20 research outputs found
Risk factors leading to preterm births in Morocco: a prospective study at the maternity Souissi in Rabat
Introduction: Eminent morbidity and mortality of preterm infants is perceived, especially in developing countries. The aim of the study is to identify the main factors involved in the occurrence of premature births in Morocco. Methods: This was a descriptive and analytical study conducted at the maternity Souissi in Rabat, from January 2011 to December 2011. The data were collected using interview with women in the postpartum, and via, the exploitation of obstetric and perinatal records. The data sheet was filled out for each newborn, including sociodemographic, obstetrical, maternal, childbirth and neonatal data, as well as, monitoring and surveillance of pregnancy. Results: A total of 1015 births were collected. 954 were full term babies and 61 were preterms. The gestational age was between 33-34 weeks in 57.4%. Relying on Statistical analysis, many risk factors were, significantly, associated with the occurrence of prematurity, namely: low level of maternal education (p ? 0.004), absence of pregnancy’ monitoring (p < 0.001), multiparity (p < 0.001), maternal chronic diseases (p < 0.001), and drug taking during pregnancy (p < 0.001).Conclusion: To reduce the incidence of preterm births, reliable programs must be established, devoting all its interest, to educate the young woman in childbearing age about the appropriate ways of monitoring pregnancy, as well as, the qualitative and quantitative development of health care structures.Key words: Preterm infants, risk factors, mortalit
Neonatal epididymo-orchitis caused by Pseudomonas aeruginosa: a case report
Epididymitis and epididymo-orchitis are an uncommon causes of acute testicular pain in neonatal boys, epididymo-orchitis is infection or inflammation of epididymis and testis it's may be associated with urinary tract infections or reflux of urine predisposed by an underlying vasal anomaly. Pediatricians should examine the testicles meticulously after a baby is born
Prevalence, antimicrobial resistance and serotype distribution of group B streptococcus isolated among pregnant women and newborns in Rabat, Morocco
PURPOSE: Group B streptococcus (GBS) is an important cause of
neonatal sepsis worldwide. Data on the prevalence of maternal
GBS colonization, risk factors for carriage, antibiotic
susceptibility and circulating serotypes are necessary to tailor
adequate locally relevant public health policies. METHODOLOGY: A
prospective study including pregnant women and their newborns
was conducted between March and July 2013 in Morocco. We
collected clinical data and vagino-rectal and urine samples from
the recruited pregnant women, together with the clinical
characteristics of, and body surface samples from, their
newborns. Additionally, the first three newborns admitted every
day with suspected invasive infection were recruited for a
thorough screening for neonatal sepsis. Serotypes were
characterized by molecular testing. RESULTS: A total of 350
pregnant women and 139 of their newborns were recruited. The
prevalence of pregnant women colonized by GBS was 24 %. In 5/160
additional sick newborns recruited with suspected sepsis, the
blood cultures were positive for GBS. Gestational hypertension
and vaginal pruritus were significantly associated with a
vagino-rectal GBS colonization in univariate analyses. All of
the strains were susceptible to penicillin, while 7 % were
resistant to clindamycin and 12 % were resistant to
erythromycin. The most common GBS serotypes detected included V,
II and III. CONCLUSION: In Morocco, maternal GBS colonization is
high. Penicillin can continue to be the cornerstone of
intrapartum antibiotic prophylaxis. A pentavalent GBS vaccine
(Ia, Ib, II, III and V) would have been effective against the
majority of the colonizing cases in this setting, but a
trivalent one (Ia, Ib and III) would only prevent 28 % of the
cases
Déclaration d'Errachidia et lignes directrices pour le développement durable des écosystèmes oasiens.
Unilateral Multiple Thoracic Hydatid Cysts: A Rare Presentation
Hydatidosis, when present in multiple thoracic locations, requires a synchronous or successive approach, which can lead to an increased risk of complications [...
Vitamin D status in Moroccan pregnant women and newborns: reports of 102 cases
Introduction: vitamin D insufficiency to pregnant women has been associated with a number of adverse consequences, and has been recognized as a public health concern. The aim of this study was to evaluate vitamin D status of Morrocan pregnant women and their newborns. Our study is being the first of its kind in Morocco, as it supports the program of systematic supplementation of pregnant women in the third quarter. Its results have established a new program for the fight against the deficit of various nutrients, thereby intake of vitamin D has become routine. So this work is a true example of action research. Methods: it’s an observational and a cross sectional study. The data was collected prospectively from the 1st January to 31 December 2012 in the labor room of the Souissi maternity hospital, at the Ibn Sina university center of Rabat in Morocco. Women included were consented to participate in the study. Data on epidemiological, sociodemographic and clinical characteristics was recolted by interview, physical exam and biochemistry parameters. Hypovitaminosis D is defined as serum level of vitamin D ≤ 50 nmol/l (20 ng/ml). Results: our study included 102 cases of mother-newborn pairs. The average age of mothers was 28.3 +/- 6.7 years (range 17-43 years), 90.1% of women enrolled had a hypovitaminosis D , the average weight of newborns was 3377.9 +/- 509g (2270 - 4880g) . Hypovitaminosis D is not correlated with the origin, season, body mass index, birth interval and birth weight. It was positively correlated with maternal serum calcium (p=0.000). Conclusion: the maternal hypovitaminosis D is real public health problem. The prevention is necessary, by the systematic vitamin D supplementation for pregnant women.The Pan African Medical Journal 2016;2