Research Article
Prognosis of Caesarean Section with or Without Externalization of the Uterus at the CHU Ignace Deen, Guinea
Ibrahima Koussy Bah*,
Elhadj Mamoudou Bah,
Alhassane II Sow
,
Boubacar Sidy Diallo,
Alpha Ibrahima Baldé,
Kabinet Camara,
Mamadou Dian Bah,
Daniel William Athanase Leno,
Abdourahamane Diallo,
Telly Sy
Issue:
Volume 13, Issue 1, February 2025
Pages:
1-8
Received:
25 January 2025
Accepted:
10 February 2025
Published:
21 February 2025
Abstract: Introduction: Caesarean section is an obstetric surgical technique that is becoming more and more frequent, due to the constant quest to improve maternal-fetal health. Objective: The aim of this study was to evaluate maternal prognosis after caesarean section with or without uterine exteriorization during hysterorrhaphy. Patients and Methods: this was a prospective study with analytical aims lasting 6 months from July 1st to December 31, 2022 carried out in the gynecology-obstetrics department of the Ignace Deen national hospital of the CHU of Conakry, focusing on women who underwent cesarean section in the department with or without uterine exteriorization and agreed to participate in the study during the data collection period. Results: the mean age of the patients was 18.62±6.16 years, with extremes of 15 and 44 years. The 21-25 age group was the most represented, at 29.60%. The majority were married (93.68%), not in school (40.07%) and nulliparous (33.75%). Obstetric evacuation was 31.05%. The uterus was exteriorized in 66.6% of cases. Caesarean section was urgent in 79.96% of cases. The average duration of the operation was 34.52±10.47 minutes. The majority of caesarean sections were performed by residents (66.97%). Maternal prognosis was identical in both groups with regard to the following parameters: surgical site infection, thread release, length of hospital stay, postoperative parameters and maternal condition at discharge. On the other hand, intense postoperative pain was significantly associated with non-externalization of the uterus 45.52% versus 23.25% with a p-value=0.00. Conclusion: analysis of these two techniques for surgical closure of the uterus shows very little difference in the occurrence of postoperative complications. Intense pain was influenced by non-externalization of the uterus. This suggests that the choice of repair technique should be left to the obstetrician, pending contrary results from other studies.
Abstract: Introduction: Caesarean section is an obstetric surgical technique that is becoming more and more frequent, due to the constant quest to improve maternal-fetal health. Objective: The aim of this study was to evaluate maternal prognosis after caesarean section with or without uterine exteriorization during hysterorrhaphy. Patients and Methods: this ...
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Research Article
Factors Associated with Post-cesarean Maternal Complications in the Gynecology-Obstetrics Department of the Ignace Deen National Hospital CHU in Conakry
Issue:
Volume 13, Issue 1, February 2025
Pages:
9-16
Received:
25 January 2025
Accepted:
8 February 2025
Published:
24 February 2025
Abstract: Introduction: Surgical interventions are essential in certain situations requiring the pregnant woman to be spared the complications of pregnancy or dystocic delivery. The aim of this work was to identify factors associated with post-cesarean maternal complications. Methodology: This was a 6-month prospective analytical study, from June 1 to December 31, 2022, carried out in the gynecology-obstetrics department of the Ignace Deen National Hospital of the Conakry University Hospital, involving pregnant and parturient women undergoing cesarean section in the department during the data collection period who had or had not had postoperative complications and agreed to participate in the study. Results: The frequency of post-cesarean complications was 8.31%. The mean age of the patients was 26.7±5.93 years. The 25-34 age group was the most represented (49.4%). They were mainly housewives (41.3%), married (95.7%), not in school (43.0%) and evacuated (41.8%). Emergency cesarean section was the most commonly performed (69.0%). Anemia (53.5%), surgical site infection (26.8%) and postpartum hemorrhage (16.9%) were the most frequently recorded complications with a case fatality rate of 0.7%. Factors likely to be associated with the occurrence of post-cesarean complications were obstetric evacuation (OR=2.151; CI: 1.312-3.527), multiparity (OR=3.544; CI: 2.009-6.252), absence of PNC (OR=21.702; CI: 11.012-42.769), prenatal follow-up in health centers (OR=3.027; CI: 1.597-5.737), emergency cesarean (OR=2.619; CI: 1.353-5.067), qualification of the prenatal follow-up agent (OR=7.317; CI: 2.698-19.842) and prolonged labor (OR=2.057; CI: 1.261-3.353). Conclusion: The elements likely to influence the occurrence of postoperative complications were obstetric evacuation, multiparity, absence of prenatal consultation, prenatal monitoring in health centers, emergency cesarean section, qualification of the prenatal monitoring agent (health technical agent) and prolonged labor. Raising awareness of the importance of prenatal monitoring, performing prophylactic cesareans in the event of any absolute indication for cesarean section, limiting births, and good monitoring of the immediate postpartum period could reduce the risk of post-cesarean complications.
Abstract: Introduction: Surgical interventions are essential in certain situations requiring the pregnant woman to be spared the complications of pregnancy or dystocic delivery. The aim of this work was to identify factors associated with post-cesarean maternal complications. Methodology: This was a 6-month prospective analytical study, from June 1 to Decemb...
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