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Search Results: 1 - 10 of 298 matches for " Emile Telesphore Mboudou "
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Risk factors of clinical birth asphyxia and subsequent newborn death following nuchal cord in a low-resource setting  [PDF]
Pascal Foumane, Gustave Nkomom, Emile Telesphore Mboudou, Julius Dohbit Sama, Séraphin Nguefack, Boniface Moifo
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.39117
Abstract:

Introduction: Our aim was to identify the risk factors of clinical birth asphyxia and subsequent newborn death in the presence of nuchal cord in a sub-Saharan Africa setting. Methodology: It was a six-months’ case-control study involving 117 parturients whose babies presented with a nuchal cord at delivery. The study was carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon, from January 1st to June 30th 2013. Results: The risk factors of clinical birth asphyxia identified were: first delivery, absence of obstetrical ultrasound during pregnancy, nuchal cord with more than one loop, duration of second stage of labor more than 30 minutes during vaginal delivery. The risk factors for newborn death from clinical birth asphyxia in the presence of nuchal cord were: maternal age < 20 years, first delivery, absence of obstetrical ultrasound during pregnancy, nuchal cord with more than one loop, tight nuchal cord, duration of second stage of labor more than 30 minutes during vaginal delivery. Conclusion: We recommend a systematic obstetrical ultrasound before labor, so as to detect the presence of a nuchal cord, its tightness and the number of loops. Also, cesarean section should be considered when a nuchal cord is associated with first delivery, tightness or multiple looping.

Outcome of cesarean delivery in women with excessive weight gain during pregnancy  [PDF]
Pascal Foumane, Emmanuel Mando, Emile Telesphore Mboudou, Julius Dohbit Sama, Walter Dobgima Pisoh, Jacqueline Ze Minkande
Open Journal of Obstetrics and Gynecology (OJOG) , 2014, DOI: 10.4236/ojog.2014.43024
Abstract:

The objective of this study was to assess the effects of excessive weight gain during pregnancy on the outcome of cesarean delivery. It was a cohort study comparing the outcome of cesarean delivery between 56 pregnant women with excessive weight gain during pregnancy and 75 pregnant women with no excessive weight gain during pregnancy, consecutively recruited at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon. In women delivered by cesarean section, excessive weight gain during pregnancy was found to predispose to: time interval from parietal incision to fetal extraction of more than five minutes, duration of cesarean section more than 60 minutes, blood loss more than 1000 ml during surgery, post-operative maternal complications, especially sepsis, fetal weight >3.5 kg and macrosomia. A systematic screening of excessive weight gain should be offered to all pregnant women, so as to prevent the adverse effects of excessive gestational weight gain on cesarean outcome.

Clinical Study of Rape against Females at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroun  [PDF]
Pascal Foumane, Julius Sama Dohbit, Francisca Monebenimp, Bruno Natolga, Esther Ngo Um Meka, Emile Telesphore Mboudou
Advances in Sexual Medicine (ASM) , 2014, DOI: 10.4236/asm.2014.42003
Abstract: Objective: To describe the clinical and therapeutic aspects of rape against females in a tertiary level hospital, Yaoundé, Cameroon. Methods: This was a cross-sectional study with a retrolective collection of data, concerning the female patients with a clinical diagnosis of rape received from January 1st 2008 to December 31st 2012. Results: Rape was confirmed at physical examination in 131 cases. The rape victim survivals were mostly aged less than 20 years (85/131; 64.9%), unmarried (127/131; 97.0%), with no income (95/131; 72.5%) and had no university education level (110/131; 83.9%). The aggression commonly took place during the night (68/131; 51.9%), at the victim’s or aggressor’s home (70/131; 53.4%), with physical constraint (73/131; 55.8%), by an unknown aggressor (88/131; 67.2%). A vaginal penetration was reported by 97.0% of the victims (127/131) while 12.2% of them (16/122) had an anal ingress. Condom usage was uncommon during rape (3/131; 2.3%). Vulvar and vaginal lesions were encountered in 32.8% of the cases (43/131). Only 27.5% (36/131) of the victims were prescribed an emergency contraception, while antiretroviral prophylaxis was administered to 46.6% (61/131) of them. Conclusion: These data might be useful for prevention of rape. The clinical management of survival victims of rape needs to be improved.
Female infertility and laparoscopic surgery: A series of 415 operations at the Yaounde Gyneco-Obstetric and Pediatric Hospital, Cameroon  [PDF]
Emile Telesphore Mboudou, Pascal Foumane, Frederick Lifang-Ikomi Morfaw, Jacqueline Ze Minkande, Julius Sama Dohbit, Bernard Armand Enama Mbatsogo
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.39121
Abstract:

Objective: To describe the practice of laparoscopic surgery in the treatment of infertility at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital. Materials and Methods: This was an observational study with retrolective data collection. All patients who underwent laparoscopy for infertility with a complete file were recruited. Data were collected on a pre-established form and analyzed with Microsoft Excel 2007 software. Results: Six hundred and thirty-three women, representing 6.9% of gynecologic operations, underwent laparoscopic surgery during the study period. Infertility accounted for 69.8% (442 cases) of the indications. Four hundred and fifteen files were analyzed. The commonest intraoperative findings were: tubo-peritoneal adhesions (71.6%), hydrosalpinx with distal tubal occlusion (41.5%), peri-hepatic adhesions (22.4%), uterine fibroids (20.2%) and tubal phimosis (14.0%). Adhesiolysis, neosalpingostomy and fimbrioplasty were the commonest surgical gestures. At the end of the procedure, the best tube was staged as favorable in 57.6% of our patients. A complication rate of 4.3% was observed. Conclusion: Infertility is the main indication for laparoscopic surgery in our setting. The main operative findings are tubo-peritoneal adhesions and hydrosalpinx. The most practiced tubal surgical gesture is neosalpingostomy. Half of the recruited women have a favorable stage for the best tube. The complication rate is low.

Risk factors of intrapartal fetal death in a low-resource setting  [PDF]
Pascal Foumane, Aicha Chumbe Mounton, Julius Dohbit Sama, Séraphin Nguefack, Walter Dobgima Pisoh, Emile Telesphore Mboudou
Open Journal of Obstetrics and Gynecology (OJOG) , 2014, DOI: 10.4236/ojog.2014.43018
Abstract:

Objective: To identify the risk factors of intrapartal fetal death in a tertiary hospital in Yaoundé. Methods: It was a case-control study comparing 53 women who delivered with intrapartal fetal death to 106 women who delivered without intrapartal fetal death, carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroon. Results: The risk factors of intrapartal fetal death identified at bivariate analysis were: maternal age <20 years (OR = 3.1; CI = 1.1 - 8.3), absence of regular income (OR = 2.4; CI = 1.2 - 4.7), single motherhood (OR = 2.9; CI = 1.5 - 5.7), illiteracy and primary level of education (OR = 4.7; CI = 1.9 - 11.5), referral (OR = 5.0; CI = 2.5 - 9.9), parity 0 and 1 (OR = 2.3; CI = 1.1 - 4.5), no antenatal care (OR = 9.2; CI = 2.4 - 35.6), number of antenatal visits <4 (OR = 4.2; CI = 2.1 - 8.6), antenatal care in a health center (OR = 3.8; CI = 1.9 - 7.5), antenatal care by a midwife (OR = 2.5; CI = 1.3 - 4.9) or a nurse (OR = 5.2; CI = 1.4 - 18.7), absence of malaria prophylaxis (OR = 10.6; CI = 2.9 - 39.5), absence of obstetrical ultrasound (OR = 4.7; CI = 1.9 - 10.9), prematurity (OR = 3.4; CI = 1.5 - 7.3), abnormal presentation (OR = 2.6; CI = 1.1 - 5.9), ruptured membranes at admission (OR = 2.7; CI = 1.3 - 5.4), ruptured membranes >12 hours at admission (OR = 5.1; CI = 2.5 - 10.3), stained amniotic fluid (OR = 4.8; CI = 2.4 - 9.7), labor lasting more than 12 hours (OR = 18.1; CI = 8.0 - 41.0), presence of maternal complications (OR = 4.7; CI = 2.2 - 10.3), and presence of fetal complications (OR = 48.6; CI = 18.3 - 129), particularly acute fetal distress (OR = 52.3; CI = (14.6 - 186), cord prolapse (OR = 12.1; CI = 3.3 - 43.4), and birth weight <2500 g (OR = 2.8; CI = 1.2 - 6.6). Conclusion: Close attention should be offered to pregnant women, so as to identify these risk factors and promptly provide an appropriate management.

Risk Factors for Breast Cancer: A Case-Control Study of 315 Women Followed in the Gynecology and Oncology Departments of Two University Teaching Hospitals in Yaounde, Cameroon  [PDF]
Felix Essiben, Pascal Foumane, Esther Ngo Um Meka, Patience Signing Soh, Julius Dohbit Sama, Eyongoben Osogo, Emile Telesphore Mboudou
Open Journal of Obstetrics and Gynecology (OJOG) , 2016, DOI: 10.4236/ojog.2016.612085
Abstract: Introduction: Breast cancer is the most common cancer and the first cause of cancer-related deaths among women in Cameroon. The aim of the study was to investigate its risk factors for breast cancer at two University Teaching Hospitals in Yaoundé. Methodology: A case-control study was conducted for 5 months, from February 25th to July 25th 2015, at the Gynecology unit of the Yaoundé Gyneco-Obstetric and Pediatric Hospital (YGOPH) and the Medical Oncology unit of the Yaoundé General Hospital (YGH). One hundred and five patients with breast cancer (cases) were compared to 210 women who did not have breast cancer (controls). SPSS Version 18.0.0 software was used to analyze the data with a statistical significance considered at P-value < 0.05. Results: After univariate analysis, risk factors associated with breast cancer were: patient age > 50 years (P < 0.00; OR = 4.16; CI = [2.50 - 7.14]); widowhood (P = 0.001; OR = 3.45; CI = [1.7 - 6.9]), monthly income < 86 US dollars (P = 0.002; OR = 2.19; CI = [1, 31 - 3.65]), primary level of education (P = 0.005; OR = 2.11; CI = [1.25 - 3.56]), consumption of red meat > three times per week (P = 0.002; OR = 2.14; CI = [1.33 - 3.45]), palm oil consumption > two times per week (P = 0.001; OR = 2.38; CI = [1.4 - 4.1]). After multivariate analysis, age > 50 years (aOR = 41.48; CI = [2.46 - 69.9]) and consumption of red meat > three times per week [aOR = 7.33; (1.49 - 36)] were the risk factors considered significant for breast cancer. Conclusion: Age > 50 years and red meat consumption are independent risk factors for breast cancer at the Yaoundé General Hospital and at the Yaoundé Gyneco-Obstetric and Pediatric Hospital.
Prevalence and Risk Factors of Postpartum Depression in Yaounde, Cameroon  [PDF]
Nadège Djoda Adama, Pascal Foumane, Jean Pierre Kamga Olen, Julius Sama Dohbit, Esther Ngo Um Meka, Emile Mboudou
Open Journal of Obstetrics and Gynecology (OJOG) , 2015, DOI: 10.4236/ojog.2015.511086
Abstract: Introduction: Postpartum Depression is one of the commonest complications of the postpartum period. In Cameroon, little is known about this condition. Our objective was to determine the prevalence and identify the risk factors for postpartum depression. Methodology: The study was carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, from November 4th 2013 to April 4th 2014. All the women between the 4th and 6th week after birth who gave their consent were included. A pretested questionnaire including demographic, psychosocial, maternal and infant variables as well as the Edinburgh Postnatal Depression Scale (EPDS) was filled. A woman with an EPDS score ≥12 was considered having postpartum depression, while a score < 12 ruled out a postpartum depression. Results: We recruited 214 women, among whom 50 had an EPDS score ≥ 12, giving a prevalence of 23.4% of postpartum depression. After multivariate analysis, the risk factors of postpartum depression were: lack of satisfaction in the marital relationship, recent financial problems, recent conflicts with the partner, baby blues, difficulties in feeding the baby and problems with the baby’s sleep. Conclusion: Postpartum depression is common and associated to specific risk factors in our setting.
Insulin Sensitivity and Gynaecological Features of Infertile Cameroonian Females with Polycystic Ovary Syndrome: A Cross-Sectional Study  [PDF]
Julius Sama Dohbit, Eugene Sobngwi, Jean Dupont Kemfang, Pascal Foumane, Joel Noutakdie Tochie, Felix A. Elong, Betsy Bate, Emile T. Mboudou
Open Journal of Obstetrics and Gynecology (OJOG) , 2017, DOI: 10.4236/ojog.2017.713127
Abstract: Background: Polycystic ovary syndrome (PCOS), characterized by ovulatory dysfunction, polycystic ovary(PCO),hyperandrogenism and insulin resistance is the commonest endocrine disorder in women of reproductive age. It is an intriguing pathology that involves the perpetuation of a vicious circle with reproductive, endocrine and metabolic components. We aimed to assess the reproductive features and insulin sensitivity (IS) in infertile women with or without PCOS. Materials and Methods: We carried out a cross-sectional analytic study at the outpatient Obstetrics and Gynaecology Department of the Yaounde Gyneco-obstetric and Pediatrics Hospital, Cameroon from September 1st 2012 to March 31st 2013 giving total study duration of 07 months. Laboratory analyses were carried out at the National Obesity Centre(NOC)of the Yaounde Central Hospital, Cameroon. Results: Overall, 36 infertile females were enrolled, which included 15 diagnosed cases of PCOS according to Rotterdam consensus meeting of 2003 and 21 non PCOS subjects as control. PCOS women were younger than non PCOS women (28.8 ± 5.5 vs. 35.0 ± 4.2 years; p = 0.0004). The majority of the women in the PCOS group were spaniomenorrheic (11/15), and ultrasonographic findings were typical of PCOS. Hirsutism score was higher in the PCOS group with a median of 9 (7 - 13). Insulin sensitivity was impaired in two-thirds of the
Water Resources Conflict Management of Nyabarongo River and Kagera River Watershed in Africa  [PDF]
Telesphore Habiyakare, Nianqing Zhou
Journal of Water Resource and Protection (JWARP) , 2015, DOI: 10.4236/jwarp.2015.712073
Abstract: In the process of exploiting and using water resources of river basin, the benefit conflict problems among upper and lower river districts and among different departments restrict to sustainable exploiting and using water resources of river basin. In this paper, the water resources conflict management of Nyabarongo River and Kagera River watershed is studied. The Nyabarongo is a major river in Rwanda, begins in Nyungwe Forest, and flows up to the north-western part of the country, then down through the center to the south-east, eventually forming the main tributary of the Kagera River watershed, the main affluent of Lake Victoria, which drains into the Nile River. The basin is shared among 11 riparian states. This trans-boundary character of the Nile presents a great challenge of water conflicts; national interests have historically been promoted at the expense of regional interests. The framework of this paper is as follows: the water resources bulletin is firstly described, and then the cooperation and regional conflicts are discussed; finally a sustainable framework for governing the water resources is proposed to meet water management in riparian states.
Chemical and Bacteriological Analysis of Drinking Water from Alternative Sources in the Dschang Municipality, Cameroon  [PDF]
TEMGOUA Emile
Journal of Environmental Protection (JEP) , 2011, DOI: 10.4236/jep.2011.25071
Abstract: In the poor zones of sub-Saharan Africa, the conventional drinking water network is very weak. The populations use alternative groundwater sources which are wells and springs. However, because of urbanization, the groundwater sources are degrading gradually making pure, safe, healthy and odourless drinking water a matter of deep concern. There are many pollutants in groundwater due to seepage of organic and inorganic pollutants, heavy metals, etc. Seventeen alternative water points created in 2008, for drinking water in Dschang municipality were examined for their physicochemical and bacteriological characteristics. The results revealed that water from managed points in Dschang is of poor quality. Most of the water samples were below or out of safety limits (standards) provided by WHO. The water is characterized by high turbidity and presence of feacal coliforms. It can be used for drinking and cooking only after prior treatment. This situation shows that water point management was limited only to the drawing up comfort. These water points require installation of suitable surfaces of filtration and the development of a chlorination follow-up plan. Specific concerns of well water were raised and the management options to be taken proposed.
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