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Cervical incompetence in brazzaville congo on 166 cases diagnosed and treated at the blanche gomes maternity hospital of brazzaville

Cervical incompetence in brazzaville congo on 166 cases diagnosed and treated at the blanche gomes maternity hospital of brazzaville

Afrique Medicale 27(265): 367-372

ISSN/ISBN: 0002-0516

An analysis was carried out of 166 cases of cervical incompetence diagnosed at the Blanche Gomes Maternity Hospital from December 1, 1981 to December 31, 1983. The patients were treated and observed according to a preestablished protocol. The following findings were made: 1) previous gynecological or obstetric traumas were found in approximately 96% of the cases, including one or several clandestine abortions in 57% of the cases; 2) three-fourths of the patients in the series were between the ages of 20 and 30; 3) the bougie test alone was sufficient for diagnosing 75% of the cases, and in Africa hysterography is only essential in cases of negative calibration, given the high cost of radiography; and 4) cervical cerclage after the twelvth week, combined with rest, betamimetic drugs, progesterones and antiseptics, led to good results in 77% of the cases (childbirth at term). The importance of avoiding gynecological and obstetric traumas was emphasized, specifically by the careful execution of both eutocia and dystocia, and by promoting contraception in both single and married women.

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Accession: 007090187

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