The impact of sexual activity during the third trimester of pregnancy on labor outcome in nulliparous women

Background: In the environment, there’s not enough studies on the effects of sexual activity during pregnancy on labor outcome, especially for nulliparous women. The aim was to assess the effects of sexual activity during the third term of pregnancy on the outcome of labor in nulliparous women.Methods: A prospective cohort study on labor was carried out for 11 months at the labor ward of the Yaoundé gynaeco-obstetric and pediatric Hospital. In this study compared women were exposed to at least one unprotected sexual intercourse with vaginal ejaculation per week during the third trimester of pregnancy (exposed group), to those who had less than one unprotected sexual intercourse per week (non-exposed group).Results: Of the 1123 primiparous women who gave birth within the study period, 426 consented to enroll in the study. Amongst these women, 186 women in the exposed group compared to 240 women in the non-exposed group. Intercourse during pregnancy predisposed on arrival into the labor ward to a Bishop’s score ≥7 (RR = 1.94; CI = 1.63-2.3) and within the course of labor to a spontaneous per vaginal delivery (RR = 1.18; CI = 1.06-1.31) and an active phase duration <6 hours (RR = 1.52; CI = 1.36-1.7). Furthermore, sexual intercourse during pregnancy protected against labor induction (RR = 0.21; CI = 0.12-0.36), dystocia (RR = 0.36; CI =  0.27-0.49), cesarean section (RR = 0.29; CI = 0.15-0.55), episiotomy (RR = 0.56; CI = 0.36-0.87) and an Apgar  score <7 at the first minute of birth (RR = 0.31; CI = 0.14-0.7).Conclusions: Sexual activity during pregnancy improves the prognosis of labor in primiparous women. In the absence of contraindications, consented unprotected heterosexual vaginal intercourse should be promoted in nulliparous women

prevalence de l\' endometriose en laparoscopie chez les femmes infertiles a yaounde, Cameroun.

L'objectif principal de cette étude est de déterminer la prévalence de l'endométriose au cours des coelioscopies pour infertilité. Cette étude rétrospective couvre une période de six ans et demi allant du 1er Janvier 1994, au 30 Juin 2000, dans le service de Gynécologie «A» de l'Hôpital Général de Yaoundé. Pendant cette période, 414 patientes ont été opérées par coelioscopie. L'âge moyen de nos patientes est de 31,55 ans avec des extrêmes de 19 et 44 ans. Les femmes mariées sont majoritaires à 64,98% par rapport aux célibataires. Ainsi 72,94% de nos patientes sont porteuses d'une infertilité secondaire. L'endométriose a été retrouvée chez 13,53% des patientes opérées. La localisation la plus fréquente de la pathologie est de loin l'ovaire, avec 35,79% de l'ensemble des localisations. L'introduction récente de la chirurgie endoscopique en Afrique sub-sahélienne, nous permet aujourd'hui d'affirmer que l'endométriose devrait être considérée parmi les causes probables d'infertilité dans notre environnement.The main objective of this study was to determine the prevalence of endometriosis using laparoscopy for infertility work up. It was a retrospective study carried out in the gynecology “A” service of the Yaounde General Hospital over a six and a half year period from 1st January 1994 to 30th June 2000. A total of 414 patients had laparoscopic surgery with a mean age of 31.55 years and a range of 16 - 44 years. Married women constituted the majority of our sample with a relative majority of 64.98% compared to those unmarried. We noted that 72.94% of our patients presented with secondary infertility. Endometriosis was found in 13.53% of patients operated upon. The most frequent site of endometriotic implantation was ovarian in 35.79% of the patients. The recent introduction of laparoscopic surgery in sub-Saharan Africa has enabled us to raise the possibility of endometriosis in infertility, and should always be considered when investigating infertile women. Keywords: Endometriosis - Laparoscopy - Infertility - Prevalence.Clinics in Mother and Child Health Vol. 4 (2) 2007 pp. 233-23

Prospective, randomized clinical trial of laparoscopic totally extraperitoneal inguinal hernia repair using conventional versus custom-made (mosquito) mesh performed in Cameroon: a short-term outcomes.

Adverse economic conditions often prevent the widespread implementation of modern surgical techniques in third world countries such as in Sub-Sahara Africa.info:eu-repo/semantics/publishe