Obstetric emergencies in the maternity ward of the Ignace Deen national hospital CHU of Conakry: sociodemographic, therapeutic and maternal fetal prognosis aspects

Background: Despite government efforts to reduce maternal mortality, the risk of a woman dying from obstetric complications is about one in six in the poorest regions of the world compared to one in thirty thousand in North Europe. The objective was therefore to describe the clinical socio-demographic aspects and to establish the maternal and fetal prognosis of obstetric emergencies.Methods: This was a descriptive cross-sectional prospective study over a 6-month period from January 1 to June 30, 2020 carried out at the maternity ward of the Ignace Deen national hospital (Conakry university hospital) in Guinea. The study looked at a continuous series of 662 obstetric emergency cases.Results: The frequency of admission of obstetric emergencies was 22.62%. They concerned young women (29.5 years old) on average, first-time mothers (53.32%), with low income professional activities, evacuated from a peripheral maternity unit (63.14%), no schooling (44.9%), married (92.3%), using the more often a means of public transport (66.5%) and whose pregnancies were poorly monitored (63.9%). Fetal emergencies were dominated by acute fetal distress (91.3%) and maternal emergencies were dominated by hypertensive emergencies (pre-eclampsia and eclampsia 37.44%) followed by hemorrhagic emergencies (last trimester hemorrhage and postpartum hemorrhage 34.34%). Pregnant and parturient women were more frequently admitted to labor (62.7%) and gave birth more frequently by caesarean section (86.70%). the staff reacted promptly to make a treatment decision in 75.5% of cases within fifteen minutes. emergency procedures were performed in less than fifteen minutes in almost all cases (97.4%), specific treatment was carried out in less than an hour in the majority of cases (68.3%). The maternal case fatality rate was 4.1% with the main cause of death being hemorrhagic shock of 51.8%. The stillbirth rate was 17.4%.Conclusions: The anticipation of emergency obstetric care (SOU) and close collaboration between the obstetrician, the anesthesiologist-resuscitator are essential in the management of obstetric emergencies.

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Characteristics, Management, and Case-Fatality of Patients Hospitalized for Stroke with a Diagnosis of COVID-19 in France

Neuroepidemiology ◽

10.1159/000516670 ◽

2021 ◽

pp. 1-7

Author(s):

Amélie Gabet ◽

Clémence Grave ◽

Edouard Chatignoux ◽

Philippe Tuppin ◽

Yannick Béjot ◽

...

Keyword(s):

Case Fatality ◽

Cross Sectional Study ◽

Primary Diagnosis ◽

Index Hospitalization ◽

Sectional Study ◽

Stroke Patients ◽

National Hospital ◽

Cross Sectional ◽

Increased Risk ◽

Systèmes D’Information

Introduction: COVID-19 was found to be associated with an increased risk of stroke. This study aimed to compare characteristics, management, and outcomes of hospitalized stroke patients with or without a hospital diagnosis of COVID-19 at a nationwide scale. Methods: This is a cross-sectional study on all French hospitals covering the entire French population using the French national hospital discharge databases (Programme de Médicalisation des Systèmes d’Information, included in the Système National des Données de Santé). All patients hospitalized for stroke between 1 January and 14 June 2020 in France were selected. A diagnosis of COVID-19 was searched for during the index hospitalization for stroke or in a prior hospitalization that had occurred after 1 January 2020. Results: Among the 56,195 patients hospitalized for stroke, 800 (1.4%) had a concomitant COVID-19 diagnosis. Inhospital case-fatality rates were higher in stroke patients with COVID-19, particularly for patients with a primary diagnosis of COVID-19 (33.2%), as compared to patients hospitalized for stroke without COVID-19 diagnosis (14.1%). Similar findings were observed for 3-month case-fatality rates adjusted for age and sex that reached 41.7% in patients hospitalized for stroke with a concomitant primary diagnosis of COVID-19 versus 20.0% in strokes without COVID-19. Conclusion: Patients hospitalized for stroke with a concomitant COVID-19 diagnosis had a higher inhospital and 3 months case-fatality rates compared to patients hospitalized for stroke without a COVID-19 diagnosis. Further research is needed to better understand the excess of mortality related to these cases.

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Obstetrical complications among adolescent girls at the maternity ward of Ignace Deen National Hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20201775 ◽

2020 ◽

Vol 9 (5) ◽

pp. 1886

Author(s):

Ibrahima Sory Balde ◽

Abdourahamane Diallo ◽

Mamadou H. Diallo ◽

Ibrahima Sylla ◽

Fatoumata B. Diallo ◽

...

Keyword(s):

Adolescent Girls ◽

Placenta Previa ◽

Continuous Series ◽

Maternity Ward ◽

National Hospital ◽

Factors Associated ◽

Obstetrical Complications ◽

Prenatal Consultation ◽

One Year ◽

A Prospective Study

Background: The objective of this study was to highlight obstetrical complications that occurred among adolescent girls who delivered at the ward and to identify factors associated with the occurrence of such complications.Methods: This was a prospective study of descriptive and analytical type extending over a period of one year from September 1, 2016 to August 31, 2017 carried out at the maternity ward of Ignace Deen National Hospital at Conakry Teaching Hospital (CHU). It covered a continuous series of 1034 deliveries among adolescent girls.Results: The frequency of childbirth among adolescent girls was 16.7%. The main complications identified were dystocia, severe preeclampsia, eclampsia, retroplacental hematoma, placenta previa, uterine rupture, severe anemia, postpartum hemorrhage and puerperal endometritis. These complications occurred among adolescent girls aged 18 to 19, christian, skin and pelvic bones secondary school or university students. Factors associated with such complications were the marital status (p=0.010), the gestational age (p=0.012), the number of prenatal consultations (p=0.001), the place of prenatal consultation (p=0.001), the reason for admission (p=0.000) and the mode of admission (p=0.000).Conclusions: Childbirth among adolescent girls is frequent in this context; complications are numerous but they are preventable in the vast majority of cases.

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Critical defining characteristics for nursing diagnosis about ineffective breastfeeding

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0549 ◽

2018 ◽

Vol 71 (2) ◽

pp. 314-321 ◽

Cited By ~ 1

Author(s):

Sandra Cristina de Alvarenga ◽

Denise Silveira de Castro ◽

Franciéle Marabotti Costa Leite ◽

Telma Ribeiro Garcia ◽

Marcos Antônio Gomes Brandão ◽

...

Keyword(s):

Logistic Regression Model ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Maternity Ward ◽

Milk Supply ◽

Time Data ◽

Cross Sectional ◽

Nursing Diagnosis ◽

Accuracy Measures

ABSTRACT Objective: To investigate the Nursing diagnostic accuracy measures and to propose a model to use defining characteristics in order to judge the nursing diagnosis of ineffective breastfeeding. Method: Cross-sectional study with a sample of 73 binomials mom-child hospitalized in a maternity ward of an University Hospital, from July to August of 2014. Results: The diagnostic predominance rate was 58.9%. The characteristics that best meet the needs of logistic regression model were: discontinuance of breast sucking; infant's inability of seizing the areola-nipple region correctly; infant's crying one hour after breastfeeding and inappropriate milk supply perceived. Conclusion: Breastfeeding process is dynamic; diagnostic judgement may suffer some changes according to the time data are collected; the defining characteristics are the best predictors if associated with models and rules of use.

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High vaccination coverage and inadequate knowledge: Findings from a community-based cross-sectional study on Japanese Encephalitis in Yangon, Myanmar

F1000Research ◽

10.12688/f1000research.21702.3 ◽

2020 ◽

Vol 9 ◽

pp. 6

Author(s):

Pyae Phyo Kyaw ◽

Hemant Deepak Shewade ◽

Nang Thu Thu Kyaw ◽

Khaing Hnin Phyo ◽

Htar Htar Lin ◽

...

Keyword(s):

Japanese Encephalitis ◽

Vaccination Coverage ◽

Vaccine Coverage ◽

Specific Treatment ◽

Case Fatality ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Multi Stage

Background: Japanese encephalitis (JE) is a mosquito-borne disease with high case fatality and no specific treatment. Little is known about the community’s (especially parents/guardians of children) awareness regarding JE and its vaccine in Yangon region, which bears the highest JE burden in Myanmar. Methods: We conducted a community-based cross-sectional study in Yangon region (2019) to explore the knowledge and perception of parents/guardians of 1-15 year-old children about JE disease, its vaccination and to describe JE vaccine coverage among 1-15 year-old children. We followed multi-stage random sampling (three stages) to select the 600 households with 1-15 year-old children from 30 clusters in nine townships. Analyses were weighted (inverse probability sampling) for the multi-stage sampling design. Results: Of 600 parents/guardians, 38% exhibited good knowledge of JE, 55% perceived JE as serious in children younger than 15 years and 59% perceived the vaccine to be effective. Among all the children in the 600 households, the vaccination coverage was 97% (831/855). Conclusion: In order to reduce JE incidence in the community, focus on an intensified education program is necessary to sustain the high vaccine coverage in the community.

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Willingness to donate eyes among outpatients attending Muhimbili National Hospital

10.21203/rs.2.32/v1 ◽

2018 ◽

Author(s):

Mukamana F ◽

Mosenene S ◽

Kisimbi J ◽

Sanyiwa AJ ◽

Mafwiri MM ◽

...

Keyword(s):

Low Income ◽

Community Education ◽

Sub Saharan Africa ◽

Low Income Countries ◽

Muhimbili National Hospital ◽

National Hospital ◽

Cross Sectional ◽

Qualitative Approaches ◽

Willingness To Donate ◽

Eye Donation

Abstract Background: Willingness to donate eyes and other organs in general is still unsatisfactory worldwide, specifically in low income countries including Sub-Saharan Africa where the awareness about eye and other organs donation is still low. Factors like religion may also affect people’s decision making in terms of organ donation. Therefore, it is difficult to have enough tissues for transplant and sustainable local eye banks. The aim of the study was to assess willingness to donate eyes among outpatients attending Muhimbili National Hospital, Tanzania. Methodology: A cross sectional hospital based study with quantitative and qualitative approaches was done from July to December 2017. Systematic random sampling and purposive sampling techniques were used for quantitative and qualitative parts respectively. Results: A total of 434 participants were interviewed, 58.06% were female. Only 32.5% of all respondents, were aware that eyes can be donated, while 47.9% were willing to donate their eyes. The main reason for willingness was to help a blind person (64.25%), while the main reason for unwillingness was need of more information about eye donation (31.7%), followed by religious reasons (22.0%). Willingness to donate eyes was associated with prior awareness (p=0.0001), religion (p=0.010) and sex (p=0.049). Important themes emerged from the Focus Group Discussion (FGD) were: Helping needy people, religion, death and respect of body. Conclusion: Willingness to donate eyes was seen in nearly a half of the participants though awareness was low. Most of the participants had positive perception about eye donation services. Negative perception was associated with lack of information, religious beliefs and fear. Therefore, community education is important to raise awareness and willingness to donate eyes.

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High vaccination coverage, inadequate knowledge and high vector density: Findings from a community-based cross-sectional study on Japanese Encephalitis in Yangon, Myanmar

F1000Research ◽

10.12688/f1000research.21702.2 ◽

2020 ◽

Vol 9 ◽

pp. 6

Author(s):

Pyae Phyo Kyaw ◽

Hemant Deepak Shewade ◽

Nang Thu Thu Kyaw ◽

Khaing Hnin Phyo ◽

Htar Htar Lin ◽

...

Keyword(s):

Japanese Encephalitis ◽

Vaccination Coverage ◽

Vaccine Coverage ◽

Specific Treatment ◽

Case Fatality ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Multi Stage

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Quality of pediatric anesthesia: A cross-sectional study of a university hospital in a low-income country

PLoS ONE ◽

10.1371/journal.pone.0194622 ◽

2018 ◽

Vol 13 (4) ◽

pp. e0194622

Author(s):

Oskar Andersson ◽

Peter Radell ◽

Victor Ringo ◽

Moses Mulungu ◽

Tim Baker

Keyword(s):

Low Income ◽

Pediatric Anesthesia ◽

Cross Sectional Study ◽

Income Country ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Low Income Country

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Climacteric complaints among very low-income women from a tropical region of Brazil

Sao Paulo Medical Journal ◽

10.1590/s1516-31802006000400008 ◽

2006 ◽

Vol 124 (4) ◽

pp. 214-218 ◽

Cited By ~ 4

Author(s):

Sebastião Freitas de Medeiros ◽

Márcia Marly Winck Yamamoto de Medeiros ◽

Vivaldo Naves de Oliveira

Keyword(s):

Low Income ◽

Population Based ◽

University Hospital ◽

Tropical Region ◽

Hot Flushes ◽

Tertiary Institution ◽

Cross Sectional ◽

Humid Region ◽

Climacteric Complaints ◽

Multiple Symptoms

CONTEXT AND OBJECTIVE: Climacteric symptoms may vary between different countries and cultures. Socioeconomic factors and climate may be implicated. The aim of this study was to identify climacteric symptomatology among very low-income Brazilian women, living in a hot and humid region. DESIGN AND SETTING: This cross-sectional population-based study was conducted in Cuiabá, at Júlio Müller University Hospital, a tertiary institution. METHODS: The study enrolled 354 climacteric women. The variables analyzed were social class, symptomatology and abnormal concurrent conditions. The study was approved by the hospital's research ethics committee. RESULTS: Sixty-five percent of the participants (232/354) were very poor and had had little schooling. The number of symptoms per woman was 8.0 ± 5.7. Hot flushes, nervousness, forgetfulness and fatigue were each found in nearly 60.0%. Tearfulness, depression, melancholy and insomnia were also frequent. Sexual problems were reported by 25%. The most relevant concurrent abnormal conditions reported were hypertension (33.9%), obesity (26.5%), arthritis/arthrosis (15.0%) and diabetes mellitus (9.6%). Hot flushes were associated with tearfulness, nervousness and forgetfulness. CONCLUSION: Brazilian climacteric women of low income and low schooling present multiple symptoms. Vasomotor and psychosexual symptoms were the most prevalent disorders. Hot flushes were associated with nervousness, forgetfulness and tearfulness.

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High Rate of Elder Abuse in the Time of COVID-19—A Cross Sectional Study of Geriatric and Neurology Clinic Patients

Journal of Clinical Medicine ◽

10.3390/jcm10194532 ◽

2021 ◽

Vol 10 (19) ◽

pp. 4532

Author(s):

Karolina Filipska ◽

Monika Biercewicz ◽

Adam Wiśniewski ◽

Renata Jabłońska ◽

Agnieszka Królikowska ◽

...

Keyword(s):

Risk Factors ◽

Functional Impairment ◽

Low Income ◽

Elder Abuse ◽

Depression Scale ◽

Rank Correlation ◽

University Hospital ◽

High Rate ◽

Cross Sectional ◽

The Impact

The ongoing COVID-19 pandemic is believed to have caused a sharp increase in the incidence of elder abuse (EA), including as a result of isolation, social distance combined with increased interpersonal stressors. Thus, the aim of this study is to determine the impact of the COVID-19 pandemic on the elder abuse rates and the characteristics of risk factors. A total of 347 patients hospitalized in the Department of Neurology and Department of Geriatrics at University Hospital No. 1 in Bydgoszcz were selected as subjects for the analysis. The tools used in the study are: Authors-Designed Questionnaire, the Vulnerability to Abuse Screening Scale, the Geriatric Depression Scale and the Activities of Daily Living Scale. Descriptive statistics, chi-squared tests, Spearman’s rank correlation test, and logistic regression analyses were used. In the studied population, nearly 45% of the elderly were victims of violence. This represents an increase of more than 6 percent compared to the pre-pandemic. The most common type of EA was psychological abuse (72.3%). In the final models, the risk factors include, among others, low income (OR = 3.60, 95% CI = 1.93–6.72), chronic diseases (OR = 2.06, 95% CI = 1.28–3.31), poor relationship with the family (OR = 3.26, 95% CI = 1.96–5.43), and moderate and severe depression (OR = 18.29, 95% CI = 10.24–32.69; OR = 18.49, 95% CI = 3.91–87.30, respectively). Moreover, moderate functional impairment 5.52 times more often and severe functional impairment 21.07 times more likely to predispose to EA. People who suffered from COVID-19 are 1.59 times more likely to be victims of EA (95% CI = 1.03–2.46). In this study, we saw significant increases in EA rates during the COVID-19 pandemic.

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