La stimulation electrique transcutanee associee a l’infra rouge et au massage pour le traitement des douleurs du rachis : cas de quarante conducteurs de taxi moto "zemidjan" de la ville de Porto-Novo (Benin).

Electric Stimulation (ES) is a method that is more and more used in re-education as analgesia means. The aim of that study is to show the efficiency of that technical in the frame of the fight against spinal columnpains. We have associated to the T.E.N.S effect, massage and infrared to obtain a faster and efficient relaxation. The real purpose is to get progressively more numerous patients who will be interest in naturalmedicine to expect to be less dependant to pharmaceutical products. Nowadays ES is used as an antalgic power. The main research during this study of ES is to show how many it’s powerful in treating back aches. La Stimulation Electrique (S.E.) est une méthode de plus en plus utilisée en rééducation comme moyen antalgique. L’objectif visé au cours de cette étude est de montrer l’efficacité de la technique dans le cadre de la lutte contre les douleurs du rachis. Nous avons, en plus de l’effet T.E.N.S. (Transcutanous Electrical Nerve Stimulation), associé le massage et l’infrarouge pour obtenir une récupération plus rapide et efficace. L’objectif à terme est d’amener progressivement les patients de plus en plus nombreux à s’intéresser à la physiothérapie pour espérer être moins dépendants des produits pharmaceutiques

Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.

BACKGROUND: Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. METHODS: A 7-day, international, prospective, observational cohort study was done in patients having caesarean delivery in 183 hospitals across 22 countries in Africa. The inclusion criteria were all consecutive patients (aged ≥18 years) admitted to participating centres having elective and non-elective caesarean delivery during the 7-day study cohort period. To ensure a representative sample, each hospital had to provide data for 90% of the eligible patients during the recruitment week. The primary outcome was in-hospital maternal mortality and complications, which were assessed by local investigators. The study was registered on the South African National Health Research Database, number KZ_2015RP7_22, and on ClinicalTrials.gov, number NCT03044899. FINDINGS: Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100 000 population (IQR 0·2-2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3-0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2-18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46-13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99-17·34]) or anaesthesia complications (11·47 (1·20-109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7-5·0). INTERPRETATION: Maternal mortality after caesarean delivery in Africa is 50 times higher than that of high-income countries and is driven by peripartum haemorrhage and anaesthesia complications. Neonatal mortality is double the global average. Early identification and appropriate management of mothers at risk of peripartum haemorrhage might improve maternal and neonatal outcomes in Africa. FUNDING: Medical Research Council of South Africa.Medical Research Council of South Africa