<strong>Background:</strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;">Maternal mortality was insuff...<strong>Background:</strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;">Maternal mortality was insufficiently reduced in Cameroon in 2015 despite the adoption of Millennium development goals. To tackle the situation and meet the sustainable Millennium goals target of 140/100,000 live births by 2030, the Government adopted the strategies of building reference hospitals where high quality obstetric care, timely and optimal management of obstetric emergencies will be offered.</span><span style="font-family:;" "=""> </span><b><span style="font-family:Verdana;">The objective </span></b><span style="font-family:;" "=""><span style="font-family:Verdana;">of this study was </span><span><span style="font-family:Verdana;">to describe the patterns of obstetric emergencies in </span><b><span style="font-family:Verdana;">Douala Gynaeco-obstetric</span></b></span><b><span style="font-family:Verdana;"> and Paediatric Hospital</span></b><span style="font-family:Verdana;">, evaluate the outcomes of their management and the contribution to maternal mortality.</span></span><span style="font-family:;" "=""> </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> 418 patients with obstetric emergencies were included in a two</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">phase cross</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">sectional study. Data were retrieved from patients’ case notes during the retrospective phase and a questionnaire filled for each case received during the prospective phase. Patterns of obstetric emergencies were determined and for each, the following were analysed: patient managed in this hospital or referred from other hospital</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;">, management according to hospital guidelines, timing of care, result of management (recovery wit展开更多
Introduction: Cervical cancer is a public health problem in Cameroon, due to low screening and late diagnosis. We sought to assess practice of colposcopy at the Douala Gyneco-Obstetric and Pediatric Hospital (DGOPH) i...Introduction: Cervical cancer is a public health problem in Cameroon, due to low screening and late diagnosis. We sought to assess practice of colposcopy at the Douala Gyneco-Obstetric and Pediatric Hospital (DGOPH) in Cameroon and its contribution to the fight against cervical cancer in our context. Method: This is a retrospective cross-sectional study of 99 colposcopies after which 71 exploitable biopsies were retained at the Douala for a period of 1year (December 1, 2019-December 1, 2020). The nomenclature of the French Society of Colposcopy and Cervico-Vaginal Pathology (SFCPCV) was used. Results: Mean age of the participants was 44 years, mostly multiparous (80%). Cytological abnormalities were the main reference pattern. During the examination 22% of colposcopies were found to be normal, 37% of TAG 1-2A, 31% of TAG 2B-C, and 5% suspected of cancer. After histological analysis of biopsies guided by colposcopy, we found 42% (30/71) of Cervical Intraepithelial Neoplasia (CIN) 1, 15.5% (11/71) of CIN 2 - 3, and 24% (17/71) cancer. Upon analysis of the diagnosed CIN1/CIN2-3/Cancers, we noted a concordance with colposcopy in 62% (23/37), 37% (10/27) and 85% (6/7) respectively. Colposcopic performance in the detection of high-grade lesions and above was 36% (26/71), with a sensitivity of 92.86%, specificity 83.33%, PPV 78.79% and NPV 94.59%. Conclusion: Despite the difficult socioeconomic context, colposcopy retains all its importance in the diagnosis of precancerous lesions of the uterine cervix. With the imminent putting in place of a national health policy, the goals 90-70-90 by 2030 of the World Health Organization for the fight against cervical cancer can be achieved in our sub-Saharan African countries.展开更多
<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> The first case of the novel coronavirus (COVID-19) pandemic in Cameroon wa...<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> The first case of the novel coronavirus (COVID-19) pandemic in Cameroon was confirmed on March 6, 2020. Though widely considered that pregnant women are more susceptible to respiratory tract infections, the available body of literature on the effect of COVID-19 on pregnancy outcomes is shy from being conclusive. In Cameroon, the Douala Gyneco-Obstetric and Pediatric Hospital (DGOPH) was one of the main frontline tertiary health facilities for the management of severe forms of the disease. After four months of managing COVID-19 cases in the general population and especially in pregnant women at the DGOPH, we decided to take a stop, analyze our findings from the patients managed in order to drive future policies and clinical practices via informed decisions. </span><b><span style="font-family:Verdana;">Overall objective: </span></b><span style="font-family:Verdana;">To describe and understand the clinical burden of patients managed for COVID</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">19 in pregnancy or post-partum at the DGOPH.</span><b><span style="font-family:Verdana;"> Methodology:</span></b><span style="font-family:Verdana;"> Cross</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">sectional and descriptive study covering four months—March 24</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> to July 24</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> 2020 at DGOPH. Using a pretested questionnaire, we systematically enrolled all patients who fulfilled the inclusion criteria, with analysis done using proportions from an excel spreadsheet.</span><b><span style="font-family:Verdana;"> Results: </span></b><span style="font-family:Verdana;">A total of 18 on the 301 pregnant women consulte展开更多
文摘<strong>Background:</strong><b><span style="font-family:;" "=""> </span></b><span style="font-family:Verdana;">Maternal mortality was insufficiently reduced in Cameroon in 2015 despite the adoption of Millennium development goals. To tackle the situation and meet the sustainable Millennium goals target of 140/100,000 live births by 2030, the Government adopted the strategies of building reference hospitals where high quality obstetric care, timely and optimal management of obstetric emergencies will be offered.</span><span style="font-family:;" "=""> </span><b><span style="font-family:Verdana;">The objective </span></b><span style="font-family:;" "=""><span style="font-family:Verdana;">of this study was </span><span><span style="font-family:Verdana;">to describe the patterns of obstetric emergencies in </span><b><span style="font-family:Verdana;">Douala Gynaeco-obstetric</span></b></span><b><span style="font-family:Verdana;"> and Paediatric Hospital</span></b><span style="font-family:Verdana;">, evaluate the outcomes of their management and the contribution to maternal mortality.</span></span><span style="font-family:;" "=""> </span><b><span style="font-family:Verdana;">Patients and Methods:</span></b><span style="font-family:Verdana;"> 418 patients with obstetric emergencies were included in a two</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">phase cross</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">sectional study. Data were retrieved from patients’ case notes during the retrospective phase and a questionnaire filled for each case received during the prospective phase. Patterns of obstetric emergencies were determined and for each, the following were analysed: patient managed in this hospital or referred from other hospital</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;">, management according to hospital guidelines, timing of care, result of management (recovery wit
文摘Introduction: Cervical cancer is a public health problem in Cameroon, due to low screening and late diagnosis. We sought to assess practice of colposcopy at the Douala Gyneco-Obstetric and Pediatric Hospital (DGOPH) in Cameroon and its contribution to the fight against cervical cancer in our context. Method: This is a retrospective cross-sectional study of 99 colposcopies after which 71 exploitable biopsies were retained at the Douala for a period of 1year (December 1, 2019-December 1, 2020). The nomenclature of the French Society of Colposcopy and Cervico-Vaginal Pathology (SFCPCV) was used. Results: Mean age of the participants was 44 years, mostly multiparous (80%). Cytological abnormalities were the main reference pattern. During the examination 22% of colposcopies were found to be normal, 37% of TAG 1-2A, 31% of TAG 2B-C, and 5% suspected of cancer. After histological analysis of biopsies guided by colposcopy, we found 42% (30/71) of Cervical Intraepithelial Neoplasia (CIN) 1, 15.5% (11/71) of CIN 2 - 3, and 24% (17/71) cancer. Upon analysis of the diagnosed CIN1/CIN2-3/Cancers, we noted a concordance with colposcopy in 62% (23/37), 37% (10/27) and 85% (6/7) respectively. Colposcopic performance in the detection of high-grade lesions and above was 36% (26/71), with a sensitivity of 92.86%, specificity 83.33%, PPV 78.79% and NPV 94.59%. Conclusion: Despite the difficult socioeconomic context, colposcopy retains all its importance in the diagnosis of precancerous lesions of the uterine cervix. With the imminent putting in place of a national health policy, the goals 90-70-90 by 2030 of the World Health Organization for the fight against cervical cancer can be achieved in our sub-Saharan African countries.
文摘<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> The first case of the novel coronavirus (COVID-19) pandemic in Cameroon was confirmed on March 6, 2020. Though widely considered that pregnant women are more susceptible to respiratory tract infections, the available body of literature on the effect of COVID-19 on pregnancy outcomes is shy from being conclusive. In Cameroon, the Douala Gyneco-Obstetric and Pediatric Hospital (DGOPH) was one of the main frontline tertiary health facilities for the management of severe forms of the disease. After four months of managing COVID-19 cases in the general population and especially in pregnant women at the DGOPH, we decided to take a stop, analyze our findings from the patients managed in order to drive future policies and clinical practices via informed decisions. </span><b><span style="font-family:Verdana;">Overall objective: </span></b><span style="font-family:Verdana;">To describe and understand the clinical burden of patients managed for COVID</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">19 in pregnancy or post-partum at the DGOPH.</span><b><span style="font-family:Verdana;"> Methodology:</span></b><span style="font-family:Verdana;"> Cross</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">sectional and descriptive study covering four months—March 24</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> to July 24</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> 2020 at DGOPH. Using a pretested questionnaire, we systematically enrolled all patients who fulfilled the inclusion criteria, with analysis done using proportions from an excel spreadsheet.</span><b><span style="font-family:Verdana;"> Results: </span></b><span style="font-family:Verdana;">A total of 18 on the 301 pregnant women consulte
