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Zamané H, Kiemtoré S, Kain PD, Zongo A, Hounkanri BMG, Sawadogo YA, Ouattara A, Ouédraogo I, Savadogo-Komboigo BE, Ouédraogo CMR. [Evaluation of the Practice of Caesarean Section According to Robson's Classification in a Health District of Ouagadougou, Burkina Faso]. Bull Soc Pathol Exot 2018; 111:263-268. [PMID: 30950589 DOI: 10.3166/bspe-2019-0059] [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] [Subscribe] [Scholar Register] [Received: 01/21/2018] [Accepted: 12/03/2018] [Indexed: 11/20/2022]
Abstract
The control of the caesarean rate is nowadays an important concern for the obstetric world, the priority being to make every effort to practice a caesarean in all the women who need it only instead of reaching a specific rate. The purpose of the present study was to apply the Robson classification to the evaluation of the practice of caesarean section at the maternity of the Bogodogo District Hospital. It turned to be an analytical cross-sectional study which was carried out from January 1st, 2013 till December 31st, 2015. The information sources used included the computer base of caesarean sections, the delivery records, the operating room records, the delivery hall and the monthly activity reports. The overall hospital frequency of caesarean section was 33.3%. The rate of caesarean section expected during the same period according to the C-Model was 9.7%. Patients in groups 5 (with a scar uterus) and 6 (nulliparous with siege presentation) of the Robson classification had all a caesarean section and contributed to the overall rate of caesarean for 30 and 8.6% respectively. Low-risk women (groups 1, 2, 3 and 4) had a relative contribution of 31.3% to the overall rate of caesarean section. Improvement of the antenatal assessment of the prognosis of childbirth, particularly in the case of uterine scar or siege presentation, improvement of the quality of the supervision of the delivery work and the fight against prematurity will help to control the rate of caesarean section at the Bogodogo District Hospital.
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Affiliation(s)
- H Zamané
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - S Kiemtoré
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - P D Kain
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - A Zongo
- Ministère de la Santé, Burkina Faso
| | - B M G Hounkanri
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso
| | - Y A Sawadogo
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - A Ouattara
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso.,Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso
| | - I Ouédraogo
- Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso.,Centre hospitalier universitaire régional de Ouahigouya, Burkina Faso
| | - B E Savadogo-Komboigo
- Département de gynécologie et d'obstétrique du Centre hospitalier universitaire Yalgado Ouédraogo, 03 BP 7022 Ouagadougou 03, Burkina Faso
| | - C M R Ouédraogo
- Unité de formation et de recherche en sciences de la santé, Université Ouaga 1 Pr Joseph KI ZERBO, 01 BP 7021 Ouagadougou 01, Burkina Faso.,Hôpital de District de Bogodogo, Burkina Faso
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3
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Mutiga SK, Rotich F, Ganeshan VD, Mwongera DT, Mgonja EM, Were VM, Harvey JW, Zhou B, Wasilwa L, Feng C, Ouédraogo I, Wang GL, Mitchell TK, Talbot NJ, Correll JC. Assessment of the Virulence Spectrum and Its Association with Genetic Diversity in Magnaporthe oryzae Populations from Sub-Saharan Africa. Phytopathology 2017; 107:852-863. [PMID: 28368237 DOI: 10.1094/phyto-08-16-0319-r] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
A collection of 122 isolates of Magnaporthe oryzae, from nine sub-Saharan African countries, was assessed for virulence diversity and genetic relatedness. The virulence spectrum was assessed by pathotype analysis with a panel of 43 rice genotypes consisting of differential lines carrying 24 blast resistance genes (R-genes), contemporary African rice cultivars, and susceptible checks. The virulence spectrum among isolates ranged from 5 to 80%. Five isolates were avirulent to the entire rice panel, while two isolates were virulent to ∼75% of the panel. Overall, cultivar 75-1-127, the Pi9 R-gene donor, was resistant to all isolates (100%), followed by four African rice cultivars (AR105, NERICA 15, 96%; NERICA 4, 91%; and F6-36, 90%). Genetic relatedness of isolates was assessed by single nucleotide polymorphisms derived from genotyping-by-sequencing and by vegetative compatibility tests. Phylogenetic analysis of SNPs of a subset of isolates (n = 78) revealed seven distinct clades that differed in virulence. Principal component analysis showed isolates from East Africa were genetically distinct from those from West Africa. Vegetative compatibility tests of a subset of isolates (n = 65) showed no common groups among countries. This study shows that blast disease could be controlled by pyramiding of Pi9 together with other promising R-genes into rice cultivars that are adapted to East and West African regions.
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Affiliation(s)
- S K Mutiga
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - F Rotich
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - V Devi Ganeshan
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - D T Mwongera
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - E M Mgonja
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - V M Were
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - J W Harvey
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - B Zhou
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - L Wasilwa
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - C Feng
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - I Ouédraogo
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - G-L Wang
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - T K Mitchell
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - N J Talbot
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
| | - J C Correll
- First, second, tenth, and fifteenth authors: Department of Plant Pathology, University of Arkansas-Fayetteville; first and seventh: Biosciences eastern and central Africa-International Livestock Research Institute (BecA-ILRI) Hub, Nairobi, Kenya; third, fifth, twelfth, and thirteenth authors: Department of Plant Pathology, The Ohio State University-Columbus; fourth, sixth, and fourteenth authors: Biosciences department, Exeter University, UK; seventh author: Feed the Future Innovation Lab for the Reduction of Post-Harvest Loss, Kansas State University, Manhattan, Kansas; eighth author: International Rice Research Institute (IRRI), Philippines; ninth author: Kenya Agricultural and Livestock Research Organization (KALRO), Nairobi, Kenya; and eleventh author: Institute of Environment and Agricultural Research, Ouagadougou, Burkina Faso
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4
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Ouédraogo I, Kaboré R, Napon Madina A, Ouédraogo F, Ouangré E, Bandré E, Tapsoba WT, Soré O, Béré B, Kaboré RAF, Wandaogo A. [Epidemiology of neonatal surgical emergencies in Ouagadougou]. Arch Pediatr 2014; 22:130-4. [PMID: 25542056 DOI: 10.1016/j.arcped.2014.11.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2013] [Revised: 11/04/2014] [Accepted: 11/11/2014] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The purpose of this study was to determine the rate of neonatal surgery emergencies and to highlight the main causes and difficulties related to better handling of these emergencies. PATIENTS AND METHODS We conducted a 1-year descriptive prospective study from September 2009 to September 2010 based on 102 cases collected. At admission, we studied the patients' age, the pathologies encountered, the related malformations, the terms for better management, and prognosis. FINDINGS In 1 year, we registered 102 cases of neonatal surgical emergencies affecting the digestive tract (63.7%), the anterior side of the abdomen (24.5%), trauma (6.7%), and tumors (2%). Males comprised 60.8% of the cases. The sex-ratio was 1.55. The frequency of such cases was 3.94%. The average age of patients was 5 days with the 0- to 5-day-old age group presenting most frequently. The average hospitalization lasted 2.75 days and the admission method was the reference in 75.5%. Congenital pathology accounted for 95.5% of cases with anorectal malformations (ARM) (35; 95%) and omphaloceles (28.1%). Hirschsprung disease was the main cause of bowel obstruction other than ARM (50%). The average time to surgery was about 2.54 days. The overall mortality of neonatal surgical emergencies was 30.3% and postoperative mortality 32.35%. The late consultation, poverty, a shortage of qualified staff, prematurity, low birth weight, congenital disease, and related malformations were the leading factors of a poor prognosis. Acquisition of effective technical means, staff training, measures to combat poverty, and better prenatal care would improve the management of neonatal surgical emergencies. CONCLUSION Neonatal surgical emergencies include conditions that require immediate and adequate support. The continuous training of healthcare workers at all levels in the detection of neonatal emergencies and equipping healthcare facilities are an absolute necessity to provide better management and reduce the mortality rate.
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Affiliation(s)
- I Ouédraogo
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso.
| | - R Kaboré
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - A Napon Madina
- Service de radiologie et radiodiagnostic, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - F Ouédraogo
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - E Ouangré
- Service de chirurgie générale et digestive, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
| | - E Bandré
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - W T Tapsoba
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - O Soré
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - B Béré
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - R A F Kaboré
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
| | - A Wandaogo
- Service de chirurgie pédiatrique, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso
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