9 research outputs found
Maternal-fetal prognosis of obstetric emergencies at the maternity ward of the Mamou regional hospital
Background: Pregnant women may be at risk of unpredictable obstetric complications such as: bleeding, dystocia, acute fetal suffering, pre-eclampsia and eclampsia. This maternal-fetal prognosis of obstetric emergencies is influenced by factors that are most often related to complications that alter the course or outcome of a pregnancy and require prompt care. The objectives of this study are to analyze the factors that influence the maternal-fetal prognosis of obstetric emergencies; determine their frequency, describe the clinical profiles of patients and evaluate the maternal-fetal prognosis.Methods: The study was conducted at the Mamou Regional Hospital. It was a 6-month quantitative, descriptive and analytical study, from July 1st to December 31st, 2016, including all parturient women whose term is greater than or equal to 28 weeks of amenorrhoea.Results: The study covered 377 obstetric emergencies out of a total of 1273 deliveries, or 29.61%. Factors influencing the prognosis were: young age, parity, unfavorable socio-economic conditions and difficult baseline conditions. The main obstetric emergencies recorded were acute fetal suffering, disproportion and narrowed pelvis. The dominant mode of delivery was caesarean section with a frequency of 89.65%. Maternal lethality is 3.44% and fetal lethality is 5.14%.Conclusions: Obstetric emergency is a frequent situation where better management would improve the prognosis of the mother and fetus
Aspects EpidĂ©miologiques, Cliniques et Prise en Charge Chirurgicale des Fibromyomes UtĂ©rins au Service de GynĂ©cologie-ObstĂ©trique de lâHĂŽpital National Ignace Deen-CHU de Conakry 2022
Introduction: Lâobjectif Ă©tait dâĂ©tudier les aspects Ă©pidĂ©miologiques, cliniques et prise en charge chirurgicale des fibromyomes utĂ©rins au service de gynĂ©cologie-obstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022. MĂ©thodologie : Il sâagissait dâune Ă©tude descriptive transversale, allant du 1er Mai au 30 octobre 2022 soit une pĂ©riode de six (6) mois. Ont Ă©tĂ© Ă©tudiĂ© les variables Ă©pidĂ©miologiques, cliniques et prise en charge, les donnĂ©es ont Ă©tĂ© collectĂ©es Ă lâaide de la fiche dâenquĂȘte prĂ©Ă©tablie et prĂ©testĂ©e, le logiciel SPSS version 21 a Ă©tĂ© utilisĂ© pour lâanalyse des donnĂ©es. RĂ©sultats : les interventions chirurgicales pour fibromyome utĂ©rin ont occupĂ© 48,90% des activitĂ©s chirurgicales pour pathologie gynĂ©cologique. LâĂąge moyen de nos patientes Ă©tait de 38,38 ±9 ans avec les extrĂȘmes 22 et 70 ans, les nullipares Ă©taient les plus reprĂ©sentĂ©es (48,70%), il sâagissait des femmes non scolarisĂ©es (42,10%), en foyer (73,30%), exerçant une profession libĂ©rale (40,80%), cliniquement, lâindice de masse corporelle (IMC) de nos malades se situait entre 18,5-24,99 soit 52,6%, la mĂ©norragie Ă©tait le motif de consultation le plus frĂ©quent (28,53%), le volume utĂ©rin simulant une grossesse de 12- 20 SA (72,40%) Ă©tait plus reprĂ©sentĂ©, la classification de FIGO Ă lâĂ©chographie a Ă©tĂ© utilisĂ©e (9,20%), utĂ©rus polymyomateux Ă©tait lâindication opĂ©ratoire la plus rependue (65,79%), le traitement Ă©tait conservateur (myomectomie) dans 64,50% des cas, toutes nos piĂšces opĂ©ratoires ont Ă©tĂ© examinĂ©es avec une confirmation de lĂ©iomyome utĂ©rin. La complication post opĂ©ratoire immĂ©diate la plus frĂ©quemment rencontrĂ©e Ă©tait lâanĂ©mie (5,26%). Nous avons utilisĂ© le logiciel SPSS version 21 pour lâanalyse des donnĂ©es. Conclusion : le traitement conservateur pour la prise en charge du fibromyome utĂ©rin constitue une option salutaire pour les femmes en Ăąge de procrĂ©er.
Introduction: The aim was to study the epidemiological, clinical aspects and surgical management of uterine fibromyomas in the gynecology-obstetrics department of the Ignace Deen National Hospital of Conakry University Hospital in 2022. Methodology : This was a descriptive cross-sectional study, running from May 1 to October 30, 2022, a period of six (6) months. Epidemiological, clinical and management variables were studied. Data were collected using a pre-established and pre-tested survey form, and SPSS version 21 software was used for data analysis. Results : Uterine fibromyoma surgery accounted for 55.64% of surgical activity for gynaecological pathology. The mean age of our patients was 38.38 ±9 years, with extremes of 22 and 70 years; nulliparous women were the most common (48.70%), with no schooling (42.10%), living at home (73.30%) and self-employed (40.80%); clinically, the body mass index (BMI) of our patients ranged from 18.5-24.99 (52.6%); menorrhagia was the most frequent reason for consultation (28, 53%), uterine volume simulating a pregnancy of 12-20 SA (72.40%) was the most common, FIGO ultrasound classification was used (9.20%), polymyomatous uterus was the most common operative indication (65.79%), treatment was conservative (myomectomy) in 64.50% of cases, all our surgical specimens were examined with confirmation of uterine leiomyoma. The most frequent immediate postoperative complication was anemia (5.26%). Conclusion : conservative treatment for uterine fibromyoma is a beneficial option for women of childbearing age
Aspects EpidĂ©miologiques, Cliniques et Prise en Charge Chirurgicale des Fibromyomes UtĂ©rins au Service de GynĂ©cologie-ObstĂ©trique de lâHĂŽpital National Ignace Deen-CHU de Conakry 2022
Introduction: Lâobjectif Ă©tait dâĂ©tudier les aspects Ă©pidĂ©miologiques, cliniques et prise en charge chirurgicale des fibromyomes utĂ©rins au service de gynĂ©cologie-obstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022. MĂ©thodologie : Il sâagissait dâune Ă©tude descriptive transversale, allant du 1er Mai au 30 octobre 2022 soit une pĂ©riode de six (6) mois. Ont Ă©tĂ© Ă©tudiĂ© les variables Ă©pidĂ©miologiques, cliniques et prise en charge, les donnĂ©es ont Ă©tĂ© collectĂ©es Ă lâaide de la fiche dâenquĂȘte prĂ©Ă©tablie et prĂ©testĂ©e, le logiciel SPSS version 21 a Ă©tĂ© utilisĂ© pour lâanalyse des donnĂ©es. RĂ©sultats : les interventions chirurgicales pour fibromyome utĂ©rin ont occupĂ© 48,90% des activitĂ©s chirurgicales pour pathologie gynĂ©cologique. LâĂąge moyen de nos patientes Ă©tait de 38,38 ±9 ans avec les extrĂȘmes 22 et 70 ans, les nullipares Ă©taient les plus reprĂ©sentĂ©es (48,70%), il sâagissait des femmes non scolarisĂ©es (42,10%), en foyer (73,30%), exerçant une profession libĂ©rale (40,80%), cliniquement, lâindice de masse corporelle (IMC) de nos malades se situait entre 18,5-24,99 soit 52,6%, la mĂ©norragie Ă©tait le motif de consultation le plus frĂ©quent (28,53%), le volume utĂ©rin simulant une grossesse de 12- 20 SA (72,40%) Ă©tait plus reprĂ©sentĂ©, la classification de FIGO Ă lâĂ©chographie a Ă©tĂ© utilisĂ©e (9,20%), utĂ©rus polymyomateux Ă©tait lâindication opĂ©ratoire la plus rependue (65,79%), le traitement Ă©tait conservateur (myomectomie) dans 64,50% des cas, toutes nos piĂšces opĂ©ratoires ont Ă©tĂ© examinĂ©es avec une confirmation de lĂ©iomyome utĂ©rin. La complication post opĂ©ratoire immĂ©diate la plus frĂ©quemment rencontrĂ©e Ă©tait lâanĂ©mie (5,26%). Nous avons utilisĂ© le logiciel SPSS version 21 pour lâanalyse des donnĂ©es. Conclusion : le traitement conservateur pour la prise en charge du fibromyome utĂ©rin constitue une option salutaire pour les femmes en Ăąge de procrĂ©er.
Introduction: The aim was to study the epidemiological, clinical aspects and surgical management of uterine fibromyomas in the gynecology-obstetrics department of the Ignace Deen National Hospital of Conakry University Hospital in 2022. Methodology : This was a descriptive cross-sectional study, running from May 1 to October 30, 2022, a period of six (6) months. Epidemiological, clinical and management variables were studied. Data were collected using a pre-established and pre-tested survey form, and SPSS version 21 software was used for data analysis. Results : Uterine fibromyoma surgery accounted for 55.64% of surgical activity for gynaecological pathology. The mean age of our patients was 38.38 ±9 years, with extremes of 22 and 70 years; nulliparous women were the most common (48.70%), with no schooling (42.10%), living at home (73.30%) and self-employed (40.80%); clinically, the body mass index (BMI) of our patients ranged from 18.5-24.99 (52.6%); menorrhagia was the most frequent reason for consultation (28, 53%), uterine volume simulating a pregnancy of 12-20 SA (72.40%) was the most common, FIGO ultrasound classification was used (9.20%), polymyomatous uterus was the most common operative indication (65.79%), treatment was conservative (myomectomy) in 64.50% of cases, all our surgical specimens were examined with confirmation of uterine leiomyoma. The most frequent immediate postoperative complication was anemia (5.26%). Conclusion : conservative treatment for uterine fibromyoma is a beneficial option for women of childbearing age
Aspects Epidemiologiques, Cliniques, et Prise en Charge Chiryrgivale des Fibromyomes Uterins au Service de Gynecologie -Obstetrique de lâHopital National Ignace Deenchu de Conakry 2022
Introduction : Lâobjectif Ă©tait dâĂ©tudier les aspects Ă©pidĂ©miologiques, cliniques, et la prise en charge chirurgicale des fibromyomes utĂ©rins au service de gynĂ©cologie-obstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022. MĂ©thodologie: Il sâagissait dâune Ă©tude descriptive transversale, allant du 1er Mai au 30 octobre 2022 soit une pĂ©riode de six (6) mois. Ont Ă©tĂ© Ă©tudiĂ© les variables Ă©pidĂ©miologiques, cliniques et la prise en charge. Les donnĂ©es ont Ă©tĂ© collectĂ©es Ă lâaide de la fiche dâenquĂȘte prĂ©Ă©tablie et prĂ©testĂ©e. Le logiciel SPSS version 21 a Ă©tĂ© utilisĂ© pour lâanalyse des donnĂ©es. RĂ©sultats : les interventions chirurgicales pour fibromyome utĂ©rin ont occupĂ© 55,47% (76/137) des activitĂ©s chirurgicales pour pathologie gynĂ©cologique. LâĂąge moyen de nos patientes Ă©tait de 38,38 ±9 ans avec les extrĂȘmes 22 et 70 ans, la tranche dâĂąge la plus reprĂ©sentĂ© Ă©tait celle de 31-39 ans avec la proportion de 43,40%. Les nullipares Ă©taient les plus reprĂ©sentĂ©es 48,68% (37/76). Il sâagissait des femmes non scolarisĂ©es 42,10% (32/76), en foyer 73,30% (56/76), exerçant une profession libĂ©rale 40,80% (31/76). Cliniquement, le volume utĂ©rin simulant une grossesse de 12- 20 SA Ă©tait le motif de consultation le plus reprĂ©sentĂ© 72,40% (55/76), puis la mĂ©norragie 28,53% (55/76), la classification de FIGO Ă lâĂ©chographie a Ă©tĂ© rĂ©alisĂ©e dans 9,21% (7/76). UtĂ©rus polymyomateux Ă©tait lâindication opĂ©ratoire la plus rependue 65,79% (50/76), le traitement conservateur (myomectomie) a Ă©tĂ© dans 64,47% (49/76) des cas, par contre le taux dâhystĂ©rectomie nâĂ©tait pas nĂ©gligeable 35,52% (27/76) et les complications per opĂ©ratoires ont Ă©tĂ© marquĂ©es par lâhĂ©morragie (23,15%). Le nombre moyen de noyaux myomateux Ă©nuclĂ©Ă©s Ă©tait de 7. Il y a une effraction accidentelle de la cavitĂ© utĂ©rine chez 15 patientes (15,78%). LâanĂ©mie Ă©tait la complication post opĂ©ratoire immĂ©diate la plus frĂ©quente dans 5,26% (4/76) des cas et la transfusion sanguine a Ă©tĂ© rĂ©alisĂ©e chez 43,40% de nos malades. Aucun dĂ©cĂšs nâa Ă©tĂ© enregistrĂ©. Conclusion : Le traitement conservateur pour la prise en charge du fibromyome utĂ©rin constitue une option salutaire pour les femmes en Ăąge de procrĂ©er.
Introduction: This paper focuses on studying the epidemiological, clinical aspects, and surgical management of uterine fibromyomas in the Gynecology-Obstetrics Department of the Ignace Deen National Hospital of the Conakry University in 2022. Methodology: This was a cross-sectional descriptive study, running from May 1 to October 30, 2022, within a period of six (6) months. Epidemiological, clinical, and management variables were studied. The data was collected using the pre-established and pre-tested survey form. SPSS version 21 software was used for data analysis. Results: Surgical interventions for uterine fibromyoma occupied 55.47% (76/137) of surgical activities for gynecological pathology. The average age of our patients was 38.38 ±9 years with the extremes of 22 and 70 years. The most represented age group was that of 31-39 years with the proportion of 43.40%. Nulliparous women were the most represented (48.68% (37/76)). These women were not in school (42.10% (32/76)), in households (73.30% (56/76)), and exercising a liberal profession (40.80% (31/76)). Clinically, the uterine volume simulating a pregnancy of 12-20 weeks was the most represented reason for consultation (72.40% (55/76)), which is followed by menorrhagia (28.53% (55/76)). The FIGO classification at Ultrasound was performed in 9.21% (7/76). Polymyomatous uterus was the most common operative indication (65.79% (50/76)), while conservative treatment (myomectomy) was in 64.47% (49/76) of cases. On the other hand, the rate of hysterectomy was not negligible (35.52% (27/76)) and intraoperative complications were marked by hemorrhage (23.15%). The average number of enucleated myomatous nuclei was 7. There was an accidental break-in of the uterine cavity in 15 patients (15.78%). Anemia was the most frequent immediate postoperative complication in 5.26% (4/76) of cases, and blood transfusion was performed in 43.40% of our patients. No deaths were recorded. Conclusion: Conservative treatment for the management of uterine fibromyoma constitutes a beneficial option for women of childbearing age
Facteurs de risque, Ă©pidĂ©miologie et prise en charge de la grossesse extra-utĂ©rine rompue (GEUR) au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022
Introduction : urgence gynĂ©cologique frĂ©quente, dĂ©couverte fortuite aux urgences mĂ©dicales et ou chirurgicales dans un tableau dâanĂ©mie. Lâobjectif de cette Ă©tude Ă©tait dâĂ©tudier les facteurs de risque, Ă©pidĂ©miologie, et prise en charge de la grossesse extra-utĂ©rine rompue au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022.
MĂ©thodes : il sâagissait dâune Ă©tude descriptive transversale Ă recrutement rĂ©trospectif. Elle a Ă©tĂ© menĂ©e
au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry du 1er janvier 2019 au 31 DĂ©cembre 2022 soit une pĂ©riode de trois ans. Ont Ă©tĂ© Ă©tudiĂ©es les variables se rapportant aux facteurs de risque, Ă©pidĂ©miologie, et la prise en charge de la GEUR dans notre contexte de travail. Nous avons utilisĂ© le logiciel Excel pour lâanalyse des donnĂ©es.
RĂ©sultats : frĂ©quence de la GEUR dans notre Ă©tude Ă©tait 1,26 % sur lâensemble des interventions gynĂ©cologiques, les tranches dâĂąge les plus reprĂ©sentĂ©es Ă©taient celles de 20-24 ans et 30-34 ans de 32,69%, plus de la moitiĂ© Ă©tait cĂ©libataire 69,23%, sans profession, non scolarisĂ© respectivement 64,23% et 42,31%, primipares dans 49,04%. Parmi les facteurs de risque (FDR) retrouvĂ©s dans notre sĂ©rie, figuraient antĂ©cĂ©dent de : lâinfection gĂ©nitale 46,15%, fausses couches spontanĂ©es 10,58%, la contraception par microprogestatif 16,34%. La prise en charge a Ă©tĂ© exclusivement chirurgicale (100%), associĂ©e Ă la transfusion sanguine comme moyen de rĂ©animation dans 95,16%.
Conclusion : la grossesse extra-utérine rompue est une urgence médicochirurgicale fréquente, le diagnostic précoce traine les pas dans les pays à faibles ressources.
Introduction : a frequent gynecological emergency, discovered incidentally in medical and/or surgical emergencies in the setting of anemia. The aim of this study was to investigate the risk factors and management of ectopic pregnancy in the gynecology and obstetrics department of the Ignace Deen National Hospital of Conakry University Hospital in 2022.
Methods : This was a descriptive study with retrospective recruitment. It was conducted at the gynecology and obstetrics department of the CHU Ignace Deen national hospital in Conakry from January 1, 2019 to December 31, 2022, a three-year period. Variables relating to risk factors, epidemiology and management of GEUR in our working context were studied. We used Excel software for data analysis.
Results : The frequency of GEUR in our study was 1.26% of all gynaecological procedures, the most represented age groups were 20-24 and 30-34 years with 32.69%, more than half were single 69.23%, without profession, not in school respectively 64.23% and 42.31%, primiparous in 49.04%. Among the risk factors found in our series were a history of : genital infection 46,15%, spontaneous miscarriage 10.58%, microprogestogen contraception 16.34%. Management was exclusively surgical (100%), associated with blood transfusion as a means of resuscitation in 95.16%
Conclusion : Ruptured ectopic pregnancy is a frequent medico-surgical emergency, early diagnosis is lagging behind in low-resource countries
Facteurs de Risque, EpidĂ©miologie et Prise en Charge de la Grossesse Extra-utĂ©rine Rompue (GEUR) au Service de GynĂ©cologie et dâObstĂ©trique de lâHĂŽpital National Ignace Deen du CHU de Conakry en 2022
Introduction : urgence gynĂ©cologique frĂ©quente, dĂ©couverte fortuite aux urgences mĂ©dicales et ou chirurgicales dans un tableau dâanĂ©mie. Lâobjectif de ce travail Ă©tait dâĂ©tudier les facteurs de risque, Ă©pidĂ©miologie, et prise en charge de la grossesse extra-utĂ©rine rompue au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022. MĂ©thodes : il sâagissait dâune Ă©tude descriptive transversale Ă recrutement rĂ©trospectif. Elle a Ă©tĂ© menĂ©e au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry du 1er janvier 2019 au 31 DĂ©cembre 2022 soit une pĂ©riode de trois ans. Ont Ă©tĂ© Ă©tudiĂ©es les variables se rapportant aux facteurs de risque, Ă©pidĂ©miologie, et la prise en charge de la GEUR dans notre contexte de travail. Nous avons utilisĂ© le logiciel Excel pour lâanalyse des donnĂ©es. RĂ©sultats : frĂ©quence de la GEUR dans notre Ă©tude Ă©tait 1,26 % sur lâensemble des interventions gynĂ©cologiques, les tranches dâĂąge les plus reprĂ©sentĂ©es Ă©taient celles de 20-24 ans et 30-34 ans dans 32,69%, plus de la moitiĂ© Ă©tait cĂ©libataire 69,23%, sans profession, non scolarisĂ© respectivement 64,23% et 42,31%, primipares dans 49,04%. Parmi les facteurs de risque (FDR) retrouvĂ©s dans notre sĂ©rie, figuraient les antĂ©cĂ©dents de : lâinfection gĂ©nitale 46,15%, les fausses couches spontanĂ©es 10,58%, la contraception par microprogestatif 16,34%. La prise en charge a Ă©tĂ© exclusivement chirurgicale (100%), associĂ©e Ă la transfusion sanguine comme moyen de rĂ©animation dans 95,16%. Conclusion : la grossesse extra-utĂ©rine rompue est une urgence mĂ©dicochirurgicale frĂ©quente, le diagnostic prĂ©coce traine les pas dans les pays Ă faibles ressources.
Introduction : a frequent gynecological emergency, discovered incidentally in medical and/or surgical emergencies in the setting of anemia. The aim of this study was to investigate the risk factors and management of ectopic pregnancy in the gynecology and obstetrics department of the Ignace Deen National Hospital of Conakry University Hospital in 2022. Methods : This was a descriptive study with retrospective recruitment. It was conducted
at the gynecology and obstetrics department of the CHU Ignace Deen national hospital in Conakry from January 1, 2019 to December 31, 2022, a three-year period. Variables relating to risk factors, epidemiology and management of GEUR in our working context were studied. We used Excel software for data analysis. Results : The frequency of GEUR in our study was 1.26% of all gynaecological procedures, the most represented age groups were 20-24 and 30-34 years with 32.69%, more than half were single 69.23%, without profession, not in school respectively 64.23% and 42.31%, primiparous in 49.04%. Among the risk factors found in our series were a history of : genital infection 46,15%, spontaneous miscarriage 10.58%, microprogestogen contraception 16.34%. Management was exclusively surgical (100%), associated with blood transfusion as a means of resuscitation in 95.16% Conclusion : Ruptured ectopic pregnancy is a frequent medico-surgical emergency, early diagnosis is lagging behind in low-resource countries
Facteurs de risque, Ă©pidĂ©miologie et prise en charge de la grossesse extra-utĂ©rine rompue (GEUR) au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022
Introduction : urgence gynĂ©cologique frĂ©quente, dĂ©couverte fortuite aux urgences mĂ©dicales et ou chirurgicales dans un tableau dâanĂ©mie. Lâobjectif de cette Ă©tude Ă©tait dâĂ©tudier les facteurs de risque, Ă©pidĂ©miologie, et prise en charge de la grossesse extra-utĂ©rine rompue au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry en 2022.
MĂ©thodes : il sâagissait dâune Ă©tude descriptive transversale Ă recrutement rĂ©trospectif. Elle a Ă©tĂ© menĂ©e
au service de gynĂ©cologie et dâobstĂ©trique de lâhĂŽpital national Ignace Deen du CHU de Conakry du 1er janvier 2019 au 31 DĂ©cembre 2022 soit une pĂ©riode de trois ans. Ont Ă©tĂ© Ă©tudiĂ©es les variables se rapportant aux facteurs de risque, Ă©pidĂ©miologie, et la prise en charge de la GEUR dans notre contexte de travail. Nous avons utilisĂ© le logiciel Excel pour lâanalyse des donnĂ©es.
RĂ©sultats : frĂ©quence de la GEUR dans notre Ă©tude Ă©tait 1,26 % sur lâensemble des interventions gynĂ©cologiques, les tranches dâĂąge les plus reprĂ©sentĂ©es Ă©taient celles de 20-24 ans et 30-34 ans de 32,69%, plus de la moitiĂ© Ă©tait cĂ©libataire 69,23%, sans profession, non scolarisĂ© respectivement 64,23% et 42,31%, primipares dans 49,04%. Parmi les facteurs de risque (FDR) retrouvĂ©s dans notre sĂ©rie, figuraient antĂ©cĂ©dent de : lâinfection gĂ©nitale 46,15%, fausses couches spontanĂ©es 10,58%, la contraception par microprogestatif 16,34%. La prise en charge a Ă©tĂ© exclusivement chirurgicale (100%), associĂ©e Ă la transfusion sanguine comme moyen de rĂ©animation dans 95,16%.
Conclusion : la grossesse extra-utérine rompue est une urgence médicochirurgicale fréquente, le diagnostic précoce traine les pas dans les pays à faibles ressources.
Introduction : a frequent gynecological emergency, discovered incidentally in medical and/or surgical emergencies in the setting of anemia. The aim of this study was to investigate the risk factors and management of ectopic pregnancy in the gynecology and obstetrics department of the Ignace Deen National Hospital of Conakry University Hospital in 2022.
Methods : This was a descriptive study with retrospective recruitment. It was conducted at the gynecology and obstetrics department of the CHU Ignace Deen national hospital in Conakry from January 1, 2019 to December 31, 2022, a three-year period. Variables relating to risk factors, epidemiology and management of GEUR in our working context were studied. We used Excel software for data analysis.
Results : The frequency of GEUR in our study was 1.26% of all gynaecological procedures, the most represented age groups were 20-24 and 30-34 years with 32.69%, more than half were single 69.23%, without profession, not in school respectively 64.23% and 42.31%, primiparous in 49.04%. Among the risk factors found in our series were a history of : genital infection 46,15%, spontaneous miscarriage 10.58%, microprogestogen contraception 16.34%. Management was exclusively surgical (100%), associated with blood transfusion as a means of resuscitation in 95.16%
Conclusion : Ruptured ectopic pregnancy is a frequent medico-surgical emergency, early diagnosis is lagging behind in low-resource countries