner. The major limitation of the study was that a hypothetical situation was used to ask respondents about their willingness to accept pre-marital HIV testing rather than actual HIV test acceptance. Conclusions Most respondents expressed their willingness to undergo pre-marital HIV testing. However, majority of respondents who would test HIV negative would refuse to marry their partner who tests HIV positive. These findings suggest that interventions to reduce HIV infection and fight against stigma and discrimination should be reinforced at community level.
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Affiliation(s)
| | | | | | | | - Robinson Enow Mbu
- Ministry of Public Health, Yaoundé, Cameroon
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
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Akoku DA, Tihnje MA, Vukugah TA, Tarkang EE, Mbu RE. Socio-economic vulnerabilities and HIV: Drivers of transactional sex among female bar workers in Yaoundé, Cameroon. PLoS One 2018; 13:e0198853. [PMID: 29912969 PMCID: PMC6005536 DOI: 10.1371/journal.pone.0198853] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2017] [Accepted: 05/25/2018] [Indexed: 01/25/2023] Open
Abstract
Introduction The purpose of this study was to examine the relationship between socio-demographic characteristics, risky sexual behaviour, alcohol use and transactional sex among female bar workers in Yaounde, Cameroon. Materials and methods A cross-sectional survey was conducted among a representative sample of 410 female bar workers, recruited through a modified version of venue-based cluster sampling technique from May to June 2017. Transactional sex was defined as having received money/gifts in exchange for sex with any sexual partner in the past 12 months. Logistic regression models were performed to identify the factors associated with transactional sex. The level of statistical significance was set at p< = 0.05. Results About 14.9% (n = 61) of respondents reported to have engaged in transactional sex, 83.7% (n = 338) had multiple sexual partners at the time of the study, 14.4% (n = 55) had sex with one or more of their male customers in the past 6 months. Almost 73.4% (n = 301) reported alcohol use. Of these, 37.2% (n = 112) were frequent alcohol consumers. About 17.6% (n = 72) reported to have had unprotected sex under the influence of alcohol in the past 6 months. Multivariate logistic regression analysis showed that those who engaged in transactional sex were more likely to have had sex with a male customer in the past 6 months (aOR = 7.34; 95% CI, 3.63–16.98), had sex under the influence of alcohol in the past 6 months (aOR = 2.42; 95% CI, 1.18–4.96) and frequent alcohol consumers (aOR = 2.06; 95%CI, 1.04–4.10). Respondents who had their last sexual intercourse 4 weeks or more prior to the study (aOR = 0.26; 95% CI, 0.08–0.84) were less likely to have engaged in transactional sex. Conclusions Our study concludes that female bar workers are exposed to male customers and engage in risky sexual practices including transaction sex. Most of them also consume alcohol which increases their risk of HIV and STI acquisition. They are a high-risk group that need to be targeted with HIV prevention interventions.
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Affiliation(s)
| | | | | | | | - Robinson Enow Mbu
- Ministry of Public Health, Yaoundé, Cameroon
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
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Fouelifack FY, Eko FE, Ko'A COVE, Fouedjio JH, Mbu RE. [Treatment of perineal wounds during the post partum period: evaluation of whether or not antibiotic should be systematically prescribed]. Pan Afr Med J 2017; 28:144. [PMID: 29564033 PMCID: PMC5851669 DOI: 10.11604/pamj.2017.28.144.12915] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Accepted: 09/23/2017] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION Genital tract integrity is not always mantained during childbirth. No treatment protocol for post-partum perineal wounds (tears and episiotomies) existed in our Department, thus their management depends upon clinician. This study aimed to establish the role of antibiotic in the treatment of post-partum perineal wounds as well as the impact of antibioprophylaxis on wound healing and on prevention of infectious complications after repair. METHODS We conducted a prospective cohort study in the Department of Gynecology and Obstetrics at the Central Hospital of Yaoundé over a period of 6 months, from 1 January to 31 May 2016. Post-partum women with perineal tear and/or episiotomy were divided into two groups (A and B) and followed up. The group A was composed by 85 post-partum women under treatment protocol based on compresses soaked in Betadine® (placebo). The Group B (or test group) was composed of post-partum women who had received placebo plus antibiotic (oral amoxicillin/clavulanic acid 875 mg/125 mg twice a day for 05 days). Both groups were followed up on day 0, day 2 and day 9. Our criteria for the evaluation of treatment were: pain, infection, swelling, cleanliness of the wounds and average healing time. Data were collected and analyzed using the software Epidata analysis version 3.2 and STATA version 12.0 (Texas USA 2001). The correlations between the variables were identified by chi-square, odds ratio and p value (using any p-value ≤ 0.05 as statistical significance cut-off) according to the case. RESULTS The average age was 26.32 ± 6.5 years, ranging between 15 and 43 years. Primiparous women accouted for 55.9% of the study population. At day 0 post-partum the main symptom was pain, without significant predominance of a group (OR = 0.9; CI = 0.14-7.19; p = 1). Swollen wounds were the second complaint, without significant variation between the two groups (OR = 1.69; CI = 0.88-3.24; p = 0.13). At day 0, day 2 and day 9 no significant variation was observed between the two treatment protocols with regard to the indicators analyzed: pain evolution, infection, swelling and average healing time. At day 9 the healing was complete in both groups and the two treatment protocols were shown to be equivalent in their effectiveness and prevention of infections. CONCLUSION At the end of this study the two treatment protocols were shown to be equivalent. Antibiotics should not be prescribed for perineal wounds in order to contain the healthcare costs.
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Affiliation(s)
- Florent Ymele Fouelifack
- Département de Gynécologie et Obstétriques de l'Institut Supérieur de Technologie Médicale de Nkolondom à Yaoundé, Unité de Gynécologie et Obstétriques de l'Hôpital Central de Yaoundé, Cameroun
| | - Filbert Eko Eko
- Département de Gynécologie et Obstétriques de l'Institut Supérieur de Technologie Médicale de Nkolondom à Yaoundé, Unité de Gynécologie et Obstétriques de l'Hôpital Central de Yaoundé, Cameroun
| | - Claude Odile Vanessa Ebode Ko'A
- Institut Supérieur de Technologie Médicale de Nkolondom à Yaoundé, Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Cameroun
| | - Jeanne Hortence Fouedjio
- Département de Gynécologie et Obstétriques de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Unité de Gynécologie et d'Obstétrique de l'Hôpital Central de Yaoundé, Cameroun
| | - Robinson Enow Mbu
- Département de Gynécologie et Obstétriques de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Unité de Gynécologie et d'Obstétrique de l'Hôpital Central de Yaoundé, Cameroun
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Fouedjio JH, Fouelifack FY, Nnang NA, Mbu RE. [Epidemiological, clinical and therapeutic aspects of supposed benign ovarian tumors at the Central Hospital of Yaoundé]. Pan Afr Med J 2017; 25:207. [PMID: 28270904 PMCID: PMC5326262 DOI: 10.11604/pamj.2016.25.207.9939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 10/18/2016] [Indexed: 12/04/2022] Open
Abstract
Introduction Les tumeurs ovariennes présumées bénignes (TOPB) constituent l'un des motifs les plus fréquents de consultation gynécologique, et l'une des indications les plus fréquentes en chirurgie gynécologique. Méthodes Nous avons mené une étude descriptive rétrospective dans le service de gynécologie-obstétrique de l'hôpital central de Yaoundé. La durée de l'étude était de 6 mois sur une période 5ans du 1er janvier 2010 au 31 décembre 2014. La population de l'étude était constituée de toutes les patientes opérées pour une tumeur ovarienne présumée bénigne pendant la période de l'étude. Résultats L'âge moyen était de 29,33± 6,83 avec un âge minimum de 20 ans et un âge maximum de 48ans. La tranche d'âge la plus représentée est celle de 21à 25 ans. Le motif de consultation était les douleurs pelviennes 93,90% des cas. Onze patientes avaient une grossesse soit 33,3% de notre population d'étude et 72,70% étaient au premier trimestre de la grossesse. Les TOPB répertoriés dans notre série étaient : la rupture de kyste (36,40%), la torsion d'annexe (27,30%), le volumineux kyste ovarien (21,20%), l'hémorragie intrakystique (15,20%). Le traitement était conservateur chez 26 (78,78%) patientes. Cependant, l'annexectomie a été réalisée chez 5 patientes sur 9 qui ont eu une torsion d'annexe. Conclusion Les TOPB compliquées sont présentes dans notre milieu surtout chez des patientes en âge de procréer. Le diagnostic tardif particulièrement en cas de torsion d'annexe oblige un traitement radical qui est délétère pour le patient. Le traitement chirurgical par laparoscopie est le plus recommandé si le plateau technique le permet car il diminue les risques de complications.
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Affiliation(s)
- Jeanne Hortence Fouedjio
- Unité de Gynécologie et Obstétrique de l'Hôpital Central de Yaoundé Cameroun; Département de Gynécologie et Obstétrique de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun
| | - Florent Ymele Fouelifack
- Unité de Gynécologie et Obstétrique de l'Hôpital Central de Yaoundé Cameroun; Département de Gynécologie et Obstétrique de l'Institut Supérieur de Technologies Médicales de Nkolondom, Yaoundé, Cameroun
| | | | - Robinson Enow Mbu
- Unité de Gynécologie et Obstétrique de l'Hôpital Central de Yaoundé Cameroun; Département de Gynécologie et Obstétrique de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun
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Mbu RE, Mbopi-Keou FX, Alemdji G, Nkengasong JN, Meli C, Eteki N, Nana PN, Ako SN, Tonye RN, Leke RJ. Reduction of materno-fetal transmission of HIV by improved delivery techniques combined with nevirapine treatment in women attending two family planning clinics in Yaounde, Cameroon. Int J STD AIDS 2016. [DOI: 10.1258/0956462042563747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- R E Mbu
- Faculty of Medicine and Biomedical Sciences, Department of Microbiology and Infectious Diseases, University of Yaounde I, PO Box 1206, Yaounde and Central Hospital, Yaounde
| | - F X Mbopi-Keou
- Faculty of Medicine and Biomedical Sciences, Department of Microbiology and Infectious Diseases, University of Yaounde I, PO Box 1206, Yaounde and The Institute for the Development of Africa (The-IDA), Yaounde, Cameroon
| | - G Alemdji
- Faculty of Medicine and Biomedical Sciences, Department of Microbiology and Infectious Diseases, University of Yaounde I, PO Box 1206, Yaounde
| | - J N Nkengasong
- Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - C Meli
- Central Hospital, Yaounde
| | | | | | | | | | - R J Leke
- Faculty of Medicine and Biomedical Sciences, Department of Microbiology and Infectious Diseases, University of Yaounde I, PO Box 1206, Yaounde and Central Hospital, Yaounde
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10
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Fouelifack FY, Fouedjio JH, Fouogue JT, Sando Z, Fouelifa LD, Mbu RE. Associations of body mass index and gestational weight gain with term pregnancy outcomes in urban Cameroon: a retrospective cohort study in a tertiary hospital. BMC Res Notes 2015; 8:806. [PMID: 26686851 PMCID: PMC4684922 DOI: 10.1186/s13104-015-1765-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2015] [Accepted: 11/30/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Obesity is a rising public health issue worldwide. Guidelines regarding maternal body mass index (BMI) and gestational weight gain (GWG) are missing in Cameroon where maternal mortality rate remains very high. We hypothesized that obesity and inappropriate GWG are associated with poor pregnancy outcomes. We aimed at assessing associations of BMI and GWG with pregnancy outcomes. METHODS This was a retrospective cohort study at the Yaoundé Central Hospital. We included women with term singleton deliveries in the post-partum ward. The World Health Organisation classification of BMI and the United States Institute Of Medicine (IOM) categories of GWG were used to stratify participants. Poor maternal outcome was defined by the occurence of caesarean section, preeclampsia or obstetrical haemorrhage. Poor perinatal outcome was defined by the occurence of perinatal death, admission in intensive care unit, low birth weight, macrosomia or fifth minute Apgar score <7. Multiple logistic regressions were used to calculate unadjusted and adjusted Odds Ratios (uOR, aOR) for poor maternal outcome (PMO) and for poor perinatal outcome (PPO) in each category of BMI and GWG. Adjustment was done for age, scarred uterus, sickle cell disease, malaria, human immunodeficiency virus (HIV) infection, parity and smoking. RESULTS Of the 462 participants, 17 (4 %) were underweight (BMI < 18.5), 228 (49 %) had normal pre-pregnancy BMI, 152 (33 %) were overweight (25 ≤ BMI < 30) and 65 (14 %) were obese (BMI ≥ 30). Following the IOM recommendations, GWG was normal for 186 (40 %) participants, less than recommended for 131 (28 %) and above the recommended norms for 145 (32 %). GWG above the IOM recommendation was significantly associated with PMO (aOR: 1.7, 95 % CI 1.1-2.8). GWG less than the IOM recommended values, overweight and obesity were not significantly associated with poor pregnancy outcomes. CONCLUSION While waiting for local recommendations for GWG, the IOM recommendations can be used for Cameroonian women as far as maternal outcome is concerned. Unlike in studies in different ethnic and racial groups, abnormal BMI was not associated with poor pregnancy outcomes in our cohort of Cameroonian women.
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Affiliation(s)
- Florent Ymele Fouelifack
- Obstetrics and Gynecology Unit of Yaoundé Central Hospital, Department of Obstetrics and Gynecology, Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon. .,Research, Education and Health Development Group "GARES-Falaise" Dschang-Cameroon, P.O. Box: 31186, Yaoundé, Cameroon.
| | - Jeanne Hortence Fouedjio
- Department of Obstetrics and Gynecology of the Faculty of Medicine and Biomedical Sciences of University of Yaoundé 1, Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Yaoundé, Cameroon.
| | - Jovanny Tsuala Fouogue
- Obstetrics and Gynecology unit of the Douala Gynaeco-Obstetric and Pediatric Hospital, Douala, Cameroon.
| | - Zacharie Sando
- Department of Anatomy and Morphological Sciences of the Faculty of Medicine and Biomedical Sciences of the University of Yaoundé 1, P.O. Box 1364, Yaoundé, Cameroon.
| | - Loic Dongmo Fouelifa
- Faculty of Medicine, School of Armies Health Services of Lomé, University of Lomé, P.O. Box: 14148, Lomé, Togo.
| | - Robinson Enow Mbu
- Department of Obstetrics and Gynecology of the Faculty of Medicine and Biomedical Sciences of University of Yaoundé 1, Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Yaoundé, Cameroon.
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11
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Tebeu PM, Pierre-Marie T, Halle-Ekane G, Gregory HE, Da Itambi M, Maxwell DI, Enow Mbu R, Robinson EM, Mawamba Y, Yvette M, Fomulu JN, Nelson FJ. Maternal mortality in Cameroon: a university teaching hospital report. Pan Afr Med J 2015; 21:16. [PMID: 26401210 PMCID: PMC4561158 DOI: 10.11604/pamj.2015.21.16.3912] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2014] [Accepted: 11/04/2014] [Indexed: 11/19/2022] Open
Abstract
More than 550,000 women die yearly from pregnancy-related causes. Fifty percent (50%) of the world estimate of maternal deaths occur in sub-Saharan Africa alone. There is insufficient information on the risk factors of maternal mortality in Cameroon. This study aimed at establishing causes and risk factors of maternal mortality. This was a case-control study from 1st January, 2006 to 31st December, 2010 after National Ethical Committee Approval. Cases were maternal deaths; controls were women who delivered normally. Maternal deaths were obtained from the delivery room registers and in-patient registers. Controls for each case were two normal deliveries following identified maternal deaths on the same day. Variables considered were socio-demographic and reproductive health characteristics. Epi Info 3.5.1 was used for analysis. The mean MMR was 287.5/100,000 live births. Causes of deaths were: postpartum hemorrhage (229.2%), unsafe abortion (25%), ectopic pregnancy (12.5%), hypertension in pregnancy (8.3%), malaria (8.3%), anemia (8.3%), heart disease (4.2%), and pneumonia (4.2%), and placenta praevia (4.2%). Ages ranged from 18 to 41 years, with a mean of 27.7 ± 5.14 years. Lack of antenatal care was a risk factor for maternal death (OR=78.33; CI: (8.66- 1802.51)). The mean MMR from 2006 to 2010 was 287.5/100,000 live births. Most of the causes of maternal deaths were preventable. Lack of antenatal care was a risk factor for maternal mortality. Key words: Maternal mortality, causes, risk factors, Cameroon.
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Affiliation(s)
| | - Tebeu Pierre-Marie
- Department of Obstetrics- Gynaecology, University Centre Hospital, Yaoundé Cameroon ; Ligue d'Initiative et de Recherche Active pour la Santé et l'Education de la Femme (LIRASEF), Cameroon
| | | | | | | | - Da Itambi Maxwell
- Department of Obstetrics- Gynaecology, University Centre Hospital, Yaoundé Cameroon
| | | | - Enow Mbu Robinson
- Department of Obstetrics-Gynecology, Central Hospital, Yaoundé, Cameroon
| | | | - Mawamba Yvette
- Department of Obstetrics- Gynaecology, University Centre Hospital, Yaoundé Cameroon
| | | | - Fomulu Joseph Nelson
- Department of Obstetrics- Gynaecology, University Centre Hospital, Yaoundé Cameroon
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12
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Nkwabong E, Kamgnia Nounemi N, Sando Z, Mbu RE, Mbede J. Risk factors and placental histopathological findings of term born low birth weight neonates. Placenta 2014; 36:138-41. [PMID: 25552188 DOI: 10.1016/j.placenta.2014.12.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2014] [Revised: 12/08/2014] [Accepted: 12/11/2014] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Low birth weight (LBW) is associated with increased neonatal morbidity and mortality. Hence, this condition should be well studied. The aims of this study were to identify the risk factors for term born LBW, as well as the placental histopathological lesions observed. METHODS This case control study was carried out in the University Teaching Hospital and the Central Maternity, both of Yaoundé, Cameroon, from November 1st, 2013 to April 30th, 2014. Maternal medical records and placentas of term born (≥37 completed weeks) LBW (<2500 g at birth) or normal weight (3000-3500 g) were compared. The main variables recorded included maternal age and parity, maternal height, complications that occurred during pregnancy, maternal pre-gestational body mass index, the number of antenatal visits, the sex and birth weight of the newborn, the umbilical cord length, the placental weight and placental histology. Data were analyzed using Epi info 3.5.4. Fisher exact test, t-test and logistic regression were used for comparison. P < 0.05 was considered statistically significant. RESULTS and DISCUSSION A total of 30 cases of LBW and the same number of controls were examined. Significant risk factors for LBW were primiparity (aOR 14.0, 95%CI 2.1-92.7), hypertensive diseases of pregnancy (aOR 18.1, 95%CI 1.02-322.5) and <4 antenatal visits (aOR 9.5, 95%CI 1.3-67.5). Significant placental lesions were placental infarction (aOR 19.5, 95%CI 2.9-130.1) and chronic villitis (aOR 35.9, 95%CI 1.2-1034.3). Our study showed that primiparous women, those with pregnancy-induced hypertensive diseases and those with <4 antenatal visits were more at risk for LBW. Significant placental lesions observed among LBW were placental infarcts and chronic villitis. Since LBW has the tendency to recur, and given that some causes such as placental infarcts are preventable, we recommend that a histological examination of the placenta should always be carried out in cases of LBW.
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Affiliation(s)
- E Nkwabong
- Department of Obstetrics & Gynecology, Central Maternity/Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon.
| | | | - Z Sando
- Department of Pathology, Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon
| | - R E Mbu
- Department of Obstetrics & Gynecology, Central Maternity/Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon
| | - J Mbede
- Department of Paediatrics, University Teaching Hospital, Yaoundé, Cameroon
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Nkwabong E, Mbu RE, Fomulu JN. How risky are second trimester clandestine abortions in Cameroon: a retrospective descriptive study. BMC Womens Health 2014; 14:108. [PMID: 25199407 PMCID: PMC4166018 DOI: 10.1186/1472-6874-14-108] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/15/2014] [Accepted: 09/04/2014] [Indexed: 12/01/2022]
Abstract
Background Complications of clandestine abortions increase with gestational age. The aim of this study was to identify complications of second trimester clandestine abortions (STA) and those of first trimester clandestine abortions (FTA). Methods This retrospective descriptive study was conducted between March 1st and August 31st, 2012 in the University Teaching Hospital and the Central Hospital, Yaoundé (Cameroon). The files of women with clandestine abortions carried out outside our units, but received in our settings for some complications were reviewed. Variables studied were maternal age, parity, marital status, gestational age at the time of abortion, the abortion provider and the method used, the duration of antibiotic coverage, the time interval between abortion and consultation, the complications presented and the duration of hospital stay. Data of 20 women with STA (≥13 weeks 1 day) and those of 74 women with FTA (≤13 complete weeks) were analyzed and compared. The t-test was used to compare continuous variables. P value <0.05 was considered statistically significant. Results Women with STA had high parities (P = 0.0011). STAs were mostly performed by nurses and were usually done by dilatation and curettage or dilatation and evacuation, manual vacuum aspiration, intramuscular injection of an unspecified medication, transcervical foreign body insertion, amniotomy and misoprostol. STA complications were severe anemia, hypovolemic shock, uterine perforation and maternal death. Conclusions Clandestine abortions, especially second trimester abortions, are associated with risks of maternal morbidity and mortality especially when done by nurses. Therefore, women should seek for help directly from trained health personnel (Gynecologists & Obstetricians). Moreover, nurses should be trained in uterine evacuation procedures. They should also refer women who want to carry out STA to Gynecologists and Obstetricians. Finally, to reduce the prevalence of abortion in general, the government should make contraception available to all women, as well as use public media to sensitize women on the dangers of abortion and on the need to use family planning services.
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Affiliation(s)
- Elie Nkwabong
- Department of Obstetrics & Gynecology, University Teaching Hospital & Faculty of Medicine and Biomedical Sciences, PO Box 1364, Yaoundé, Cameroon.
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Fouedjio JH, Fouogue JT, Fouelifack FY, Nangue C, Sando Z, Mbu RE. [Torsion of uterine appendages during pregnancy: report of a case at Yaoundé Central Hospital, Cameroon]. Pan Afr Med J 2014; 17:39. [PMID: 24932350 PMCID: PMC4048683 DOI: 10.11604/pamj.2014.17.39.3006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2013] [Accepted: 11/09/2013] [Indexed: 11/26/2022] Open
Abstract
Les kystes ovariens sont dans la majorité des cas asymptomatiques et peuvent être de découverte fortuite lors d'une échographie. Ils ne deviennent symptomatiques que lorsque survient une complication. Nous présentons un cas de torsion d'annexe gauche diagnostiqué à 8 semaines et 4 jours de grossesse. Nous avons réalisé une annexectomie Suivie de l'administration de progestérone retard à la dose 500 mg par jour. L'évolution a été marquée par la survenue d'un avortement au cinquième jour post opératoire. L'analyse anatomopathologique de la masse chirurgicale a conclu à une apoplexie ovarienne. L'ablation chirurgicale du corps jaune au premier trimestre de la grossesse pose le problème du maintien de celle - ci et devrait être présente à l'esprit des praticiens avant toute chirurgie pelvienne pendant cette période.
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Affiliation(s)
- Jeanne Hortence Fouedjio
- Unité de Gynécologie-Obstétrique de l'Hôpital Central de Yaoundé, Yaoundé, Cameroun ; Département de Gynécologie-Obstétrique de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Yaoundé, Cameroun
| | - Jovanny Tsuala Fouogue
- Département de Gynécologie-Obstétrique de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Yaoundé, Cameroun
| | | | - Charlette Nangue
- Laboratoire d'Anatomie Pathologique de l'Hôpital Central de Yaoundé, Yaoundé, Cameroun
| | - Zacharie Sando
- Département de Sciences Morphologiques et d'Anatomie Pathologique de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Yaoundé, Cameroun
| | - Robinson Enow Mbu
- Unité de Gynécologie-Obstétrique de l'Hôpital Central de Yaoundé, Yaoundé, Cameroun ; Département de Gynécologie-Obstétrique de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Yaoundé, Cameroun
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Mbu RE, Takang WA, Fouedjio HJ, Fouelifack FY, Tumasang FN, Tonye R. Clinical malaria among pregnant women on combined insecticide treated nets (ITNs) and intermittent preventive treatment (IPTp) with sulphadoxine-pyrimethamine in Yaounde, Cameroon. BMC Womens Health 2014; 14:68. [PMID: 24886135 PMCID: PMC4038852 DOI: 10.1186/1472-6874-14-68] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2013] [Accepted: 04/28/2014] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Malaria remains a burden for pregnant women and the under 5. Intermittent preventive treatment of pregnant women (IPTp) for malaria with sulfadoxine - pyrimethamine (SP) has since replaced prophylaxis and legislation has been reinforced in the area of insecticide treated mosquito nets (ITNs) in Cameroon. Clinical malaria despite all these measures remains a problem. We compared the socio-obstetrical characteristics of women who developed clinical malaria and those who did not though in the same regimen. METHODS A 5 - year nested cohort study (2007 - 2011 inclusive) at the tertiary level hospitals in Yaounde. Pregnant women who willingly accepted to participate in the study were enrolled at booking and three doses of SP were administered between 18 - 20 weeks of gestation, between 26-28 weeks and between 32 - 34 weeks. Those who developed clinical malaria were considered as cases and were compared for socio - obstetrical characteristics with those who did not. Venous blood was drawn from the women in both arms for parasite density estimation and identification and all the clinical cases were treated conventionally. RESULTS Each arm had 166 cases and many women who developed clinical malaria were between 15 and 19 years (OR 5.5, 95% CI 3.9 - 5.3, p < 0.001). They were of low gravidity (OR 6.5, 95% CI 3.8 - 11.3, p < 0.001) as well as low parity (OR 4.6, 95% CI 2.7 - 7.9, p < 0.001). The cases were single women (OR 4.58, 95% CI 2.54 - 8.26, p < 0.001) and had attained only primary level of education (OR 4.6, 95% CI 2.8 - 7.9, p < 0.001). Gestational ages were between 20 to 30 weeks during clinical malaria (OR 6.8, 95% CI 4.1 - 11.7, p < 0.001). The time between the first and second dose of SP was longer than ten weeks in the cases (OR 5.5, 95% CI 3.2 - 9.3, p < 0.001) and parasite density was higher also among the cases (OR 6.9, 95% CI 5.9 - 12.1, p < 0.001). CONCLUSION Long spacing between the first and second dose of SP seemed to be responsible for clinical malaria in the cases.
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Affiliation(s)
- Robinson Enow Mbu
- Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Cameroon and the Maternity Unit, Central Hospital, Yaounde, Cameroon
| | - William Ako Takang
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Bamenda, Cameroon, Bamenda, Cameroon
| | - Hortence Jeanne Fouedjio
- Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Cameroon and the Maternity Unit, Central Hospital, Yaounde, Cameroon
| | | | | | - Rebecca Tonye
- Maternity Unit, Central Hospital Yaounde, Yaounde, Cameroon
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Fouelifack FY, Tameh TY, Mbong EN, Nana PN, Fouedjio JH, Fouogue JT, Mbu RE. Outcome of deliveries among adolescent girls at the Yaoundé central hospital. BMC Pregnancy Childbirth 2014; 14:102. [PMID: 24636077 PMCID: PMC3995430 DOI: 10.1186/1471-2393-14-102] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2013] [Accepted: 03/11/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Adolescent pregnancies are a growing public health problem in Cameroon. We sought to study the outcome of such pregnancies, in order to inform public health action. METHODS A cross-sectional analysis of 5997 deliveries which compared the outcome of deliveries in adolescent (10-19 years old) pregnant women registered at the Yaoundé Central Hospital between 2008 and 2010 to that of their non-adolescent adult (≥ 20 years old) counterparts. Variables used for comparison included socio-demographic and obstetric characteristics of parturients, referral status, and maternal and fetal outcomes. Predictors of maternal and of perinatal mortality were determined through binomial logistic modeling. RESULTS Adolescent deliveries represented 9.3% (560) of all pregnancies registered. Adolescent pregnancies had significantly higher rates of both gestational duration extremes: preterm as well as post-term deliveries (29.3% versus 24.5%, p = 0.041 OR 1.28 95% CI 1.01-1.62 and 4.9 versus 2.4%, p = 0.014 OR 2.11 95% CI 1.46-3.87 respectively). Both groups did not differ significantly with respect to mean blood loss, rates of cesarean or instrumental deliveries. Adolescent deliveries however required significantly twice as many episiotomies (OR 2.15 95% CI 1.59-2.90). The likelihood of perineal tears in the adolescent group was significantly higher than that in the adult group on assuming episiotomies done would have been tears if they had not been carried out (OR 1.45 95% CI 1.16-1.82). Adolescent parturients had a higher likelihood of apparent fetal death at birth as well as perinatal fetal death after resuscitation efforts (AOR 1.75 95% CI 1.25-2.47 and AOR 1.69 95% CI 1.17-2.45 respectively).Comparisons of pregnancy outcomes between early (10-14 years), middle (15-17 years) and late adolescence (18-19 years) found no significant differences. Predictors of maternal death included having been referred, having had ≥5 deliveries and preterm deliveries. These were also predictors of perinatal death, as well as being a single mother, primiparous, and multiple gestations. CONCLUSIONS Adolescent pregnancies in Cameroon compared to those in adults are associated with poorer outcomes. There is need for adolescent-specific services to prevent teenage pregnancies as well as interventions to prevent and manage the above mentioned predictors of in-facility maternal and perinatal mortality.
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Fouelifack FY, Fouogue JT, Fouedjio JH, Sando Z, Mbu RE. [Massive postpartum vulvar hematoma: about one case at Yaounde Central Hospital (Cameroon)]. Pan Afr Med J 2014; 19:167. [PMID: 25810803 PMCID: PMC4364687 DOI: 10.11604/pamj.2014.19.167.5603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Accepted: 10/13/2014] [Indexed: 11/11/2022] Open
Affiliation(s)
| | - Jovanny Tsuala Fouogue
- Département de Gynécologie et Obstétriques de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Cameroun
| | - Jeanne Hortence Fouedjio
- Service de Gynécologie et Obstétriques de l'Hôpital Central de Yaoundé, Cameroun ; Département de Gynécologie et Obstétriques de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Cameroun
| | - Zacharie Sando
- Départerment des Sciences Morphologiques de la Faculté de Médecine et des Sciences biomédicales de l'Université de Yaoundé 1, Cameroun
| | - Robinson Enow Mbu
- Service de Gynécologie et Obstétriques de l'Hôpital Central de Yaoundé, Cameroun ; Département de Gynécologie et Obstétriques de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé 1, Cameroun
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Foumane P, Chiabi A, Kamdem C, Monebenimp F, Dohbit JS, Mbu RE. Sexual activity of adolescent school girls in an urban secondary school in cameroon. J Reprod Infertil 2013; 14:85-9. [PMID: 23926570 PMCID: PMC3719318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Accepted: 11/26/2012] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND The objective of this study was to describe the extent of sexual activity in adolescent school girls. METHODS This was a cross-sectional study with prolective collection of data carried out at Lycée General Leclerc, Yaounde (Cameroon), from October 1 to November 30, 2011. Heterosexual coitus was considered as sexual activity. A pretested self-administered questionnaire was proposed to all consenting girl students aged 10 to 19 years. The data were analyzed using Epi Info 3.2.1 and Microsoft Excel 2007 software. RESULTS Of the 2660 students who responded to the questionnaire, 21.3% (566) admitted being sexually active. Out of these, 64.3% (364) were aged between 10 and 16 years at their first heterosexual contact. The mean age at the first sexual intercourse was 15.3 years. Although 56.4% (319) of the sexually active respondents had only one sexual partner, 43.6% (247) of them had at least two partners. Sexual activity was occasional in 71.4% of those being sexually active. Meanwhile, 52.1% (295) of the sexually active adolescent girls used condoms during sexual intercourse, 41.5% (235) did so occasionally, and 6.4% (36) had regular unprotected sex. CONCLUSION More than one-fifth of adolescent girls were sexually active in this study. Sexual intercourse started mostly at the age of 16 or less, and it was mostly occasional. Half of the cases had multiple sexual partners, and half were not using condoms during sexual intercourse. We, thus, recommend the implementation of interventions aimed at delaying the age of the first sexual intercourse and accessibility of condoms to students in this setting.
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Affiliation(s)
- Pascal Foumane
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon,Corresponding Author: Foumane Pascal, Yaoundé Gynaeco-Obstetric and Pediatric Hospital Hospital, P.O. Box 4362 Yaoundé, Cameroon. E-mail:
| | - Andreas Chiabi
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon
| | - Christelle Kamdem
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Military Hospital, Yaoundé, Cameroon
| | - Francisca Monebenimp
- Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, University Teaching Hospital, Yaoundé, Cameroon
| | - Julius Sama Dohbit
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon
| | - Robinson Enow Mbu
- Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Central Maternity, Yaoundé, Cameroon
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Tebeu PM, Fosso GK, Mbu RE, Nsangou I, Kouam L, Fomulu JN. Placenta previa at University Hospital, Yaoundé, Cameroon. Int J Gynaecol Obstet 2012; 120:286-8. [PMID: 23219096 DOI: 10.1016/j.ijgo.2012.10.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2012] [Revised: 10/04/2012] [Accepted: 11/21/2012] [Indexed: 10/27/2022]
Affiliation(s)
- Pierre Marie Tebeu
- Department of Gynecology and Obstetrics, University Hospital, Yaoundé, Cameroon.
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Nana PN, Mbu RE, Tonye RN, Salihu HM, Ako SN, Fomulu NJ, Leke RJ. Rupture of the spleen due to domestic violence in pregnancy: a report of two cases. J OBSTET GYNAECOL 2008; 28:799-800. [PMID: 19085550 DOI: 10.1080/01443610802554443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- P N Nana
- The Central Maternity, Yaounde Central Hospital, Cameroon
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Mbopi-Keou FX, Mbu RE, Gonsu Kamga H, Kalla GCM, Monny Lobe M, Teo CG, Leke RJ, Ndumbe PM, Belec L. Interactions between human immunodeficiency virus and herpes viruses within the oral mucosa. Clin Microbiol Infect 2005; 11:83-5. [PMID: 15679480 DOI: 10.1111/j.1469-0691.2004.00984.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
There is evidence from clinical case reports and epidemiological studies that human immunodeficiency virus (HIV) can be transmitted through oral sex. Herpes viruses that appear in the oral mucosa might influence the oral replication of HIV. A review of data suggesting that interactions occur between HIV and herpes viruses indicates that such interactions might operate in the oral mucosa. Defining the mechanisms by which herpes viruses interact with HIV in the oral mucosa should permit intervention measures to be targeted more precisely.
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Mbu RE, Mbopi-Keou FX, Alemnji G, Meli C, Eteki N, Nkengasong JN, Belec L, Leke RJ. Unexpectedly high prevalence of sexually transmitted diseases in married women attending family planning clinics in Yaounde, Cameroon. Int J STD AIDS 2005; 16:270-1. [PMID: 15829032 DOI: 10.1258/0956462053420185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Mbu RE, Mbopi-Keou FX, Alemnji G, Alemdji G, Nkengasong JN, Meli C, Eteki N, Nana PN, Ako SN, Tonye RN, Leke RJ. Reduction of materno-fetal transmission of HIV by improved delivery techniques combined with nevirapine treatment in women attending two family planning clinics in Yaounde, Cameroon. Int J STD AIDS 2004; 15:848-9. [PMID: 15601503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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Mbu RE, Tchio R, Leke RJ, Tamba NE, Njoh N. [Premature rupture of membranes: maternal and fetal outcome in the absence of antibiotic prophylaxis]. Afr J Reprod Health 1998; 2:26-31. [PMID: 10214426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Antibiotic prophylaxis in the management of Premature Rupture of foetal Membranes (PROM) before term still remains controversial. 110 pregnant women with PROM were assigned to either group A (no treatment) or group B (treatment group). The rates of premature deliveries were similar in the two groups, 71% versus 77% (p = 0.56). Additionally, low birth weight, Apgar score, foetal distress, neonatal icterus and foetal sepsis were all observed in similar proportions in both groups. 6.5% of the subjects in group A developed endometritis as against 5.7% in group B (p = 0.69). Perinatal mortality rates were high (33.3% and 50%, in group A and B, respectively), but not statistically different in the two groups (p = 0.13). Prophylactic antibiotics do not seem to influence maternal and foetal outcome in patients who present with PROM in this environment.
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Affiliation(s)
- R E Mbu
- WHO/HRP/Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Cameroun
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